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HESI RN · HESI Medical Surgical · HESI Medical Surgical Practice Exam

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client is scheduled to have an arteriogram. During the arteriogram, the client reports having nausea, tingling, and dyspnea. The nurse's immediate action should be to:

A. Administer epinephrine.
B. Inform the physician.
C. Administer oxygen.
D. Inform the client that the procedure is almost over.

Expert Explanatory Rationale

Correct Answer: Inform the physician.

Question 2 of 5

In a patient with chronic kidney disease, which of the following is a common complication?

A. Hyperkalemia.
B. Hypernatremia.
C. Hypocalcemia.
D. Hyperphosphatemia.

Expert Explanatory Rationale

Correct Answer: Hyperkalemia.

Question 3 of 5

During a routine clinic visit, a nurse is assessing a 48-year-old client with a history of smoking. The client, who exercises regularly, reports calf pain during exercise that disappears at rest. Which of the following findings requires further evaluation?

A. Heart rate of 57 bpm.
B. SpO2 of 94% on room air.
C. Blood pressure of 134/82.
D. Ankle-brachial index of 0.65.

Expert Explanatory Rationale

Correct Answer: Ankle-brachial index of 0.65.

Question 4 of 5

A client is receiving a continuous infusion of normal saline at 125 ml/hour post abdominal surgery. The client is drowsy and complaining of constant abdominal pain and a headache. Urine output is 800 ml over the past 24 hours with a central venous pressure of 15 mmHg. The nurse notes respiratory crackles and bounding central pulse. Vital signs: temperature 101.2 F (38.4 C), heart rate 96 beats/minute, respiration 24 breaths/minute, and blood pressure of 160/90 mmHg. Which intervention should the nurse implement first?

A. Calculate total intake and output for the last 24 hours.
B. Administer a PRN dose of acetaminophen.
C. Decrease IV fluids to a keep vein open (KVO) rate.
D. Review the last administration of IV pain medication.

Expert Explanatory Rationale

Correct Answer: Decrease IV fluids to a keep vein open (KVO) rate.

Question 5 of 5

What is the most common cause of peptic ulcers?

A. Helicobacter pylori infection
B. NSAID use
C. Excessive alcohol consumption
D. Stress

Expert Explanatory Rationale

Correct Answer: Helicobacter pylori infection

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