HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 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 2 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 3 of 5
An older adult client with symptoms of osteoarthritis asks the nurse which form of exercise would be most beneficial. Which is the best response by the nurse?
Correct Answer: D
Rationale: Swimming is a low-impact exercise that strengthens muscles and improves joint flexibility without stressing arthritic joints, making it ideal for osteoarthritis.
Question 4 of 5
A client with acute renal injury (AKI) weighs 110.3 pounds (50 kg) and has a potassium level of 6.7 mEq/L (6.7 mmol/L) is admitted to the hospital. Which prescribed medication should the nurse administer first?
Correct Answer: A
Rationale: Sodium polystyrene sulfonate is prioritized because it directly addresses hyperkalemia (elevated potassium), a life-threatening condition in AKI that can cause cardiac arrhythmias. The other medications address phosphorus levels or anemia, which are less urgent.
Question 5 of 5
The nurse is caring for a client with chemotherapy-induced mucositis who is describing soreness of the tongue and oral issues. Which is the best initial nursing action?
Correct Answer: B
Rationale: Frequent mouth care prevents worsening of mucositis by removing debris and soothing tissues. Other actions are secondary or potentially harmful (e.g., swabs may damage mucosa).