Questions 45

HESI RN

HESI RN Test Bank

HESI Medical Surgical Assignment Exam Questions

Question 1 of 5

A client with functional urinary incontinence is being taught by a nurse. Which statement should the nurse include in this client's teaching?

Correct Answer: D

Rationale: Functional urinary incontinence is not related to bladder issues but rather to difficulties with ambulation or accessing the toilet. The goal is to help the client manage clothing independently. Elastic waistband slacks that are easy to pull down facilitate timely access to the toilet.

Choices A and B are unrelated and not applicable to functional urinary incontinence.
Choice C is incorrect as surgeries to repair the bladder are not indicated for functional urinary incontinence.

Question 2 of 5

A client has the following arterial blood gas (ABG) results: pH 7.51, PCO2 31 mm Hg, PO2 94 mm Hg, HCO3 24 mEq/L. Which of the following acid-base disturbances does the nurse recognize in these results?

Correct Answer: D

Rationale: The ABG results show a pH above the normal range (7.35-7.45) and a decreased PCO2, indicating respiratory alkalosis. In respiratory alkalosis, the pH is increased and the PCO2 is decreased. Metabolic acidosis (choice
A) would present with a low pH and low HCO3 levels. Metabolic alkalosis (choice
B) would show an increased pH and HCO3 levels. Respiratory acidosis (choice
C) would have a low pH and an increased PCO2.

Question 3 of 5

A client without a history of respiratory disease has a pulse oximeter in place after surgery. The nurse monitors the pulse oximeter readings to ensure that oxygen saturation remains above:

Correct Answer: C

Rationale: Pulse oximetry is a noninvasive method of continuously monitoring the oxygen saturation of hemoglobin (SaO2). In the absence of underlying respiratory disease, the expected oxygen saturation level is at least 95%. Oxygen saturation levels below 95% may indicate hypoxemia, which can compromise tissue perfusion and oxygen delivery to vital organs.
Therefore, maintaining oxygen saturation above 95% is crucial to ensure adequate oxygenation post-surgery.

Choices A, B, and D are incorrect as they represent oxygen saturation levels that are below the expected value for a client without a history of respiratory disease, which should be at least 95%.

Question 4 of 5

Blood is drawn from a client with suspected uric acid calculi for a serum uric acid determination. Which value does the nurse recognize as a normal uric acid level?

Correct Answer: B

Rationale: The normal range for uric acid is 4.5 to 8 mg/dL for males and 2.5 to 6.2 mg/dL for females. A uric acid level of 5.8 mg/dL falls within the normal range.

Choices A, C, and D are outside the normal reference range, making them incorrect.
Choice B is the correct answer as it aligns with the typical uric acid levels in the blood.

Question 5 of 5

The healthcare provider is caring for a patient who is receiving an intravenous antibiotic. The patient has a serum drug trough of 1.5 mcg/mL. The normal trough for this drug is 1.7 mcg/mL to 2.2 mcg/mL. What will the healthcare provider expect the patient to experience?

Correct Answer: A

Rationale: A serum drug trough level below the normal range (1.7 mcg/mL to 2.2 mcg/mL) indicates that the medication concentration is insufficient to provide therapeutic effects, leading to inadequate drug effects. A low trough level does not directly correlate with an increased risk of superinfection, minimal adverse effects, or a slowed onset of action, as these are more related to the drug's concentration within the therapeutic range.

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