HESI RN
Samuel Merrit University Hesi Med Surg Questions
Extract:
Question 1 of 5
Two days after surgery, a male client experiences incisional pain while dangling his feet at the bedside and he refuses to ambulate as prescribed.The nurse establishes a problem of 'Activity intolerance related to pain'. Based on this problem, which outcome statement is best for the nurse to include in his care plan?
Correct Answer: A
Rationale: The goal of the care plan should be to help the client overcome his activity intolerance related to pain. This can be achieved by helping him to ambulate without discomfort.
Question 2 of 5
A client receives a prescription for a one-time dose of metronidazole 2 grams by mouth. The medication is available in 500 mg tablets. How many tablets should the nurse administer? (Enter numerical value only).
Correct Answer: D
Rationale: The client has been prescribed a one-time dose of metronidazole 2 grams by mouth. Since 1 gram is equal to 1000 milligrams (mg), 2 grams is equal to 2000 mg. The medication is available in 500 mg tablets, so the nurse should administer 2000 mg / 500 mg/tablet = 4 tablets.
Question 3 of 5
Which response by the nurse is most therapeutic?
Correct Answer: C
Rationale: This response shows that the nurse is willing to listen and provide support to the client. It also allows the client to decide if they want to talk and share their feelings.
Question 4 of 5
Which descriptions of stool warrant additional follow-up by the nurse? (Select all that apply.).
Correct Answer: A,C,D,E
Rationale: Solid stool with red streaks may indicate lower gastrointestinal bleeding and requires further evaluation. Brown liquid stool may suggest diarrhea or malabsorption issues, warranting further assessment. A tarry appearance can indicate upper gastrointestinal bleeding and requires prompt follow-up. Multiple hard pellets may indicate constipation or dehydration and should be addressed.
Question 5 of 5
What equipment should the nurse use to most accurately measure a 2ml dose of a viscous liquid solution to be given orally?
Correct Answer: C
Rationale: A 3 mL syringe is precise and suitable for measuring a 2 mL dose of a viscous liquid. Syringes provide clear markings, ensuring accurate measurement of small volumes. Additionally, the absence of a needle makes it appropriate for oral administration.