HESI RN
RN Medical Surgical Hesi Exam 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: Higher doses of insulin are needed to overcome increased insulin resistance caused by the infection and stress hormones, preventing hyperglycemia and ketoacidosis.
Question 2 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: Encouraging frequent mouth care is the best initial action to prevent or reduce the severity of mucositis by removing plaque, bacteria, and debris, and moisturizing the oral tissues.
Question 3 of 5
The healthcare provider prescribes 1 liter of 0.9% sodium chloride, USP intravenously (IV) to be infused over 10 hours for a client. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only.)
Correct Answer: 100
Rationale:
To deliver 1000 mL over 10 hours, the rate is calculated as 1000 mL / 10 hr = 100 mL/hr.
Question 4 of 5
The nurse prepares a teaching plan for an adult client with metabolic syndrome. Which finding(s) should the nurse address to help the client reduce the risk for diabetes mellitus and vascular disease? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Abdominal obesity, elevated blood pressure, increased triglyceride levels, and hyperglycemia are components of metabolic syndrome that increase the risk of diabetes and vascular disease, requiring intervention.
Question 5 of 5
A client has an absolute neutrophil count (ANC) of 500/mm³ (0.5 x 10â¹/L) after completing chemotherapy. Which intervention is most important for the nurse to implement?
Correct Answer: D
Rationale: Placing the client in protective isolation is the most important intervention to prevent infections, as a low ANC indicates a high risk of bacterial and fungal infections.