HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A client with Addison's disease started taking hydrocortisone in a divided daily dose last week. It is most important for the nurse to monitor which serum laboratory value?
Correct Answer: C
Rationale: The correct answer is C because hydrocortisone can elevate blood glucose, requiring monitoring in Addison's disease.
Choice A is less relevant to hydrocortisone.
Choice B is unrelated to hydrocortisone effects.
Choice D is not directly affected.
Question 2 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 3 of 5
A client with rheumatoid arthritis has an elevated serum rheumatoid factor. Which interpretation of this finding should the nurse make?
Correct Answer: C
Rationale: The correct answer is C because elevated rheumatoid factor confirms the autoimmune process in rheumatoid arthritis.
Choice A does not indicate decline.
Choice B is unrelated to kidney spread.
Choice D is not specific to joint degeneration onset.
Question 4 of 5
The nurse is caring for a client with a history of type 2 diabetes mellitus (DM) and hypertension who arrived at the clinic for a scheduled visit. Which finding should the nurse recognize as a possible complication?
Correct Answer: C
Rationale: The correct answer is C because elevated serum creatinine suggests kidney dysfunction, a complication of diabetes and hypertension.
Choice A is slightly elevated but not specific.
Choice B is expected in diabetes.
Choice D indicates good control.
Question 5 of 5
An adult client newly diagnosed with left ventricular dysfunction is admitted to the hospital with fine rales and wheezing. When assessing this client, which additional finding is the nurse likely to obtain?
Correct Answer: C
Rationale: The correct answer is C because jugular vein distension is a hallmark of left ventricular dysfunction and heart failure.
Choice A is less common.
Choice B is secondary to other signs.
Choice D is non-specific.