Practice Question
The nurse is preparing an older client for a magnetic resonance imaging (MRI) with contrast. Which laboratory value should the nurse report to the healthcare provider before the scan is performed?Reference Range:Glycosylated hemoglobin (A1C) [4% to 5.9%]Creatinine [0.5 to 1.1 mg/dL (44 to 97 umol/L)]Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]Blood Urea Nitrogen (BUN) [10 to 20 mg/dL (3.6 to 7.1 mmol/L)]
Answer Choices:
Correct Answer:
Serum creatinine of 1.9 mg/dL (169 umol/L).
Rationale:
🟡 Elevated creatinine signals renal impairment, increasing the risk of nephrotoxicity from contrast dye used in MRI.
🟡 The provider must assess renal function status before proceeding to avoid contrast-induced nephropathy.
🟡 Creatinine is a direct indicator of glomerular filtration efficiency, unlike glucose or A1C.
🟡 Reporting this value can prevent irreversible kidney damage post-contrast administration.
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This question is from RN-Hesi Medical Surgical Exam VI which contains 38 questions.
More Questions from This Exam
A client with acute renal injury (AKI) weighs 110.3 pounds (50 kg) and has a potassium level of 6.7 mEq/L (6.7 mmol/L) is admitted to the hospital. Which prescribed medication should the nurse administer first?Reference Range:Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)]
Answer Choices:
A. Sodium polystyrene sulfonate 15 grams by mouth.
B. Sevelamer one tablet by mouth.
C. Calcium acetate one tablet by mouth.
D. Epoetin alfa, recombinant 2,500 units subcutaneously.
E. Calcium acetate one tablet by mouth.
A client with type 1 diabetes mellitus, hypertension, and chronic kidney disease is to begin hemodialysis treatment. Which statement should the nurse include in client education?
Answer Choices:
A. Prepare for an abdominal catheter.
B. Continue routine medications
C. Expect the insulin dosage to be reduced.
D. Include potassium-rich foods in the diet.
A patient is admitted to the hospital with symptoms consistent with a right hemisphere stroke. Which neurovascular assessment requires immediate intervention by the nurse?
Answer Choices:
A. Pupillary changes to ipsilateral dilation.
B. Left-sided facial drooping and dysphagia.
C. Orientation to person and place only.
D. Unequal bilateral hand grip strengths.
After performing a head-to-toe assessment for a client with Addison's disease, the nurse reports findings to the healthcare provider. The findings include moist mucous membranes, strong palpable peripheral pulses, and blood pressure 132/88 mm Hg. The client verbalizes understanding of the illness and importance of taking medications every day. Which action should the nurse implement?
Answer Choices:
A. Make a referral for social services at home.
B. Continue to limit daily fluid intake to 500 mL.
C. Begin preparing the client for discharge home.
D. Recommend strict intake and output monitoring.
A client who had a biliopancreatic diversion procedure (BPD) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?
Answer Choices:
A. Gastroccult positive emesis.
B. Strong foul smelling flatus.
C. Complaint of poor night vision.
D. Loose bowel movements.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi MedSurg
- Answer Choices: 4
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