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HESI RN · HESI RN Exit · HESI 799 RN Exit Exam Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six hours for four days. What assessment is most important for the nurse to complete?

A. Auscultate the client's bowel sounds

B. Observe for edema around the ankles

C. Measure the client's capillary glucose level

D. Count the apical and radial pulses simultaneously

Expert Explanatory Rationale

Correct Answer: Auscultate the client's bowel sounds

Question 2 of 5

The nurse is caring for a client with diabetic ketoacidosis (DKA). Which laboratory value requires immediate intervention?

A. Serum glucose of 300 mg/dL

B. Serum potassium of 4.5 mEq/L

C. Serum bicarbonate of 15 mEq/L

D. Serum pH of 7.28

Expert Explanatory Rationale

Correct Answer: Serum pH of 7.28

Question 3 of 5

The nurse observes an adolescent client preparing to administer a prescribed corticosteroid medication using a metered dose inhaler. What action should the nurse take?

A. Remind the client to hold their breath after inhaling the medication

B. Confirm that the client has correctly shaken the inhaler

C. Affirm that the client has correctly positioned the inhaler

D. Ask the client if they have a spacer to use for this medication

Expert Explanatory Rationale

Correct Answer: Remind the client to hold their breath after inhaling the medication

Question 4 of 5

Following a lumbar puncture, a client voices several complaints. What complaint indicates to the nurse that the client is experiencing a complication?

A. I am having pain in my lower back when I move my legs

B. My throat hurts when I swallow

C. I feel sick to my stomach and am going to throw up

D. I have a headache that gets worse when I sit up

Expert Explanatory Rationale

Correct Answer: I have a headache that gets worse when I sit up

Question 5 of 5

A client with hyperthyroidism who has not been responsive to medications is admitted for evaluation. What action should the nurse implement?

A. Notify the healthcare provider.

B. Review the client's medication history.

C. Prepare the client for thyroid function tests.

D. Initiate seizure precautions.

Expert Explanatory Rationale

Correct Answer: Notify the healthcare provider.