HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A client with chronic kidney disease on peritoneal dialysis exhibits redness, tenderness, and drainage around the catheter site on the abdominal wall. While planning care, the nurse is most concerned about preventing which complication related to these findings?
Correct Answer: D
Rationale: The correct answer is D because peritonitis, a severe infection, can result from catheter site infections and is life-threatening.
Choice A is unrelated to catheter issues.
Choice B is a dialysis complication but not directly linked to infection.
Choice C is a concern but less severe than peritonitis.
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
During a home visit, the nurse assesses the skin of a client with eczema who reports that an exacerbation of symptoms has occurred during the last week. Which information is most useful in determining the possible cause of the symptoms?
Correct Answer: B
Rationale: The correct answer is B because exposure to a new dog could introduce allergens triggering eczema.
Choice A is unlikely to cause exacerbation.
Choice C is a treatment, not a cause.
Choice D is not typically linked to eczema flares.
Question 4 of 5
A client with an external fixation device for a fractured left femur is troubled with left foot pain. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A because swelling may indicate compartment syndrome, a serious complication requiring immediate assessment.
Choice B is unrelated to the pain or fixation device.
Question 5 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.