HESI RN Exit Exam 2024 Quizlet

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.

Question 2 of 5

A client with end-stage renal disease (ESRD) is scheduled for hemodialysis. Which laboratory value should the nurse report to the healthcare provider immediately?

A. Serum potassium of 5.5 mEq/L B. Serum calcium of 8 mg/dL C. Serum creatinine of 2.0 mg/dL D. White blood cell count of 10,000/mm�

Question 3 of 5

A client with type 1 diabetes is admitted with diabetic ketoacidosis (DKA). Which clinical finding is most concerning?

A. Serum glucose of 500 mg/dL B. Serum glucose of 600 mg/dL C. Serum potassium of 5.5 mEq/L D. Serum bicarbonate of 18 mEq/L

Question 4 of 5

A client with a history of chronic kidney disease (CKD) is admitted with hyperkalemia. Which clinical finding is most concerning?

A. Peaked T waves on the ECG B. Bradycardia C. Muscle weakness D. Decreased deep tendon reflexes

Question 5 of 5

A client with liver cirrhosis and severe ascites has a serum sodium level of 115 mEq/L and is receiving 3% saline IV. Which assessment finding indicates that the nurse should notify the healthcare provider?

A. The client's serum sodium level is now 130 mEq/L B. The client reports a headache and has a BP of 140/90 C. The client reports shortness of breath and has an O2 saturation of 92% D. The client has crackles in both lung bases and an increased respiratory rate.

HESI RN Exit Exam 2024 Quizlet

Skildor

HESI RN

HESI RN