HESI RN
Samuel Merrit University Hesi Med Surg Questions
Extract:
Question 1 of 5
When using a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L), which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Hyperkalemia can lead to life-threatening cardiac conduction disturbances.
Therefore, it is important for the nurse to determine the apical pulse rate and rhythm.
Question 2 of 5
The nurse is caring for a male client with decreased circulation in the lower extremities. The client washes his feet in the shower but is unable to bend safely to dry the feet.While drying the client's feet, the nurse should emphasize the need to thoroughly dry which area of the feet?
Correct Answer: B
Rationale: While drying the client's feet, the nurse should emphasize the need to thoroughly dry between the toes. Moisture between the toes can create a breeding ground for bacteria and fungi, which can lead to infections such as athlete's foot.
Question 3 of 5
The healthcare provider prescribes ear drops to an adult client with an ear infection.Which exacting should the nurse follow?
Correct Answer: D
Rationale: When administering ear drops to an adult client with an ear infection, the nurse should keep the patient in a supine position to administer the drops. This position allows the medication to flow into the ear canal and reach the site of infection.
Question 4 of 5
A client who had emergency gallbladder surgery yesterday is getting ready to be discharged.The nurse knows that the client speaks very little English. When teaching wound care, which method should the nurse use to evaluate the client's understanding of self-care at home?
Correct Answer: A
Rationale: The best way to evaluate the client's understanding of self-care at home is to have the client demonstrate prescribed wound care. This allows the nurse to directly observe the client's ability to perform the necessary tasks and provide feedback and clarification as needed.
Question 5 of 5
The nurse is planning to provide mouth care to an unconscious client.Which statement is accurate for implementing mouth care to this client?
Correct Answer: B
Rationale: Cleaning the inner cheeks and outer gum surfaces with a gauze pad is appropriate for an unconscious client. When mouth care is provided, an unconscious patient is placed in the side-lying position because this prevents secretions from pooling at the back of the oral cavity, lowering the risk of aspiration.