HESI RN Medical Surgical Exam I | Nurselytic

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HESI RN Medical Surgical Exam I Questions

Extract:


Question 1 of 5

A client receiving thrombolytic infusions for treatment of an acute myocardial infarction (AMI) has which nursing problem?

Correct Answer: B

Rationale: Risk for injury related to effects of thrombolytics is the priority due to the potential for serious bleeding complications.

Question 2 of 5

The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?

Correct Answer: C

Rationale: Tracheostomy placement is the correct intervention for managing stridor in a postoperative parathyroidectomy patient. Stridor indicates a potential airway obstruction, which can be life-threatening.

Question 3 of 5

A client with Addison's disease started taking hydrocortisone in a divided daily dose last week. It is most important for the nurse to monitor which serum laboratory value?

Correct Answer: D

Rationale: Glucose levels are crucial to monitor in clients with Addison's disease on hydrocortisone therapy. Hydrocortisone can affect glucose metabolism, potentially leading to hyperglycemia. Monitoring glucose levels helps ensure that the client's blood sugar remains within a safe range and allows for timely intervention if necessary.

Question 4 of 5

A client is recovering from an episode of urinary tract calculi. During discharge teaching, the client asks about dietary restrictions. In discussing fluid intake, the nurse should include which type of fluid limitation?

Correct Answer: B

Rationale: Citrus fruit juices should be limited as they increase urine acidity, contributing to certain kidney stone formations.

Extract:

Vital Signs
Nurses Notes
History and Physical
Imaging Studies
Laboratory Results
Orders
0930
• Temperature: 100.8°F (38.2°C) orally
• Heart rate: 121 bpm
• Respirations: 28 bpm
• Blood pressure: 115/76
• Oxygen saturation: 95% on room air


Question 5 of 5

The nurse is stabilizing the client and preparing her for surgery. Which goals should the nurse prioritize in the plan of care for the client while in the emergency department (ED)? Select all that apply.

Correct Answer: A,B,C,D,G

Rationale: Infection prevention (
A), pain relief (
B), education (
C), anxiety coping (
D), and fluid management (G) are critical for appendicitis surgery preparation.

Similar Questions

After administration of medication, the client remains short of breath. Wheezes are noted bilaterally. Oxygen saturation is 91% with supplemental oxygen. Which action(s) should the nurse take next? Select all that apply.
The healthcare provider prescribes 100 mL of 0.9% normal saline to be infused within 15 minutes. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)
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A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse?
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