HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
The nurse is caring for a child with chronic kidney disease who is experiencing renal osteodystrophy. Which outcome should the nurse explain to the parents about the sequela for their child with renal osteodystrophy?
Correct Answer: A
Rationale: Renal osteodystrophy causes impaired bone formation, leading to arrested growth. Other outcomes are not specific.
Question 2 of 5
A client with chronic kidney disease on peritoneal dialysis exhibits redness, tenderness, and drainage around the catheter site on the abdominal wall. While planning care, the nurse is most concerned about preventing which complication related to these findings?
Correct Answer: B
Rationale: Redness, tenderness, and drainage suggest an exit site infection, a common peritoneal dialysis complication, which must be prevented to avoid progression to peritonitis.
Extract:
Nurse Notes
Laboratory Results
The client is a 58-year-old male who wants to be screened for diabetes mellitus. The client has a sister who has type 2 diabetes mellitus. He has a history of depression, which is treated with paroxetine 10 mg PO every day. The client also discloses that he occasionally takes cannabis in edible form. He denies smoking or drinking. He works in a chemical factory where he is occasionally exposed to fumes. The client's body mass index (BMI) is 28 kg/m3.
Question 3 of 5
Based on the laboratory data, the client has diabetes mellitusprediabeteshypoglycemiagestational diabetes related to fatty liver diseaseimpaired glucose tolerancetolerance occupational exposurelack of insulin production.
| prediabetes |
| impaired glucose tolerance |
| lack of insulin production |
| hypoglycemia |
| gestational diabetes |
Correct Answer: A,B
Rationale: Prediabetes and impaired glucose tolerance are indicated by elevated but sub-diabetic glucose levels, reflecting insulin resistance, unlike hypoglycemia or gestational diabetes which do not fit the client's profile.
Extract:
Question 4 of 5
A client experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?
Correct Answer: D
Rationale: Antihistamines for Ménière's disease target vertigo, a hallmark symptom. Ambulating without vertigo indicates the medication's effectiveness in controlling this symptom.
Question 5 of 5
A client who reports feeling chronically fatigued has a hemoglobin of 10 g/dL (110 mmol/L), hematocrit of 34% (0.34 volume fraction), and microcytic and hypochromic red blood cells (RBCs). Based on these findings, which dinner selection should the nurse suggest to the client?
Correct Answer: D
Rationale: Microcytic, hypochromic RBCs suggest iron deficiency anemia. Beef steak provides heme iron, broccoli offers non-heme iron, and oranges enhance absorption with vitamin C, addressing the client's anemia.