HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client with a bowel obstruction is experiencing intractable vomiting for the last several hours despite the administration of prescribed antiemetics. The nurse obtains the client's arterial blood gas (ABG) results which identify a pH of 7.50, a PaCO2 of 42 mm Hg, and an HCO3 of 33 me/L (33 mmol/L). The nurse should interpret these results as confirming which acid-base imbalance?
Correct Answer: Metabolic alkalosis is characterized by a high pH and elevated HCO3, resulting from loss of stomach acid due to vomiting.
Rationale:
Question 2 of 5
The chest x-ray for a client who is admitted for pneumonia shows a pleural effusion with decreased air flow in the entire left upper lobe. After auscultating the left upper lobe, which breath sounds documented by the nurse verify the x-ray findings?
Correct Answer: Diminished breath sounds in the left upper lobe are consistent with a pleural effusion, correlating with the x-ray findings.
Rationale:
Question 3 of 5
A client is newly diagnosed with type 2 diabetes mellitus. The nurse is educating the client about self-monitoring blood glucose (SMBG) and haemoglobin A1C. Which statement by the client indicates teaching has been effective?
Correct Answer: Washing hands with warm soapy water prevents infections and ensures accurate glucose readings.
Rationale:
Question 4 of 5
The nurse completes the admission assessment of a client with systemic lupus erythematosus. Which finding requires immediate follow-up by the nurse?
Correct Answer: Haematuria requires immediate follow-up because it can indicate serious renal involvement or a possible flare-up of lupus nephritis.
Rationale:
Question 5 of 5
A male client comes to the clinic with concerns of erectile dysfunction (ED). Which information is most important for the nurse to obtain?
Correct Answer: The current medication regimen is the most important information for the nurse to obtain. Many medications can contribute to erectile dysfunction as a side effect.
Rationale: