HESI RN MED SURG V3 EXAM
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a
rapid ventricular response. Based on this finding, the nurse anticipates assisting
the physician with which treatment?
Perform synchronized cardioversion.
A female client who received a nephrotoxic drug is admitted with acute renal
failure and asks the nurse if she will need dialysis for the rest of her life. Which
pathophysiologic consequence should the nurse explain that supports the need
for temporary dialysis until acute tubular necrosis subsides?
Nephron obstruction
Which age-related change in the older adult has the highest safety implication
for the client?
Stooped posture
A client is admitted to the hospital with a diagnosis of severe acute
diverticulitis. Which nursing intervention has the highest priority?
Place the client on NPO status.
When a nurse assesses a client receiving total parenteral nutrition (TPN), which
laboratory value is most important for the nurse to monitor regularly?
Glucose
After attending a class on reducing cancer risk factors, a client selects bran flakes
with 2% milk and orange slices from a breakfast menu. In evaluating the client’s
learning, the nurse affirms that the client has made good choices and makes
what additional recommendation?
Switch to skim milk.
Client census is often used to determine staffing needs. Which method of
obtaining census determination for a particular unit provides the best formula for
determining long-range staffing patterns?
Average daily census
The nurse is giving preoperative instructions to a 14-year-old client scheduled
for surgery to correct a spinal curvature. Which statement by the client best
demonstrates that learning has taken place?
“Let me show you the method of turning I will use after surgery.”
A 77-year-old female client is admitted to the hospital with confusion and
anorexia of several days’ duration. She has symptoms of nausea and vomiting
and is currently complaining of a headache. The client’s pulse rate is 43
beats/min. The nurse is most concerned about the client’s history related to
which medication?
Digoxin
The nurse is caring for a client who is one day post–acute myocardial infarction.
The client is receiving oxygen at 2 L/min via nasal cannula and has a peripheral
saline lock. The nurse notes that the client is having eight premature ventricular