HESI RN
HESI RN Medical Surgical Exam I Questions
Extract:
Question 1 of 5
The healthcare provider (HCP) prescribes diazepam 8 mg IM every 4 hours PRN for muscle spasms for a client with a fractured femur. The available vial is labeled 'Diazepam Injection, USP 10 mg/2 mL.' How many mL should the nurse administer to the client? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: A
Rationale: Calculation: 10 mg/2 mL = 0.2 mL/mg, 8 mg × 0.2 mL/mg = 1.6 mL.
Question 2 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: Higher doses of insulin are often needed for clients with diabetes who are experiencing an infection. Infections can cause increased stress on the body, leading to elevated blood glucose levels.
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: B
Rationale: A serum sodium level of 185 mEq/L indicates severe hypernatremia, an emergency requiring immediate intervention to prevent neurological complications.
Extract:
Nurse's Notes
History and Physical
Initial Assessment
Temperature: 98.9°F
Heart rate: 112 beats per minute
Respirations: 28 breaths per minute
Blood pressure: 130/86 mmHg
Oxygen saturation: 88%
Lung sounds reveal expiratory wheezes
Capillary refill time: 2 seconds
Exhibits
The nurse has completed a client history and initial assessment and is now planning on prioritizing care of the client.
Complete the following sentences by choosing from the list of corresponding options
Based on the history and assessment data, the nurse should prioritize AnxietyImpaired gas exchangeIneffective airway clearanceActivity intolerance as the priority problem for this client, as evidenced by the client's statement, "I was jogging when it started.""I used my rescue inhaler three times, but I couldn’t catch my breath.""My symptoms are worse when outdoors and when exercising.""I noticed my inhaler was expired and was worried the medication was not working."
Question 4 of 5
Based on the history and assessment data, the nurse should prioritize [dropdown] as the priority problem for this client, as evidenced by the client's statement, [dropdown].
Correct Answer: B
Rationale: Impaired gas exchange is prioritized due to low oxygen saturation and ineffective inhaler use.
Extract:
Question 5 of 5
The nurse observes an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which is the best initial nursing action?
Correct Answer: B
Rationale: Increasing irrigation flow flushes out clots, maintaining catheter patency.