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

During a routine eye examination, an older client reports decreased peripheral vision and is found to have elevated intraocular pressures. Ophthalmic drops are prescribed for primary open-angle glaucoma (POAG). Which intervention(s) should the nurse include in this client's plan of care? Select all that apply.

Correct Answer: B,D,E

Rationale: The correct answers are B, D, and E because lifelong eye drop use (
B) manages glaucoma, applying pressure to the inner eye corner (
D) minimizes systemic absorption, and aseptic administration (E) prevents infections.
Choice A is incorrect as drops control pressure, not restore vision.
Choice C is unrelated to glaucoma.

Question 2 of 5

A client with Addison's disease started taking hydrocortisone in a divided daily dose last week. It is most important for the nurse to monitor which serum laboratory value?

Correct Answer: C

Rationale: The correct answer is C because hydrocortisone can elevate blood glucose, requiring monitoring in Addison's disease.
Choice A is less relevant to hydrocortisone.
Choice B is unrelated to hydrocortisone effects.
Choice D is not directly affected.

Question 3 of 5

A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse?

Correct Answer: A

Rationale: The correct answer is A because severe hypernatremia (185 mEq/L) can cause neurological damage and requires urgent correction.
Choice B is a symptom of DI but less urgent.
Choice C indicates dehydration but is secondary.
Choice D is elevated but not as critical.

Question 4 of 5

The healthcare provider prescribes 100 mL of 0.9% normal saline to be infused within 15 minutes. The nurse should program the infusion pump to deliver how many mL/hr?

Correct Answer: A

Rationale: The correct answer is A (400 mL/hr). Calculation: 100 mL ÷ 15 min = 100 mL ÷ 0.25 hr = 400 mL/hr. This sets the infusion pump correctly for the prescribed time.

Question 5 of 5

Which nursing problem should be selected for a client who is receiving thrombolytic infusions for treatment of an acute myocardial infarction (AMI)?

Correct Answer: C

Rationale: The correct answer is C because thrombolytics increase bleeding risk, making injury prevention critical.
Choice A is less common.
Choice B is secondary to immediate risks.
Choice D is relevant but not the priority.

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