HESI Critical Care Practice Questions
with Complete Solutions3
The nurse is preparing a plan of care for a client with DM who has hyperglycemia. The nurse
places priority on which client problem? - ANSWERS-Inadequate Fluid Volume
an increased blood glucose level will cause the kidneys to excrete the glucose in the urine. this
glucose is accompanied by fluids and electrolytes, causing an osmotic diuresis leading to
dehydration
The nurse is admitting a client who is diagnosed with SIADH and has serum sodium of 118.
What prescriptions should the nurse anticipate receiving? - ANSWERS-initiate an infusion of 3%
NaCl, restrict fluids to 800 mL over 24 hours, admin a vasopressin antagonist as prescribed
management is directed at correcting the hyponatremia and preventing cerebral edema
A client is admitted to an ED and a diagnosis of myxedema coma is made. What action should
the nurse prepare to carry out initially? - ANSWERS-maintain a patent airway
O2 should be administered, followed by fluid replacement, keeping the client warm, monitoring
vitals and admin IV thyroid hormones
The nurse is completing an assessment on a client who is being admitted for a diagnostic
workup for primary hyperparathyroidism. Which client complaint would be characteristic of this
disorder? - ANSWERS-polyuria, bone pain
polyuria occurs from increased blood calcium levels, which is from Ca being pulled from the
bones (which causes bone pain)
During the first 48 hours after a client has sustained a thermal injury, which conditions should
the nurse assess for? - ANSWERS-Hyperkalemia and Hyponatremia
with Complete Solutions3
The nurse is preparing a plan of care for a client with DM who has hyperglycemia. The nurse
places priority on which client problem? - ANSWERS-Inadequate Fluid Volume
an increased blood glucose level will cause the kidneys to excrete the glucose in the urine. this
glucose is accompanied by fluids and electrolytes, causing an osmotic diuresis leading to
dehydration
The nurse is admitting a client who is diagnosed with SIADH and has serum sodium of 118.
What prescriptions should the nurse anticipate receiving? - ANSWERS-initiate an infusion of 3%
NaCl, restrict fluids to 800 mL over 24 hours, admin a vasopressin antagonist as prescribed
management is directed at correcting the hyponatremia and preventing cerebral edema
A client is admitted to an ED and a diagnosis of myxedema coma is made. What action should
the nurse prepare to carry out initially? - ANSWERS-maintain a patent airway
O2 should be administered, followed by fluid replacement, keeping the client warm, monitoring
vitals and admin IV thyroid hormones
The nurse is completing an assessment on a client who is being admitted for a diagnostic
workup for primary hyperparathyroidism. Which client complaint would be characteristic of this
disorder? - ANSWERS-polyuria, bone pain
polyuria occurs from increased blood calcium levels, which is from Ca being pulled from the
bones (which causes bone pain)
During the first 48 hours after a client has sustained a thermal injury, which conditions should
the nurse assess for? - ANSWERS-Hyperkalemia and Hyponatremia
