HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A client is recovering from an episode of urinary tract calculi. During discharge teaching, the client asks about dietary restrictions. In discussing fluid intake, the nurse should include which type of fluid limitation?
Correct Answer: A
Rationale: The correct answer is A because citrus juices are high in oxalates, which can contribute to kidney stone formation.
Choice B contains oxalates but is less significant.
Choice C is incorrect as fluid intake should be increased.
Choice D is unrelated to stone prevention.
Question 2 of 5
The nurse assesses an adult client 24 hours following abdominal surgery and finds the client's blood pressure is 98/40 mm Hg. The client is tachycardic, restless, and irritable. Which action should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A because low blood pressure and tachycardia suggest bleeding, which checking under the back can confirm.
Choice B is not the priority.
Choice C is secondary.
Choice D follows assessment.
Question 3 of 5
The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?
Correct Answer: B
Rationale: The correct answer is B because stridor suggests airway obstruction, potentially requiring a tracheostomy.
Choice A is unrelated to airway issues.
Choice C is for vascular access, not airway.
Choice D is for cardiac issues, not relevant.
Question 4 of 5
The nurse observes an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which is the best initial nursing action?
Correct Answer: B
Rationale: The correct answer is B because increasing irrigation flow helps clear blood clots and maintain catheter patency.
Choice A is routine but not immediate.
Choice C supports hydration but is secondary.
Choice D addresses spasms, not clots.
Question 5 of 5
A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse?
Correct Answer: A
Rationale: The correct answer is A because severe hypernatremia (185 mEq/L) can cause neurological damage and requires urgent correction.
Choice B is a symptom of DI but less urgent.
Choice C indicates dehydration but is secondary.
Choice D is elevated but not as critical.