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HESI RN · HESI Adult Health Nursing · Adult Health 1 HESI

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient receives 3% NaCl solution for correction of hyponatremia. Which assessment is most important for the nurse to monitor while the patient is receiving this infusion?

A. Lung sounds

B. Urinary output

C. Peripheral pulses

D. Peripheral edema

Expert Explanatory Rationale

Correct Answer: Lung sounds

Question 2 of 5

A postoperative client has three different PRN analgesics prescribed for different levels of pain. The nurse inadvertently administers a dose that is not within the prescribed parameters. What actions should the nurse take first?

A. Assess for side effects of the medication.

B. Document the client's responses.

C. Complete a medication error report.

D. Determine if the pain was relieved.

Expert Explanatory Rationale

Correct Answer: Assess for side effects of the medication.

Question 3 of 5

A patient who is lethargic and exhibits deep, rapid respirations has the following arterial blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 37 mm Hg, and HCO3 16 mEq/L. How should the nurse interpret these results?

A. Metabolic acidosis

B. Metabolic alkalosis

C. Respiratory acidosis

D. Respiratory alkalosis

Expert Explanatory Rationale

Correct Answer: Metabolic acidosis

Question 4 of 5

A client who has a body mass index (BMI) of 30 is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend first?

A. Plan low-carbohydrate and high-protein meals

B. Engage in moderate physical activity for an hour daily

C. Keep a record of food and drinks consumed daily

D. Participate in a group exercise class 3 times a week

Expert Explanatory Rationale

Correct Answer: Keep a record of food and drinks consumed daily

Question 5 of 5

When assessing a pregnant patient with eclampsia who is receiving IV magnesium sulfate, which finding should the nurse report to the health care provider immediately?

A. The bibasilar breath sounds are decreased.

B. The patellar and triceps reflexes are absent.

C. The patient has been sleeping most of the day.

D. The patient reports feeling 'sick to my stomach.'

Expert Explanatory Rationale

Correct Answer: The patellar and triceps reflexes are absent.

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