HESI RN
Hesi Med Surg Exam 1 Questions
Extract:
Question 1 of 5
A client with a history of hypothyroidism was initially admitted with lethargy and confusion. Which additional finding should the nurse act upon immediately?
Correct Answer: D
Rationale: A further decline in consciousness indicates worsening hypothyroidism or myxedema coma, requiring urgent intervention.
Question 2 of 5
An obese client with emphysema, who smokes at least a pack of cigarettes daily, is admitted after experiencing a sudden increase in dyspnea and activity intolerance. Oxygen therapy is initiated and it is determined that the client will be discharged with oxygen. Which information is most important for the nurse to emphasize in the discharge teaching plan?
Correct Answer: A
Rationale: Correct oxygen use guidelines are critical to ensure safety and efficacy in managing emphysema.
Question 3 of 5
A nurse is assessing a client who has an arteriovenous (AV) graft in the right forearm for hemodialysis access. The nurse auscultates a bruit over the graft area. Which intervention should the nurse implement?
Correct Answer: A
Rationale: A bruit indicates a patent AV graft, a normal finding that should be documented.
Question 4 of 5
A client receives a prescription for 1 liter of lactated Ringer's intravenously (IV) to be infused over 8 hours. The IV administration set delivers 15 gtt/mL. How many mL/hr should the nurse program the infusion pump to deliver?
Correct Answer: B
Rationale: Dividing 1000 mL by 8 hours yields 125 mL/hr, the correct infusion rate.
Question 5 of 5
A patient in the operating room has been administered succinylcholine and is now experiencing muscle rigidity and an extremely high temperature. What should the nurse do next?
Correct Answer: C
Rationale: Applying ice packs addresses hyperthermia in malignant hyperthermia, a critical response to succinylcholine-induced symptoms.