HESI RN
HESI RN Med Surg Exam 2 Questions
Question 1 of 5
A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse?
Correct Answer: A
Rationale: The correct answer is A because severe hypernatremia (185 mEq/L) can cause neurological damage and requires urgent correction.
Choice B is a symptom of DI but less urgent.
Choice C indicates dehydration but is secondary.
Choice D is elevated but not as critical.
Question 2 of 5
The healthcare provider (HCP) prescribes diazepam 8 mg IM every 4 hours PRN muscle spasms for a client with a fractured femur. The available vial is labeled, 'Diazepam Injection, USP 10 mg/2 mL.' How many mL should the nurse administer to the client?
Correct Answer: A
Rationale: The correct answer is A (1.6 mL). Calculation: 8 mg ÷ (10 mg/2 mL) = 8 mg ÷ 5 mg/mL = 1.6 mL. This ensures the correct dose is administered for muscle spasms.
Question 3 of 5
A client is recovering from the surgical removal of glass in the right eye. Which intervention should the nurse implement immediately following the procedure?
Correct Answer: C
Rationale: The correct answer is C because an eye shield protects the surgical site from trauma and infection, which is critical immediately post-procedure.
Choice A is unrelated to eye surgery.
Choice B is routine but not immediate.
Choice D is important for ongoing care but not the priority.
Question 4 of 5
A client with chronic kidney disease (CKD) missed dialysis yesterday to attend a funeral. The client's spouse calls the home health nurse and reports that the client is lethargic and hard to arouse. Which instruction is most important for the nurse to provide?
Correct Answer: B
Rationale: The correct answer is B because missed dialysis can cause severe electrolyte imbalances and fluid overload, requiring urgent medical evaluation.
Choice A is not targeted to the cause.
Choice C assesses access but not the acute issue.
Choice D is a general recommendation, not urgent.
Question 5 of 5
A client who is experiencing a first gouty arthritis attack reports excruciating pain in the right great toe. The nurse inspects the inflamed joint and administers ibuprofen 800 mg PO as prescribed. Which instruction should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: The correct answer is B because alcohol and coffee can increase uric acid, triggering gout attacks.
Choice A is unrelated to gout management.
Choice C is incorrect as pain medication should be taken as needed.
Choice D is beneficial but not dietary-related.