HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?
Correct Answer: A
Rationale: The correct answer is A because dyspnea and sinus tachycardia may indicate fluid overload or heart failure, requiring immediate intervention to prevent complications.
Choice B is a minor symptom not requiring urgent action.
Choice C is expected in AKI but less urgent.
Choice D suggests infection, which is less critical than respiratory and cardiac symptoms.
Question 3 of 5
After teaching a client newly diagnosed with cholecystitis about recommended diet changes, the nurse evaluates the client's learning. Which food choices eliminated by the client indicate to the nurse that teaching has been successful?
Correct Answer: C
Rationale: The correct answer is C because high-fat foods like whole milk and ice cream exacerbate cholecystitis and should be avoided.
Choice A is less relevant to cholecystitis.
Choice B is not fat-related.
Choice D is a lower-fat option, not harmful.
Question 4 of 5
During a home visit, the nurse assesses the skin of a client with eczema who reports that an exacerbation of symptoms has occurred during the last week. Which information is most useful in determining the possible cause of the symptoms?
Correct Answer: B
Rationale: The correct answer is B because exposure to a new dog could introduce allergens triggering eczema.
Choice A is unlikely to cause exacerbation.
Choice C is a treatment, not a cause.
Choice D is not typically linked to eczema flares.
Question 5 of 5
The nurse has conducted a cancer prevention community education program. In evaluating the participants' understanding of carcinogens, which statement indicates an accurate understanding?
Correct Answer: B
Rationale: The correct answer is B for the same reasons as Question 20: carcinogens alter DNA, causing cancer.
Choice A misstates cancer spread.
Choice C is incorrect about cancerous cells.
Choice D overstates unavoidable exposure.