HESI RN · HESI Medical Surgical · HESI Medical Surgical Practice Exam
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
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:
Expert Explanatory Rationale
Correct Answer: Inform the physician.
In a patient with chronic kidney disease, which of the following is a common complication?
Expert Explanatory Rationale
Correct Answer: Hyperkalemia.
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?
Expert Explanatory Rationale
Correct Answer: Ankle-brachial index of 0.65.
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?
Expert Explanatory Rationale
Correct Answer: Decrease IV fluids to a keep vein open (KVO) rate.
What is the most common cause of peptic ulcers?
Expert Explanatory Rationale
Correct Answer: Helicobacter pylori infection
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