HESI RN
Hesi RN Medical Surg Questions
Extract:
Question 1 of 5
When conducting discharge teaching for a client diagnosed with diverticulosis, which diet instruction should the nurse include?
Correct Answer: D
Rationale: A high-fiber diet with increased fluids promotes bowel regularity, reducing diverticulosis complications.
Question 2 of 5
Methotrexate is prescribed for a client with rheumatoid arthritis (RA) who is also taking aspirin. Which is the best explanation for the nurse to provide as to why a second medication has been added?
Correct Answer: D
Rationale: Methotrexate slows RA progression, while aspirin manages symptoms, addressing both disease and comfort.
Question 3 of 5
A client with a fracture of the right femur has had skeletal traction applied. Which intervention should the nurse include in the client's nursing care plan?
Correct Answer: D
Rationale: Assessing pin sites for infection is critical in skeletal traction to prevent complications like osteomyelitis, which could delay healing.
Question 4 of 5
A client with stage IV bone cancer is admitted to the hospital for pain control. The client verbalizes continuous, severe pain of 8 on a 0 to 10 scale. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Combining opioid and non-opioid medications provides synergistic pain relief, optimizing control while minimizing opioid side effects.
Question 5 of 5
The nurse is caring for a client after a coronary artery bypass graft surgery. The client is exhibiting pitting edema of the lower extremities and jugular venous distention with increased central venous pressure. Which condition should the nurse suspect the client is experiencing based on these findings?
Correct Answer: A
Rationale: Right-sided heart failure causes systemic venous congestion, leading to edema, jugular distention, and elevated central venous pressure.