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HESI RN · HESI Medical Surgical · HESI Medical Surgical Assignment Exam

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for four clients with chronic kidney disease. Which client should the nurse assess first upon initial rounding?

A. Woman with a blood pressure of 158/90 mm Hg
B. Client with Kussmaul respirations
C. Man with skin itching from head to toe
D. Client with halitosis and stomatitis

Expert Explanatory Rationale

Correct Answer: Client with Kussmaul respirations

Question 2 of 5

Blood is drawn from a client with suspected uric acid calculi for a serum uric acid determination. Which value does the nurse recognize as a normal uric acid level?

A. 1.7 mg/dL
B. 5.8 mg/dL
C. 8.9 mg/dL
D. 12.8 mg/dL

Expert Explanatory Rationale

Correct Answer: 5.8 mg/dL

Question 3 of 5

A patient is admitted to the hospital for treatment of pneumonia after complaining of high fever and shortness of breath. The patient was not able to produce sputum for a culture. The nurse will expect the patient's provider to order

A. a broad-spectrum antibiotic.
B. a narrow-spectrum antibiotic.
C. multiple antibiotics.
D. the pneumococcal vaccine.

Expert Explanatory Rationale

Correct Answer: a broad-spectrum antibiotic.

Question 4 of 5

After educating a client with hypertension secondary to renal disease, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?

A. I can prevent more damage to my kidneys by managing my blood pressure.
B. If I have increased urination at night, I need to drink less fluid during the day.
C. I need to see the registered dietitian to discuss limiting my protein intake.
D. It is important that I take my antihypertensive medications as directed.

Expert Explanatory Rationale

Correct Answer: If I have increased urination at night, I need to drink less fluid during the day.

Question 5 of 5

A nurse is conducting an assessment of a client who underwent thoracentesis of the right side of the chest 3 hours ago. Which findings does the nurse report to the physician? Select all that apply.

A. Unequal chest expansion
B. Pulse rate of 82 beats/min
C. Respiratory rate of 22 breaths/min
D. Diminished breath sounds in the right lung

Expert Explanatory Rationale

Correct Answer: Unequal chest expansion

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