RN Medical Surgical HESI | Nurselytic

Questions 42

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RN Medical Surgical HESI Questions

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Question 1 of 5

A client who received 6 units of packed red blood cells 3 days ago for a lower gastrointestinal (GI) bleed is now displaying signs of shortness of breath with occasional stridor and is reporting muscle cramping. Which serum laboratory value should the nurse immediately report to the healthcare provider?

Correct Answer: C

Rationale: Hypocalcemia (calcium 6.5 mg/dL) can cause stridor and muscle cramping, especially after blood transfusions due to citrate binding. This critical value requires immediate reporting.

Question 2 of 5

The healthcare provider prescribes 1 liter of 0.9% sodium chloride, USP intravenously (IV) to be infused over 10 hours for a client. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only.)

Correct Answer: 100

Rationale: 1000 mL divided by 10 hours equals 100 mL/hr.

Question 3 of 5

A client with diabetes mellitus is admitted with an upper respiratory infection. Which changes in blood glucose management should the client expect?

Correct Answer: C

Rationale: Infections increase insulin resistance, necessitating higher insulin doses to manage blood glucose effectively.

Question 4 of 5

Following a motor vehicle accident, a client with chest trauma receives a chest tube to relieve a hemothorax. Two hours following the chest tube insertion, the nurse observes the water level in the water-seal chamber is rising during inspiration and falling during expiration. Which action should the nurse implement?

Correct Answer: C

Rationale: Water level fluctuations in the water-seal chamber are normal, indicating a functioning chest tube. The nurse should continue monitoring unless signs of complications arise.

Question 5 of 5

A client is hospitalized with an inflammatory bowel disease (IBD) exacerbation and is being treated with a corticosteroid. The client develops a rigid abdomen with rebound tenderness. Which action should the nurse take?

Correct Answer: D

Rationale: A rigid abdomen with rebound tenderness suggests peritonitis, a serious IBD complication. Obtaining vital signs is the priority to assess for infection, shock, or organ failure.

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