HESI RN
HESI RN Fundamentals II Questions
Extract:
Question 1 of 5
When assessing a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L), which intervention is most important for the nurse to implement?
Correct Answer: C
Rationale: Hyperkalemia risks cardiac dysrhythmias.
Question 2 of 5
The nurse notices a client grimacing while moving from the bed to a chair, but when asked about the pain the client denies having any pain. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Nonverbal monitoring clarifies pain denial.
Question 3 of 5
A client is admitted to the rehabilitation unit following a cerebrovascular accident (CVA), which resulted in paralysis of the right arm. When the nurse enters the room, the client is struggling to put on a shirt, and curses at the nurse. Which response is best for the nurse to provide?
Correct Answer: B
Rationale: Empathy addresses client frustration.
Question 4 of 5
The healthcare provider prescribes streptomycin 200 mg IM every 12 hours. The vial is labeled, 'Streptomycin 1 gram/2.5 mL.' How many milliliters should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: 0.5
Rationale: 200 mg = 0.5 mL from 1 g/2.5 mL vial.
Question 5 of 5
The nurse is caring for a client with type 2 diabetes mellitus who had surgery for a large bowel resection with a colostomy placement. The client has now developed hyperglycemia which require self-injections of insulin after discharge. When designing the postoperative plan of care, which outcome statement should the nurse use?
Correct Answer: D
Rationale: Adherence to insulin regimen manages hyperglycemia.