HESI RN
HESI RN Med Surg 3 Questions
Extract:
Question 1 of 5
A pH level of ________ and bicarbonate (HCO3-) level of ________ indicate a resolution of ketoacidosis.
Correct Answer: C
Rationale: A pH of 7.38 and bicarbonate of 24 mEq/L are within normal ranges, indicating resolution of ketoacidosis.
Question 2 of 5
A client, who is 4 hours postoperative laparotomy, has rapidly increasing abdominal distention with elevated pulse and respiratory rates. The client's skin is cool and pale, and there is no change in the blood pressure. Which intervention should the nurse implement immediately?
Correct Answer: D
Rationale: The client's symptoms suggest early shock, likely due to postoperative internal bleeding. Immediate notification of the HCP ensures rapid assessment and intervention.
Question 3 of 5
An adult with head and facial injuries from a motor vehicle collision is fully immobilized and has a Glasgow coma score of 6. The client is intubated, sedated, and is being prepared for transfer to a regional trauma center. Which intervention(s) should the nurse implement? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Family presence provides emotional support. Reassessing vascular access ensures functionality. Frequent neurological assessments monitor for deterioration. Ophthalmic ointment prevents corneal abrasions.
Question 4 of 5
The nurse is caring for a client who has hemorrhaged postoperatively and is in an early stage of shock. Which cardiopulmonary symptoms are most indicative of progressive hypovolemic shock?
Correct Answer: C
Rationale: Tachycardia, lowered systolic BP, and peripheral mottling are characteristic of progressive hypovolemic shock due to reduced circulating volume.
Extract:
Client is a 61-year-old male with COVID pneumonia. He was on high-flow oxygen for 3 days and was transferred to the intensive care unit (ICU) after being intubated and placed on a mechanical ventilator. Has sedation and a neuromuscular blockade infusing due to the high inspiratory pressures required to ventilate the client.
Question 5 of 5
Click to mark whether the actions are indicated, contraindicated, or nonessential for this client.
| Options | Indicated | Contraindicated | Nonessential |
|---|---|---|---|
| Increase the fraction of inspired oxygen (FiOâ‚‚). | |||
| Collect equipment for a needle aspiration. | |||
| Replace the ventilator. | |||
| Measure the nasogastric tube output. | |||
| Place the client in Trendelenburg. |
Correct Answer: A,D
Rationale: Increasing FiOâ‚‚ is indicated if oxygenation is inadequate. Measuring NG output is essential to assess for gastrointestinal issues. Other actions lack clinical justification.