HESI RN
Hesi Med Surg Exam 1 Questions
Extract:
Question 1 of 5
Which action should the nurse implement to reduce the risk of vesicant extravasation in the client who is receiving intravenous chemotherapy?
Correct Answer: C
Rationale: Hourly IV site monitoring allows early detection of extravasation, preventing tissue damage from vesicant chemotherapy.
Question 2 of 5
What information should the nurse include in the teaching plan for a patient diagnosed with gastroesophageal reflux disease (GERD)?
Correct Answer: D
Rationale: Wearing loose clothing reduces pressure on the abdomen, helping to minimize GERD symptoms by preventing reflux.
Question 3 of 5
The nurse is caring for a client who reports a sudden, severe facial numbness. The nurse observes an uneven smile with facial droop to the right side and a hand grasp strength that is weaker on the right than the left. The client denies a recent history of headaches or trauma. Which intervention should the nurse perform immediately?
Correct Answer: C
Rationale: Symptoms suggestive of a stroke require immediate initiation of IV access and evaluation for fibrinolytic therapy to restore cerebral blood flow.
Question 4 of 5
The healthcare provider prescribes penicillin 200,000 units intramuscularly for a patient with pneumonia. The available vial is labeled 'Penicillin 500,000 units/mL'. How much penicillin should be administered to the patient?
Correct Answer: B
Rationale: Dividing the prescribed dose (200,000 units) by the concentration (500,000 units/mL) yields 0.4 mL, the correct volume to administer.
Question 5 of 5
Following a transurethral resection of the prostate (TURP), a patient is discharged from the hospital with an indwelling urinary catheter. Which instruction is most important for the nurse to include in the discharge teaching plan?
Correct Answer: B
Rationale: Drinking 3 liters of water daily flushes the bladder, reducing infection risk post-TURP.