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HESI RN Medical Surgical EXAM

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HESI RN Medical Surgical EXAM 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 ...

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HESI RN MEDICAL SURGICAL EXAM Questions Answers & Rationales

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HESI RN MEDICAL SURGICAL EXAM Questions Answers & Rationales The nurse assesses a postoperative client whose skin is cool, pale, and moist. The client is very restless and has scant urine output. Oxygen is being administered at 2 L/min, and a saline lock is in place. Which intervention should the nurse implement first? A. Measure the urine specific gravity. B. Obtain IV fluids for infusion per protocol. C. Prepare for insertion of a central venous catheter. D. Auscultate the client's bre...

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HESI RN EVOLVE Psychiatric/Mental Health Practice Exam

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HESI RN EVOLVE Psychiatric/Mental Health Practice Exam At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of the members what kind of things she would like to do with the group. The older women shrugs her shoulders and says. "You tell me, you're the leader". What is the best response for the nurse to make? A. "Yes I am the leader today. Would you like to be the leader tomorrow." B. "Yes, I will be leading this group. What would you ...

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HESI RN EVOLVE Pediatrics Practice Exam

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HESI RN EVOLVE Pediatrics Practice Exam The nurse is giving preoperative instructions to a 14-year old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place? A. I will read all the literature you gave me before surgery. B. I have had surgery before when I broke my wrist in a bike accident, so I know what to expect. C. All the things people have told me will help me take care of my back. D. I ...

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