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HESI RN · HESI Medical Surgical · RN Medical/Surgical NGN HESI 2023

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Prior to a percutaneous kidney biopsy, which actions should a nurse take? (Select all that apply.)

A. Keep the client NPO for 4 to 6 hours.
B. Obtain coagulation study results.
C. Maintain strict bedrest in a supine position.
D. A & B

Expert Explanatory Rationale

Correct Answer: A & B

Question 2 of 5

A client with renal insufficiency and a low red blood cell count asks, 'Is my anemia related to the renal insufficiency?' How should the nurse respond?

A. Red blood cells produce erythropoietin, which increases blood flow to the kidneys.
B. Your anemia and renal insufficiency are related to inadequate vitamin D and a loss of bone density.
C. Erythropoietin is usually released from the kidneys and stimulates red blood cell production in the bone marrow.
D. Kidney insufficiency inhibits active transportation of red blood cells throughout the blood.

Expert Explanatory Rationale

Correct Answer: Erythropoietin is usually released from the kidneys and stimulates red blood cell production in the bone marrow.

Question 3 of 5

A nurse is assessing a postoperative client on an hourly basis. The nurse notes that the client's urine output for the past hour was 25 mL. Based on this finding, the nurse first:

A. Calls the physician
B. Increases the rate of the IV infusion
C. Checks the client's overall intake and output record
D. Administers a 250-mL bolus of normal saline solution (0.9%)

Expert Explanatory Rationale

Correct Answer: Checks the client's overall intake and output record

Question 4 of 5

The nurse is preparing to administer an antibiotic to a patient who has been receiving the antibiotic for 2 days after a culture was obtained. The nurse notes increased erythema and swelling, and the patient has a persistent high fever of 39°C. What is the nurse's next action?

A. Administer the antibiotic as ordered.
B. Contact the provider to request another culture.
C. Discuss the need to add a second antibiotic with the provider.
D. Review the sensitivity results from the patient's culture.

Expert Explanatory Rationale

Correct Answer: Review the sensitivity results from the patient's culture.

Question 5 of 5

The patient will begin taking penicillin G procaine (Wycillin). The nurse notes that the solution is milky in color. What action will the nurse take?

A. Call the pharmacist and report the milky color.
B. Add normal saline to dilute the medication.
C. Call the physician and report the milky appearance.
D. Administer the medication as ordered by the physician.

Expert Explanatory Rationale

Correct Answer: Administer the medication as ordered by the physician.

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