HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 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 2 of 5
A client with metastatic cancer reports a pain level of 10 on a 0 to 10 scale. Twenty minutes after the nurse administers an IV analgesic, the client states, 'No pain relief yet.' Which intervention is most important for the nurse to include in this client's plan of care?
Correct Answer: B
Rationale: The correct answer is B because a fixed analgesic schedule maintains consistent pain control in severe cases.
Choice A is routine but not immediate.
Choice C is part of management but secondary.
Choice D is essential but not the primary intervention.
Question 3 of 5
The healthcare provider (HCP) prescribes diazepam 8 mg IM every 4 hours PRN muscle spasms for a client with a fractured femur. The available vial is labeled, 'Diazepam Injection, USP 10 mg/2 mL.' How many mL should the nurse administer to the client?
Correct Answer: A
Rationale: The correct answer is A (1.6 mL). Calculation: 8 mg ÷ (10 mg/2 mL) = 8 mg ÷ 5 mg/mL = 1.6 mL. This ensures the correct dose is administered for muscle spasms.
Question 4 of 5
A client with chronic kidney disease (CKD) missed dialysis yesterday to attend a funeral. The client's spouse calls the home health nurse and reports that the client is lethargic and hard to arouse. Which instruction is most important for the nurse to provide?
Correct Answer: B
Rationale: The correct answer is B because missed dialysis can cause severe electrolyte imbalances and fluid overload, requiring urgent medical evaluation.
Choice A is not targeted to the cause.
Choice C assesses access but not the acute issue.
Choice D is a general recommendation, not urgent.
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 because carcinogens cause cellular DNA changes leading to cancer.
Choice A is incorrect as carcinogens initiate, not spread, cancer.
Choice C is wrong as carcinogens do not contain cancerous cells.
Choice D is misleading as exposure can often be reduced.