HESI RN Med Surg Exam 3

Extract:

Question 1 of 5

A client with type 2 diabetes mellitus (DM) is being discharged after treatment for an acute bronchitis infection. The nurse is providing teaching for medications to be taken at home, which includes a new prescription for self-administered glargine insulin 20 units SUBQ at bedtime. The client asks if they now have type 1 diabetes mellitus. How should the nurse respond?

Correct Answer: Explaining that insulin injections will likely be discontinued once stress and illness resolve is accurate for type 2 diabetes in this context.

Rationale:

Question 2 of 5

The nurse administers regular insulin SUBQ at 0700 to a client with type 1 diabetes mellitus (DM), after which the client eats one-half of the breakfast provided. At 1000, the client reports being hungry. Which action should the nurse implement?

A. Administer insulin per sliding scale. B. Start hourly blood glucose monitoring. C. Initiate an IV bolus of 0.9% sodium chloride. D. Provide a snack of cheese and crackers. G. D

Correct Answer: Providing a snack of cheese and crackers is appropriate to stabilize blood glucose levels and prevent hypoglycaemia.

Rationale:

Question 3 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?

Your Answer:

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

Rationale:

Question 4 of 5

The nurse is caring for a client with emphysema who is mildly dyspneic after ambulation. Which instruction should the nurse provide to the client to improve gas exchange?

A. Draw air in through the nose and exhale slowly through pursed lips. B. Increase breathing rate for a full 30 seconds. C. Raise hands above the head to expand the diaphragm. D. Lay down on each side with knees bent and breathe from the abdomen. G. A

Correct Answer: Pursed-lip breathing helps improve gas exchange by keeping airways open longer during exhalation.

Rationale:

Question 5 of 5

A client with peptic ulcer disease (PUD) is admitted to the medical unit. Which assessment finding requires the most immediate intervention by the nurse?

A. A haemoglobin of 12 g/dL (7.45 mmol/L) and haematocrit of 42% (0.42 volume fraction). B. Vital signs are temperature 99.0Â°F (37.2Â°C) orally, heart rate 94 beats/minute, respirations 18 breaths/minute, blood pressure 110/70 mm Hg. C. Vomits coffee-grounds emesis. D. Reports having sharp epigastric pain. G. C

Correct Answer: Vomiting coffee-grounds emesis indicates gastrointestinal bleeding, requiring immediate intervention.

Rationale:

HESI RN Med Surg Exam 3 | Nurselytic

Nurselytic

HESI RN

HESI RN