HESI RN
HESI RN Med Surg Exam 2 Questions
Question 1 of 5
Which instruction should the nurse include in the discharge teaching for a client who has gastroesophageal reflux?
Correct Answer: B
Rationale: The correct answer is B because elevating the bed head prevents acid reflux during sleep.
Choice A worsens reflux.
Choice C is incorrect as high-fiber foods are not contraindicated.
Choice D is wrong as antacids can be used as needed.
Question 2 of 5
A client who was recently diagnosed with Raynaud's disease is concerned about pain management. Which nursing instruction should the nurse provide?
Correct Answer: D
Rationale: The correct answer is D because gloves prevent cold-induced spasms in Raynaud's disease.
Choice A can worsen pain.
Choice B is unnecessary.
Choice C is not the first step.
Question 3 of 5
A client who works at a computer most of the working day comes to the clinic reporting pain in both hands that causes the client to awake during the night. Which action should the nurse implement to assess for carpal tunnel syndrome?
Correct Answer: C
Rationale: The correct answer is C because Tinel's sign (tapping the wrist) tests for carpal tunnel syndrome by eliciting tingling or pain.
Choice A is unrelated.
Choice B is non-specific.
Choice D tests a different condition.
Question 4 of 5
A client reports to the nurse of recently visiting someone who has a shingles infection. The client believes that having had chickenpox as a child will be protective against shingles. How should the nurse respond? Select all that apply.
Correct Answer: B,E
Rationale: The correct answers are B and E because shingles (herpes zoster) is caused by the reactivation of the varicella-zoster virus, which also causes chickenpox (herpes varicella). Affirming the connection between chickenpox and shingles (
B) clarifies the client's understanding of the virus's role. Distinguishing between herpes varicella and herpes zoster (E) educates the client that having had chickenpox does not prevent shingles, as the virus remains dormant and can reactivate.
Choice A is irrelevant to the client's concern about their own risk.
Choice C addresses symptom monitoring but not the client's question.
Choice D is incorrect because the risk of shingles increases with age.
Question 5 of 5
During a routine eye examination, an older client reports decreased peripheral vision and is found to have elevated intraocular pressures. Ophthalmic drops are prescribed for primary open-angle glaucoma (POAG). Which intervention(s) should the nurse include in this client's plan of care? Select all that apply.
Correct Answer: B,D,E
Rationale: The correct answers are B, D, and E because lifelong eye drop use (
B) manages glaucoma, applying pressure to the inner eye corner (
D) minimizes systemic absorption, and aseptic administration (E) prevents infections.
Choice A is incorrect as drops control pressure, not restore vision.
Choice C is unrelated to glaucoma.