HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A client who is experiencing a first gouty arthritis attack reports excruciating pain in the right great toe. The nurse inspects the inflamed joint and administers ibuprofen 800 mg PO as prescribed. Which instruction should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: The correct answer is B because alcohol and coffee can increase uric acid, triggering gout attacks.
Choice A is unrelated to gout management.
Choice C is incorrect as pain medication should be taken as needed.
Choice D is beneficial but not dietary-related.
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
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.
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
When teaching a client with Parkinson's disease, which rationale for the prescription of carbidopa-levodopa should the nurse include?
Correct Answer: D
Rationale: The correct answer is D because carbidopa-levodopa replenishes dopamine, improving motor function in Parkinson's disease.
Choice A is incorrect as it does not reduce inflammation.
Choice B is wrong as it is not an antiseizure drug.
Choice C is inaccurate as it does not affect myelin.