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 for the same reasons as Question 1: affirming the link between chickenpox and shingles (
B) and distinguishing herpes varicella from herpes zoster (E) address the client's misconception.
Choice A does not clarify the client's risk.
Choice C is unrelated to the question about protection.
Choice D is incorrect as the risk of shingles increases with age.
Question 2 of 5
A client who suffered an electrical injury with the entrance site on the left hand and the exit site on the left foot is admitted to the burn unit. Which intervention is most important for the nurse to include in this client's plan of care?
Correct Answer: C
Rationale: The correct answer is C because electrical injuries can cause cardiac arrhythmias, making continuous monitoring critical.
Choice A supports mobility but is not urgent.
Choice B is routine but less critical.
Choice D is important but secondary to cardiac monitoring.
Question 3 of 5
While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately?
Correct Answer: C
Rationale: The correct answer is C because confirming pregnancy ensures safe surgical planning.
Choice A risks fetal harm.
Choice B does not confirm pregnancy.
Choice D is premature without confirmation.
Question 4 of 5
A client who takes daily supplemental iron tablets for iron deficiency anemia reports feeling increasingly fatigued. Which laboratory value should the nurse review?
Correct Answer: C
Rationale: The correct answer is C because a complete blood count assesses hemoglobin and hematocrit, indicating anemia severity.
Choice A is unrelated to anemia.
Choice B is not directly relevant.
Choice D assesses liver function, not anemia.
Question 5 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.