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HESI RN · HESI Medical Surgical · HESI Medical Surgical Specialty Exam

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient asks the nurse about taking calcium supplements to avoid hypocalcemia. The nurse will suggest that the patient follow which instruction?

A. Take a calcium and vitamin D combination supplement.
B. Take calcium along with phosphorus to improve absorption.
C. Take calcium with antacids to reduce stomach upset.
D. Use aspirin instead of acetaminophen when taking calcium.

Expert Explanatory Rationale

Correct Answer: Take a calcium and vitamin D combination supplement.

Question 2 of 5

A client has undergone renal angiography via the right femoral artery. The nurse determines that the client is experiencing a complication of the procedure upon noting:

A. Urine output of 40 mL/hr
B. Blood pressure of 118/76 mm Hg
C. Respiratory rate of 18 breaths/min
D. Pallor and coolness of the right leg

Expert Explanatory Rationale

Correct Answer: Pallor and coolness of the right leg

Question 3 of 5

A client is hospitalized in the oliguric phase of acute kidney injury (AKI) and is receiving tube feedings. The nurse is teaching the client's spouse about the kidney-specific formulation for the enteral solution compared to standard formulas. What components should be discussed in the teaching plan? (Select all that apply.)

A. Lower sodium
B. Lower potassium
C. Higher phosphorus
D. A & B

Expert Explanatory Rationale

Correct Answer: A & B

Question 4 of 5

A client is brought to the emergency department by a neighbor. The client is lethargic and has a fruity odor on the breath. The client's arterial blood gas (ABG) results are pH 7.25, PCO2 34 mm Hg, PO2 86 mm Hg, HCO3 14 mEq/L. Which of the following acid-base disturbances does the nurse recognize in these results?

A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis

Expert Explanatory Rationale

Correct Answer: Metabolic acidosis

Question 5 of 5

An adult female client has undergone a routine health screening in the clinic. Which of the following values indicates to the nurse who receives the report of the client's laboratory work that the client's hematocrit is normal?

A. 10%
B. 22%
C. 30%
D. 43%

Expert Explanatory Rationale

Correct Answer: 43%

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