HESI RN
RN Medical Surgical HESI Questions
Extract:
Question 1 of 5
The healthcare provider prescribes 1 liter of 0.9% sodium chloride, USP intravenously (IV) to be infused over 10 hours for a client. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only.)
Correct Answer: 100
Rationale: 1000 mL divided by 10 hours equals 100 mL/hr.
Question 2 of 5
The nurse is caring for a client who had a cholecystectomy two days ago. The client is febrile, reporting upper abdominal pain radiating to the back and has had three episodes of vomiting in the last 8 hours. The nurse reviews the client's serum amylase and lipase level results which are twice the normal value. Based on these findings, the nurse should recognize the client is exhibiting symptoms of which condition?
Correct Answer: B
Rationale: Elevated amylase and lipase, fever, abdominal pain radiating to the back, and vomiting indicate acute pancreatitis, likely triggered by the recent cholecystectomy.
Question 3 of 5
A client with obstructive sleep apnea (OSA) calls the clinic to report difficulty wearing the continuous positive air pressure (CPAP) mask because it is uncomfortable. The client asks the nurse for an alternative way to manage sleep apnea. Which recommendation should the nurse provide?
Correct Answer: C
Rationale: Weight loss reduces airway obstruction in OSA by decreasing fat deposits around the neck, offering an effective alternative to CPAP.
Question 4 of 5
A client who had a biliopancreatic diversion procedure (BPD) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?
Correct Answer: A
Rationale: Gastroccult positive emesis indicates gastrointestinal bleeding, a serious complication requiring immediate intervention. Other findings are common BPD side effects or less urgent.
Question 5 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).