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HESI RN · HESI RN Exit · HESI RN Exit Exam 2024 Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

In caring for a client with a PCA infusion of morphine sulfate through the right cephalic vein, the nurse assesses that the client is lethargic with a blood pressure of 90/60, pulse rate of 118 beats per minute, and respiratory rate of 8 breaths per minute. What assessment should the nurse perform next?

A. Note the appearance and patency of the client's peripheral IV site.

B. Palpate the volume of the client's right radial pulse.

C. Auscultate the client's breath sounds bilaterally.

D. Observe the amount and dose of morphine in the PCA pump syringe.

Expert Explanatory Rationale

Correct Answer: Observe the amount and dose of morphine in the PCA pump syringe.

Question 2 of 5

Progressive kyphoscoliosis leading to respiratory distress is evident in a client with muscular dystrophy. Which finding warrants immediate intervention by the nurse?

A. Extremity muscle weakness.

B. Bilateral eyelid drooping.

C. Inability to swallow pills.

D. Evidence of hypoventilation.

Expert Explanatory Rationale

Correct Answer: Evidence of hypoventilation.

Question 3 of 5

A client with a history of chronic kidney disease (CKD) is receiving erythropoietin therapy. Which laboratory value should the nurse monitor closely?

A. Serum potassium level

B. White blood cell count

C. Hemoglobin level

D. Serum calcium level

Expert Explanatory Rationale

Correct Answer: Serum potassium level

Question 4 of 5

A client with type 1 diabetes is admitted with diabetic ketoacidosis (DKA). Which laboratory value requires immediate intervention?

A. Serum glucose of 300 mg/dl

B. Serum potassium of 5.5 mEq/L

C. Serum bicarbonate of 18 mEq/L

D. Serum sodium of 135 mEq/L

Expert Explanatory Rationale

Correct Answer: Serum bicarbonate of 18 mEq/L

Question 5 of 5

A client with chronic obstructive pulmonary disease (COPD) is admitted with pneumonia. Which intervention should the nurse implement first?

A. Administer oxygen therapy as prescribed.

B. Elevate the head of the bed.

C. Obtain a sputum culture.

D. Administer antibiotics as prescribed.

Expert Explanatory Rationale

Correct Answer: Administer oxygen therapy as prescribed.

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