HESI RN
RN Medical Surgical HESI Questions
Question 1 of 5
A client with acute renal injury (AKI) weighs 110.3 pounds (50 kg) and has a potassium level of 6.7 mEq/L (6.7 mmol/L) is admitted to the hospital. Which prescribed medication should the nurse administer first?
Correct Answer: A
Rationale: Sodium polystyrene sulfonate is prioritized because it directly addresses hyperkalemia (elevated potassium), a life-threatening condition in AKI that can cause cardiac arrhythmias. The other medications address phosphorus levels or anemia, which are less urgent.
Question 2 of 5
The nurse is preparing an older client for a magnetic resonance imaging (MRI) with contrast. Which laboratory value should the nurse report to the healthcare provider before the scan is performed?
Correct Answer: D
Rationale: Serum creatinine of 1.9 mg/dL indicates renal insufficiency, increasing the risk of contrast-induced nephropathy. This must be reported to assess the safety of administering contrast media.
Question 3 of 5
A client with type 1 diabetes mellitus, hypertension, and chronic kidney disease is to begin hemodialysis treatment. Which statement should the nurse include in client education?
Correct Answer: C
Rationale: Insulin dosage may need reduction during hemodialysis as the dialyzer removes insulin, lowering blood glucose. The other options are incorrect: abdominal catheters are for peritoneal dialysis, medications may need adjustment, and potassium-rich foods should be limited.
Question 4 of 5
A patient is admitted to the hospital with symptoms consistent with a right hemisphere stroke. Which neurovascular assessment requires immediate intervention by the nurse?
Correct Answer: A
Rationale: Pupillary changes to ipsilateral dilation suggest increased intracranial pressure, a life-threatening stroke complication requiring immediate intervention. Other findings are common but less urgent.
Question 5 of 5
After performing a head-to-toe assessment for a client with Addison's disease, the nurse reports findings to the healthcare provider. The findings include moist mucous membranes, strong palpable peripheral pulses, and blood pressure 132/88 mm Hg. The client verbalizes understanding of the illness and importance of taking medications every day. Which action should the nurse implement?
Correct Answer: C
Rationale: With stable vital signs, adequate hydration, and good self-care knowledge, the client is ready for discharge. The other actions are unnecessary given the client's stable condition.