HESI RN Med Surg Exam 3 | Nurselytic

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HESI RN Med Surg Exam 3 Questions

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Question 1 of 5

A client with acute abdominal pain, persistent nausea, and projectile vomiting is admitted to the hospital for observation. Acetaminophen is administered as prescribed for an oral temperature of 103°F (39.4°C) and an IV infusion of normal saline is initiated at 250 ml/hour. Which assessment finding should the nurse report to the healthcare provider immediately?

Correct Answer: Right lower abdomen rebound tenderness is a sign of peritonitis, which can be caused by appendicitis or other serious abdominal conditions. This is an urgent finding that requires immediate medical attention.

Rationale:

Question 2 of 5

The practical nurse (PN) reports to the charge nurse that a client who is receiving a parenteral nutrition infusion has a capillary glucose of 365 mg/dL (20.3 mmol/L). Which action should the charge nurse implement?

Correct Answer: Determining if the client has a sliding scale insulin prescription allows for prompt management of hyperglycaemia.

Rationale:

Question 3 of 5

After initializing a steroid nebulizer treatment for an asthmatic client in respiratory distress, which intervention is most important for the nurse to implement?

Correct Answer: Elevating the head of the bed maximizes lung expansion, improving breathing and alleviating respiratory effort.

Rationale:

Question 4 of 5

The nurse is preparing a prescription for enoxaparin 40 mg subcutaneous (sub) daily. Enoxaparin is available in a pre-filled cartridge labelled, '60 mg per 0.6 mL.' How many mL should the nurse administer?

Correct Answer: The nurse should administer 0.4 mL, calculated as (40 mg ÷ 60 mg) × 0.6 mL = 0.4 mL.

Rationale:

Question 5 of 5

A client who weighs 176 pounds is admitted to the intensive care unit with a serum glucose level of 600 mg/dL (33.3 mmol/L). Regular insulin at a rate of 0.1 unit/kg/hour is prescribed. The pharmacy provides a solution of regular insulin 100 units/100 mL of normal saline. The nurse should set the infusion pump to deliver how many mL/hours?

Correct Answer: The nurse should set the pump to 8 mL/hour, calculated as 176 pounds ÷ 2.2 = 80 kg, 80 kg × 0.1 unit/kg/hour = 8 units/hour, 8 units ÷ (100 units/100 mL) = 8 mL/hour.

Rationale:

Similar Questions

A client with type 1 diabetes mellitus (DM) is admitted to the hospital for an emergency cholecystectomy. The client explains to the nurse about experiencing difficulty at home in keeping blood glucose levels under 200 mg/dl (11.1 mmol/L). To prevent the client from developing diabetic ketoacidosis (DKA), which intervention is most important for the nurse to include in the plan of care?
A client with chronic venous insufficiency is being discharged from the hospital and plans to return home. Which client statement indicates an understanding of home care instructions?
The nurse is planning discharge teaching for a client who has cystitis. Which information should the nurse include in the teaching plan?
The nurse is assessing a client who has left ventricular heart failure. Which assessment finding is this client most likely to exhibit?
After placing a client who is having a seizure in the side-lying position, which intervention should the nurse implement?

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