HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 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 2 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 3 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 4 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.
Question 5 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.