HESI RN Med-Surg Exam
VERSION 22
A nurse is providing dietary teaching to a client who has celiac disease. Which of the following choices should the nurse identify as an indication that the client understands the teaching?= Grilled chicken breast R: Celiac disease people should avoid gluten. Grilled chicken breast does not have gluten.Chocolate pudding contains wheat starch.
A nurse is developing a teaching plan for a client who has gout. Which of the following recommendations should the nurse include?= Decrease intake of purine meats
A nurse is assessing a client who has a comminuted fracture of the femur. Which of the following should the nurse identify as an early manifestation of a fat embolism?= Dyspnea R: Dyspnea, along with tachypnea and a decreased arterial oxygen level are signs of a fat embolism.
A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. Which of the following manifestations indicates that the client is experiencing autonomic dysreflexia?= heart rate 52/min R: Other manifestations include significant rise in systolic and diastolic pressures, severe headache, and flushing.
A nurse caring for a client who has pancreatitis. The nurse should expect which of the following laboratory results to be below the expected reference range?= Calcium R: Client with pancreatitis is expected to have decreased calcium and magnesium levels due to fat necrosis.
A nurse is providing teaching to a client who has a recent diagnosis of constipation- predominant irritable bowel syndrome. Which of the following instructions should the nurse include in the teaching?= Consume at least 30 g of fiber daily
A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. Which of the following statements by the client reflects an understanding of the teaching?= “This identifies if the pacemaker cells of my heart are working properly.”
A nurse is planning care for a client who has community-acquired pneumonia. Which of the following interventions should the nurse include in the plan of care?= Monitor the client for confusion R: Pneumonia is an inflammatory process resulting in increased exudate and a thickening and narrowing of the airways, which causes hypoxia. The reduced oxygen level places the client at risk for confusion. 1 / 2
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a component of Cushing’s triad?= Bradycardia R: The other two components are severe hypertension and a widened pulse pressure.
A nurse is administering meperidine IM in the right deltoid of a client. The nurse aspirates and pulls back blood in the syringe. Which of the following actions should the nurse take?= Dispose of the medication.R: The presence of blood indicates improper needle placement. The medication and needle are now contaminated.
A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching?= “I will monitor my blood pressure while taking this medication.”
R: HTN is a common adverse effect and can lead to hypertensive encephalopathy.
A nurse is caring for a client who is undergoing renal dialysis to treat end-stage kidney disease. The client reports muscle cramps and a tingling sensation in his hands. Which of the following medications should the nurse plan to administer?= Calcium carbonate
R: Hypocalcemia is a manifestation of ESKD and an adverse effect of dialysis.
A nurse is providing teaching to a client who is at risk for developing type 1 diabetes. The nurse should inform the client that which of the following manifestations indicates diabetes? (Select all) Polyuria Polydipsia Neuropathy
A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the following laboratory values should the nurse expect?= Elevated bilirubin level
A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide?= Increase fluid intake
R: To get rid of the barium that was used during the test.
A home health nurse is assigned to a client who has recently discharged form a rehabilitation center after experiencing a right hemispheric cerebrovascular accident (CVA). Which of the following neurologic deficits should the nurse expect to find when assessing the client? (Select all) Visual spatial deficits Left hemianopsia One-sided neglect
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