HESI RN
Samuel Merrit University Hesi Med Surg Questions
Extract:
Question 1 of 5
While teaching a client how to perform a skill, the nurse determines that the client is experiencing sensory overload and is unable to learn effectively.Which action should the nurse implement?
Correct Answer: C
Rationale: Sensory overload happens when an individual is getting more input from their senses than their brain can sort through and process.
Therefore, reducing the stimuli in the area can help the client's brain to better process the information being taught.
Question 2 of 5
A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours as needed for cough. The bottle is labeled 'Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL'. How many tablespoons should the nurse instruct the client to take within each dose? (Enter numerical value only).
Correct Answer: A
Rationale: Since the prescription is for 30 mg of dextromethorphan and the bottle is labeled 'Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL', the client should take 15 mL of the suspension per dose. Since there are 15 mL in 1 tablespoon, the client should take 1 tablespoon of the suspension per dose.
Question 3 of 5
While changing the dressing of a client with a leg ulcer, the nurse observes a red, tender, and swollen wound at the site of the lesion.Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?
Correct Answer: D
Rationale: Neutrophils are a type of white blood cell that play a key role in fighting infections. An elevated neutrophil count can indicate the presence of an infection.
Therefore, before reporting the finding of a red, tender, and swollen wound at the site of the lesion to the healthcare provider, the nurse should note the client's neutrophil count.
Question 4 of 5
An accident arrives at the emergency department (ED) with severe right lower quadrant abdominal pain.To assess the intensity of the client's pain, which approach should the nurse use?
Correct Answer: B
Rationale: The assessment of pain intensity by a validated pain scale is a critical initial step, and a patient's self-reporting is widely considered as the key to effective pain management. According to good practice guidelines, clinicians must accept a patient's statement, regardless of their own opinions.
Question 5 of 5
An ulcerated foot peronet (FP) is to be implemented. The UAPs state they have not yet been educated on this before charging assignments.What action should the nurse take first?
Correct Answer: A
Rationale: It is important for the UAP to receive proper education and training on how to care for a foot ulcer before being assigned to care for a client with this condition.