Medsuge HESI RN Exam/ Test Bank

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Sample questions from Medsuge HESI RN Exam/ Test Bank

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A 76-year-old client is admitted to the medical unit with pneumonia. The client is newly confused, has a temperature of 38.8 C (101.8 F), heart rate 118/min, blood pressure 86/50 mm Hg, and oxygen saturation 91% on room air. Which action should the nurse take first?

   • A.Notify the rapid response team and begin immediate assessment
   • B.Reorient the client and reduce environmental stimuli
   • C.Obtain a sputum specimen before starting treatment
   • D.Review the client's medication list for sedating drugs

   Rationale: Hypotension, tachycardia, fever, and acute confusion suggest sepsis with impaired perfusion, so urgent escalation and assessment are the priority. Obtaining a specimen may be appropriate but must not delay emergency care. Reorientation and medication review do not address the immediate threat to circulation.

2. 2.A charge nurse is assigning clients on a medical-surgical unit. Which client is most appropriate to assign to an experienced licensed practical nurse (LPN)?

   • A.A client newly admitted with chest pain who needs an initial assessment
   • B.A client receiving a first dose of IV antibiotic who requires close monitoring
   • C.A client with new confusion whose neurologic status is changing
   • D.A stable client with diabetes who needs a routine dressing change for a chronic foot ulcer

   Rationale: A stable client with an established care plan who needs a routine dressing change is an appropriate LPN assignment. The newly admitted client and the client with changing neurologic status require RN assessment and clinical judgment. Monitoring a first IV antibiotic dose may also require RN assessment based on policy and the client's risk.

3. 3.A 67-year-old client with heart failure is being discharged home after diuresis. The client has a prescription for furosemide and a history of limited health literacy. Which discharge actions should the nurse take? Select all that apply.

   • A.Tell the client to stop furosemide whenever urination becomes frequent
   • B.Arrange follow-up care and clarify who will provide transportation
   • C.Provide written instructions in language the client can understand
   • D.Review the client's daily weight and when to report a gain
   • E.Ask the client to explain the medication schedule using teach-back

   Rationale: Teach-back, daily-weight guidance, accessible written instructions, and a feasible follow-up plan support safe transition home. Frequent urination is an expected effect of furosemide and is not a reason to stop it without prescriber guidance. The nurse should reinforce when to report symptoms or concerns rather than advise unsupervised medication changes.

4. 4.A nurse is caring for a 54-year-old client with a new prescription for IV potassium chloride. The client is on a telemetry unit, and the serum potassium is 2.9 mEq/L. Which action is appropriate?

   • A.Administer the potassium by IV push over 5 minutes
   • B.Verify the prescribed dilution and infusion rate before administration
   • C.Hold the medication until the serum potassium reaches the normal range
   • D.Give the potassium through the smallest available peripheral catheter without dilution

   Answer and rationale are in the full material.

5. 5.A 45-year-old client is admitted to the emergency department after a motor vehicle crash. The client is alert, has a suspected pelvic fracture, and has a blood pressure of 88/54 mm Hg and heart rate of 126/min. Which action should the nurse take first?

   • A.Apply warm blankets and wait for imaging results
   • B.Obtain a detailed history of the collision
   • C.Establish large-bore IV access and prepare for fluid resuscitation
   • D.Ask the client to rate pain and provide the prescribed analgesic

   Answer and rationale are in the full material.