MSN-DE HESI EXAM HERZING UNIVERSITY
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS!!
<LATEST VERSION>
1.
A nurse is caring for a patient with acute pulmonary embolism. Which finding
requires immediate intervention?
A. Respiratory rate of 26/min
B. Sudden onset chest pain with hemoptysis
C. Oxygen saturation of 92% on room air
D. Mild anxiety and restlessness
Correct Answer: B
Rationale: Hemoptysis with sudden chest pain suggests pulmonary infarction and
worsening embolism, which is life-threatening and requires immediate
intervention.
2.
A client with heart failure is receiving furosemide IV. Which laboratory value
should the nurse monitor most closely?
A. Sodium
B. Potassium
C. Hemoglobin
D. Platelets
,Correct Answer: B
Rationale: Loop diuretics cause potassium loss, increasing the risk for
dysrhythmias.
3.
A postoperative patient reports pain rated 8/10. The nurse administers morphine
IV. Which assessment is the priority 15 minutes later?
A. Pain level
B. Bowel sounds
C. Respiratory rate
D. Urinary output
Correct Answer: C
Rationale: Opioids can cause respiratory depression; airway and breathing take
priority.
4.
Which actions should the nurse take to reduce the risk of catheter-associated
urinary tract infection? (Select all that apply.)
A. Maintain a closed drainage system
B. Secure the catheter to the thigh
C. Empty the drainage bag once per shift
D. Keep the drainage bag below bladder level
E. Perform daily catheter irrigation
Correct Answers: A, B, D
Rationale: Maintaining sterility, preventing tension, and ensuring gravity drainage
reduce infection risk. Routine irrigation increases infection risk.
,5.
A patient with chronic kidney disease has a potassium level of 6.1 mEq/L. Which
medication should the nurse anticipate?
A. Spironolactone
B. Sodium polystyrene sulfonate
C. Potassium chloride
D. Magnesium sulfate
Correct Answer: B
Rationale: Sodium polystyrene sulfonate lowers potassium by exchanging sodium
for potassium in the gut.
6.
The nurse is prioritizing care for four clients. Which client should be seen first?
A. Client with COPD and oxygen saturation of 90%
B. Client with diabetes reporting blurred vision
C. Client with chest pain radiating to the jaw
D. Client with postoperative nausea
Correct Answer: C
Rationale: Chest pain radiating to the jaw indicates possible myocardial infarction
and requires immediate assessment.
7.
A pregnant client at 36 weeks reports sudden painless vaginal bleeding. What
condition does the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Ectopic pregnancy
D. Preterm labor
, Correct Answer: B
Rationale: Placenta previa presents with painless third-trimester bleeding.
8.
Which finding in a newborn requires immediate follow-up?
A. Acrocyanosis
B. Respiratory rate of 68/min
C. Positive Moro reflex
D. Blood glucose of 65 mg/dL
Correct Answer: B
Rationale: Tachypnea may indicate respiratory distress in a newborn.
9.
A pediatric patient with asthma is receiving albuterol. Which assessment indicates
the medication is effective?
A. Decreased wheezing
B. Increased heart rate
C. Improved appetite
D. Reduced cough frequency
Correct Answer: A
Rationale: Bronchodilation reduces wheezing and improves airflow.
10.
A client with major depressive disorder states, “I don’t see the point in going on
anymore.” What is the nurse’s best response?
A. “Things will get better with time.”
B. “You should think about your family.”
C. “Are you thinking about harming yourself?”
D. “Let’s talk about coping skills.”
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS!!
<LATEST VERSION>
1.
A nurse is caring for a patient with acute pulmonary embolism. Which finding
requires immediate intervention?
A. Respiratory rate of 26/min
B. Sudden onset chest pain with hemoptysis
C. Oxygen saturation of 92% on room air
D. Mild anxiety and restlessness
Correct Answer: B
Rationale: Hemoptysis with sudden chest pain suggests pulmonary infarction and
worsening embolism, which is life-threatening and requires immediate
intervention.
2.
A client with heart failure is receiving furosemide IV. Which laboratory value
should the nurse monitor most closely?
A. Sodium
B. Potassium
C. Hemoglobin
D. Platelets
,Correct Answer: B
Rationale: Loop diuretics cause potassium loss, increasing the risk for
dysrhythmias.
3.
A postoperative patient reports pain rated 8/10. The nurse administers morphine
IV. Which assessment is the priority 15 minutes later?
A. Pain level
B. Bowel sounds
C. Respiratory rate
D. Urinary output
Correct Answer: C
Rationale: Opioids can cause respiratory depression; airway and breathing take
priority.
4.
Which actions should the nurse take to reduce the risk of catheter-associated
urinary tract infection? (Select all that apply.)
A. Maintain a closed drainage system
B. Secure the catheter to the thigh
C. Empty the drainage bag once per shift
D. Keep the drainage bag below bladder level
E. Perform daily catheter irrigation
Correct Answers: A, B, D
Rationale: Maintaining sterility, preventing tension, and ensuring gravity drainage
reduce infection risk. Routine irrigation increases infection risk.
,5.
A patient with chronic kidney disease has a potassium level of 6.1 mEq/L. Which
medication should the nurse anticipate?
A. Spironolactone
B. Sodium polystyrene sulfonate
C. Potassium chloride
D. Magnesium sulfate
Correct Answer: B
Rationale: Sodium polystyrene sulfonate lowers potassium by exchanging sodium
for potassium in the gut.
6.
The nurse is prioritizing care for four clients. Which client should be seen first?
A. Client with COPD and oxygen saturation of 90%
B. Client with diabetes reporting blurred vision
C. Client with chest pain radiating to the jaw
D. Client with postoperative nausea
Correct Answer: C
Rationale: Chest pain radiating to the jaw indicates possible myocardial infarction
and requires immediate assessment.
7.
A pregnant client at 36 weeks reports sudden painless vaginal bleeding. What
condition does the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Ectopic pregnancy
D. Preterm labor
, Correct Answer: B
Rationale: Placenta previa presents with painless third-trimester bleeding.
8.
Which finding in a newborn requires immediate follow-up?
A. Acrocyanosis
B. Respiratory rate of 68/min
C. Positive Moro reflex
D. Blood glucose of 65 mg/dL
Correct Answer: B
Rationale: Tachypnea may indicate respiratory distress in a newborn.
9.
A pediatric patient with asthma is receiving albuterol. Which assessment indicates
the medication is effective?
A. Decreased wheezing
B. Increased heart rate
C. Improved appetite
D. Reduced cough frequency
Correct Answer: A
Rationale: Bronchodilation reduces wheezing and improves airflow.
10.
A client with major depressive disorder states, “I don’t see the point in going on
anymore.” What is the nurse’s best response?
A. “Things will get better with time.”
B. “You should think about your family.”
C. “Are you thinking about harming yourself?”
D. “Let’s talk about coping skills.”
