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

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A healthcare professional is reading the chest x-ray report of a client who has just been intubated. The report states that the tip of the endotracheal tube lies 1 cm above the carina. The healthcare professional interprets that the tube is positioned above:

A. The first tracheal cartilaginous ring
B. The point where the larynx connects to the trachea
C. The bifurcation of the right and left main stem bronchi
D. The area connecting the oropharynx to the laryngopharynx

Expert Explanatory Rationale

Correct Answer: The bifurcation of the right and left main stem bronchi

Question 2 of 5

A client is receiving intermittent bolus feedings via a nasogastric tube. In which position should the nurse place the client once the feeding is complete?

A. Supine
B. Head of bed flat
C. Left lateral position
D. Head of bed elevated 30 to 45 degrees

Expert Explanatory Rationale

Correct Answer: Head of bed flat

Question 3 of 5

A nurse is assessing the status of a client with diabetes mellitus. The nurse concludes that the client is exhibiting adequate diabetic control if the serum level of glycosylated hemoglobin A1C (HbA1C) is less than:

A. 7%
B. 9%
C. 10%
D. 15%

Expert Explanatory Rationale

Correct Answer: 7%

Question 4 of 5

A client who is anxious about an impending surgery is at risk for respiratory alkalosis. For which signs and symptoms of respiratory alkalosis does the nurse assess this client?

A. Disorientation and dyspnea
B. Drowsiness, headache, and tachypnea
C. Tachypnea, dizziness, and paresthesias
D. Dysrhythmias and decreased respiratory rate and depth

Expert Explanatory Rationale

Correct Answer: Tachypnea, dizziness, and paresthesias

Question 5 of 5

After teaching a client with nephrotic syndrome and a normal glomerular filtration rate, the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the nutritional therapy for this condition?

A. I must decrease my intake of fat.
B. I will increase my intake of protein.
C. A decreased intake of carbohydrates will be required.
D. An increased intake of vitamin C is necessary.

Expert Explanatory Rationale

Correct Answer: I will increase my intake of protein.

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