Medical Surgical Nursing HESI Practice Exam (Created by Jamie Mayo All Information Directly From HESI Evolve

Medical Surgical Nursing HESI Practice Exam (Created by Jamie Mayo All Information Directly From HESI Evolve Updated 11/10/2022) The nurse is assessing a clients laboratory values following the administration of chemotherapy. Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome? A. Hemoglobin of 10 g/dl B. Serum calcium of 5mg/dl C. Serum PTT of 10 seconds D. Oxygen saturation of 90% - Answer: B TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia. A serum calcium level of 5 is low and so is an indicator of possible TLS. HESI Evolve Website 11/20/2019 A client is admitted to the hospital with severe acute diverticulitis. Which assessment finding should the nurse expect this client to exhibit? A. Severe pain at McBurney's point and nausea. B. Lower left quadrant pain and a low grade fever. C. Abdominal pain and intermittent tenesmus. D. Exacerbations of severe diarrhea. - Answer: B Left lower quadrant pain occurs with diverticulitis because the sigmoid colon is the most common area for diverticula and the inflammation of diverticula causes a low grade fever. A is indicative of appendicitis. C and D are indicitive of ulcerative colitis. HESI Evolve Website 11/20/2019 A client is placed on a mechanical ventilator following a cerebral hemorrhage, and vecuronium bromide (Norcuron) 0.04 mg/kg q12 hours IV is prescribed. What is the priority nursing diagnosis for this client? A. Potential for injury related to impaired lung expansion. B. Impaired communication related to paralysis of skeletal muscles. C. High risk for infection related to increased intracranial pressure.