Evolve HESI EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

HESI EXAM zm




Exam Solution zm




Evolve Case Study: Medical Surgical: Diabetes Mellitus
zm zm zm zm zm zm zm




2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND
zm zm zm zm zm zm zm




VERIFIED ANSWERS (9F2FC) zm zm




QUESTION 1 zm




Term
ANSWER

Definition



QUESTION 2 zm




A college student comes to the student health center with a 4-day history of flu-
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



like symptoms. The client reports feeling increasing fatigue, thirst, and nausea over th
zm zm zm zm zm zm zm zm zm zm zm zm



e last 24 hours.
zm zm zm




ANSWER

Further assessment and lab work indicate that the client is experiencing diabetic ketoacidosis (DKA).
zm zm zm zm zm zm zm zm zm zm zm zm zm



The client is transferred to an acute care facility for treatment.
zm zm zm zm zm zm zm zm zm zm zm




QUESTION 3 zm




Assessment: The nurse notes that the client's breath has a fruity odor, they are exhibi
zm zm zm zm zm zm zm zm zm zm zm zm zm zm



ting Kussmaul respirations.
zm zm




ANSWER

Lab work reveals that the client's blood glucose level is 370 mg/dl (20.54 mmol/L), plasma bicarbo
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



nate is 8 mEq/L (5.2 mmol/L), and elevated urine ketones.
zm zm zm zm zm zm zm zm zm




QUESTION 4 zm




Goals for treatment in DKA include:
zm zm zm zm zm

, ANSWER

Correcting fluid imbalance, and restoring normal pH, electrolytes, and glucose.
zm zm zm zm zm zm zm zm zm




QUESTION 5 zm




1. What is the mechanism that results in Kussmaul respirations? O To compensate for
zm zm zm zm zm zm zm zm zm zm zm zm zm z



mmetabolic acidosis, the respirations are deep and rapid. O To overcome respiratory a
zm zm zm zm zm zm zm zm zm zm zm zm



cidosis, the respirations are fast and shallow. O Injury to the brain's respiratory cente
zm zm zm zm zm zm zm zm zm zm zm zm zm



r results in periods of apnea. O Hypoxemia causes labored, gasping, and irregular res
zm zm zm zm zm zm zm zm zm zm zm zm zm



pirations.
ANSWER

To compensate for metabolic acidosis, the respirations are deep and rapid. Lungs attempt to remove
zm zm zm zm zm zm zm zm zm zm zm zm zm zm z



CO2 through deep, rapid respirations (Kussmaul respirations).
m zm zm zm zm zm zm




QUESTION 6 zm




2. To achieve a goal of restoring the client's fluid volume, the nurse would expect to i
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



mplement which intervention? O Insert a saline lock for PRN diuretic administration.
zm zm zm zm zm zm zm zm zm zm zm zm



O Administer an albumin/furosemide continuous infusion. O Maintain an infusion of n
zm zm zm zm zm zm zm zm zm zm zm



ormal saline solution. O Obtain a type and crossmatch for 2 units of packed RBCs.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm




ANSWER

Maintain an infusion of normal saline solution. Tx of hyperglycemia includes dehydration correction
zm zm zm zm zm zm zm zm zm zm zm zm zm



caused by increased glucose concentration.
zm zm zm zm




QUESTION 7 zm




3. To restore the client's blood glucose to a normal level, what should the nurse prep
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



are to administer? O An IV infusion containing regular insulin. O Humilin-
zm zm zm zm zm zm zm zm zm zm zm



N insulin SQ a.
zm zm zm



c. O 50% dextrose IVP. O Glucagon SQ PRN per sliding scale.
zm zm zm zm zm zm zm zm zm zm zm




ANSWER

An IV infusion containing regular insulin. Continuous IVs with R insulin are used to reduce glucose l
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm



evel.



QUESTION 8 zm




4. In addition to monitoring the client's blood glucose level, what additional lab value
zm zm zm zm zm zm zm zm zm zm zm zm zm



s should the nurse monitor carefully? Select all that apply. O Uric acid. O Hemoglobin.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm z



mO Calcium. O Potassium. O Blood Urea Nitrogen (BUN).
zm zm zm zm zm zm zm zm




ANSWER