HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 of 5
The client has ____, which can cause ____ such as airway obstruction, bronchospasm, and pulmonary edema. The client also has ____, which can lead to ____ such as hyponatremia, hyperkalemia, and metabolic acidosis.
Correct Answer: A,B
Rationale: Inhaled smoke causes respiratory problems (airway obstruction, bronchospasm, pulmonary edema). Initial fluid shifts in burns lead to electrolyte imbalances (hyponatremia, hyperkalemia, metabolic acidosis).
Question 2 of 5
The client has ____, which can cause ____ such as airway obstruction, bronchospasm, and pulmonary edema. The client also has ____, which can lead to ____ such as hyponatremia, hyperkalemia, and metabolic acidosis.
| Inhaled smoke |
| Hypometabolism |
| Increased cardiac output |
| Respiratory problems |
| Initial fluid shifts |
| Electrolyte imbalance |
| High blood sodium levels |
Correct Answer: A,B
Rationale: Inhaled smoke causes respiratory problems (airway obstruction, bronchospasm, pulmonary edema). Initial fluid shifts in burns lead to electrolyte imbalances (hyponatremia, hyperkalemia, metabolic acidosis).
Question 3 of 5
After teaching a client newly diagnosed with cholecystitis about recommended diet changes, the nurse evaluates the client's learning. Which food choices eliminated by the client indicate to the nurse that teaching has been successful?
Correct Answer: D
Rationale: Eliminating whole milk and ice cream, which are high in fat and cholesterol, indicates successful learning, as these worsen cholecystitis.
Question 4 of 5
A client with type 1 diabetes mellitus, hypertension, and chronic kidney disease is to begin hemodialysis treatment. Which statement should the nurse include in client education?
Correct Answer: C
Rationale: Insulin dosage may need reduction during hemodialysis as the dialyzer removes insulin, lowering blood glucose. The other options are incorrect: abdominal catheters are for peritoneal dialysis, medications may need adjustment, and potassium-rich foods should be limited.
Extract:
Flow sheets
1915
Arrival at emergency department
1920
Vital Signs:
- Temperature: 98.2° F (36.8° C)
- Heart rate: 92 beats/minute
- Respirations: 24 breaths/minute
- Blood pressure: 210/98 mmHg
- Oxygen saturation: 95% on room air
Imaging studies
1935
Head CT scan results:
- No evidence of intracranial hemorrhage
- No evidence of acute disease
Orders
- Obtain CT scan of the head.
- Insert a large bore peripheral IV.
- Start normal saline infusion at 50 mL/hour.
Question 5 of 5
The client continues to have stable neurologic assessments. The nurse provides interventions to promote client safety while in the hospital. Of the interventions below, explain if it promotes clients safety or not, or does both.
| Options | Promotes client safety'Does not promote client safety |
|---|---|
| Place the client in a room near the elevator | |
| Complete a swallow study before giving anything by mouth | |
| Provide a call button kept within reach | |
| Initiate use of the bed alarm | |
| Place client belongings out of reach | |
| Instruct the client to call before getting up |
Correct Answer: B,C,D,F
Rationale: Swallow study, call button, bed alarm, and instructing to call promote safety by preventing aspiration, falls, and ensuring assistance. Elevator proximity and unreachable belongings do not.