HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
While assisting a client to the toilet, the client begins to have a seizure and the nurse eases the client to the floor. The nurse calls for help and monitors the client until the seizing stops. Which intervention should the nurse implement first?
Correct Answer: Observing for prolonged periods of apnoea is the most urgent intervention. Apnoea can lead to hypoxia and other serious complications if not addressed immediately.
Rationale:
Question 2 of 5
An adult client has been admitted to the hospital with asthma exacerbation. Which trigger should the nurse identify as being the most significant cause of this client's asthma complications?
Correct Answer: Cleaning with household supplies is a significant trigger due to chemical irritants provoking asthma attacks.
Rationale:
Question 3 of 5
Which statement by a client with systemic lupus erythematosus (SLE) indicates the best understanding of proper skin care?
Correct Answer: Using strong sunblock is crucial to protect skin and prevent flares in SLE.
Rationale:
Question 4 of 5
A client with peptic ulcer disease (PUD) is admitted to the medical unit. Which assessment finding requires the most immediate intervention by the nurse?
Correct Answer: Vomiting coffee-grounds emesis indicates gastrointestinal bleeding, requiring immediate intervention.
Rationale:
Question 5 of 5
The home health nurse visits a client who has a serum sodium level of 123 me/L (123 mmol/L). To explore possible etiologist for this value, what question should the nurse ask the client?
Correct Answer: This question is most relevant because excessive water or ice chip intake can lead to dilutional hyponatremia. Identifying excessive fluid intake is critical in determining if this is the cause of the client's hyponatremia.
Rationale: