HESI RN Med Surg Exam 2 | Nurselytic

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HESI RN Med Surg Exam 2 Questions

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Question 1 of 5

A client with diabetes mellitus is admitted with an upper respiratory infection. Which changes in blood glucose management should the nurse tell the client to expect?

Correct Answer: C

Rationale: The correct answer is C, as infections can elevate blood glucose, necessitating higher insulin doses.
Choice A is incorrect because frequent monitoring is needed.
Choice B supports hydration but not glucose management directly.
Choice D is incorrect as nutrition is essential during recovery.

Question 2 of 5

The nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?

Correct Answer: A

Rationale: The correct answer is A because dyspnea and sinus tachycardia may indicate fluid overload or heart failure, requiring immediate intervention to prevent complications.
Choice B is a minor symptom not requiring urgent action.
Choice C is expected in AKI but less urgent.
Choice D suggests infection, which is less critical than respiratory and cardiac symptoms.

Question 3 of 5

A client with oral cancer is receiving radiotherapy (RT) prior to surgery. Which intervention should the nurse teach the client to implement in managing mucositis related to RT?

Correct Answer: C

Rationale: The correct answer is C because saline rinses soothe and clean the oral mucosa, reducing mucositis symptoms.
Choice A aids swallowing but not mucositis.
Choice B supports nutrition but is not specific.
Choice D may worsen mucositis due to irritants.

Question 4 of 5

A client with diabetes mellitus is admitted with an upper respiratory infection. Which changes in blood glucose management should the nurse tell the client to expect?

Correct Answer: C

Rationale: The correct answer is C, as infections can elevate blood glucose, necessitating higher insulin doses.
Choice A is incorrect because frequent monitoring is needed.
Choice B supports hydration but not glucose management directly.
Choice D is incorrect as nutrition is essential during recovery.

Question 5 of 5

A client receives a prescription for 2 liters of lactated Ringer's IV to be infused over 12 hours. The IV administration set delivers 20 gtt/mL. How many gtt/min should the nurse regulate the infusion?

Correct Answer: A

Rationale: The correct answer is A (56 gtt/min). Calculation: 2000 mL ÷ 12 hr = 166.67 mL/hr; 166.67 mL/hr × 20 gtt/mL = 3333.4 gtt/hr; 3333.4 gtt/hr ÷ 60 min/hr = 55.56 gtt/min, rounded to 56 gtt/min. This ensures accurate IV infusion.

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