HESI RN Med Surg Exam 2 | Nurselytic

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HESI RN Med Surg Exam 2 Questions

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Question 1 of 5

A client who was recently diagnosed with Raynaud's disease is concerned about pain management. Which nursing instruction should the nurse provide?

Correct Answer: D

Rationale: The correct answer is D because gloves prevent cold-induced spasms in Raynaud's disease.
Choice A can worsen pain.
Choice B is unnecessary.
Choice C is not the first step.

Question 2 of 5

The nurse determines that an adult client who is admitted to the postanesthesia care unit (PACU) following abdominal surgery has a tympanic temperature of 94.6°F (34.8°C), a heart rate of 88 beats/minute, a respiratory rate of 14 breaths/minute, and a blood pressure of 94/68 mm Hg. Which action should the nurse implement?

Correct Answer: B

Rationale: The correct answer is B because a low tympanic temperature may result from improper measurement, requiring verification with another method.
Choice A is unrelated to temperature.
Choice C is not the priority.
Choice D is routine but not immediate.

Question 3 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 4 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 5 of 5

The nurse is caring for a client with a history of type 2 diabetes mellitus (DM) and hypertension who arrived at the clinic for a scheduled visit. Which finding should the nurse recognize as a possible complication?

Correct Answer: C

Rationale: The correct answer is C because elevated serum creatinine suggests kidney dysfunction, a complication of diabetes and hypertension.
Choice A is slightly elevated but not specific.
Choice B is expected in diabetes.
Choice D indicates good control.

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