HESI RN
HESI RN Med Surg 3 Questions
Extract:
Question 1 of 5
A client who is admitted to the intensive care unit (ICU) with acute decompensated heart failure is receiving a continuous infusion of milrinone via a subclavian venous catheter. Which action should the nurse take when preparing to administer the first dose of IV furosemide?
Correct Answer: D
Rationale: Milrinone and furosemide are incompatible due to pH differences, which can cause precipitation. Administering furosemide through a separate IV line ensures safe delivery.
Question 2 of 5
A client admitted to the intensive care unit (ICU) with acute respiratory distress syndrome (ARDS) is intubated and placed on assist-control mechanical ventilation. When suctioning pulmonary secretions from the endotracheal tube (ETT) using a closed suction system, which action should the nurse implement to ensure that the client receives adequate oxygenation?
Correct Answer: B
Rationale: Pre-oxygenating by delivering additional breaths via the ventilator prevents hypoxia during suctioning, ensuring adequate oxygenation.
Question 3 of 5
A client who is admitted to the intensive care unit (ICU) with acute decompensated heart failure is receiving a continuous infusion of milrinone via a subclavian venous catheter. Which action should the nurse take when preparing to administer the first dose of IV furosemide?
Correct Answer: D
Rationale: Milrinone and furosemide are incompatible due to pH differences, which can cause precipitation. Administering furosemide through a separate IV line ensures safe delivery.
Question 4 of 5
A postoperative client is admitted to the intensive care unit (ICU) with an inflated pressure infuser containing a solution of heparin 2 units/ml attached to an intra-arterial (IA) cannula. Which finding indicates that the heparin infusion has achieved its therapeutic use?
Correct Answer: D
Rationale: Heparinized flush solutions in IA lines prevent clot formation, ensuring patency for continuous monitoring. A patent cannula confirms therapeutic effect.
Extract:
Medical History
Vital Signs
Physical Examination
Chronic use of hydrocortisone and fludrocortisone
History of hypertension
Recent viral illness with vomiting and diarrhea
A 55-year-old male client is brought to the emergency department by his spouse due to sudden weakness, dizziness, and confusion. The spouse states that the client has had persistent fatigue and nausea for the past few days but suddenly became disoriented and lethargic this morning. The client also reports severe abdominal pain and muscle cramps
Question 5 of 5
Complete the diagram by specifying which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Actions to Take Choices A. Hold hydrocortisone dose B. Collect urine for a urinalysis C. Check blood glucose D. Bolus intravenous fluids E. Change intravenous fluids to 0.45% |
| Potential Conditions Choices A. Ketoacidosis B. Diabetes insipidus C. Myxedema D. Acute adrenal crisis |
| Parameters to Monitor Choices A. Blood pressure B. Urine output C. Thyroid stimulating hormone D. Electrolytes E. Heart rate |
Correct Answer: D,E,F,A,D
Rationale: The client's symptoms and history of steroid use suggest acute adrenal crisis. Fluid resuscitation and glucose monitoring are critical actions, while blood pressure and electrolytes are key parameters to monitor.