HESI RN Medical Surgical Exam I | Nurselytic

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HESI RN Medical Surgical Exam I Questions

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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: B

Rationale: Peritonitis is a serious complication that can result from catheter site infections, requiring urgent prevention.

Question 2 of 5

A client with oral cancer is receiving radiotherapy (RT) prior to surgery. Which intervention should the nurse teach the client to implement in managing mucositis related to RT?

Correct Answer: B

Rationale: Normal saline mouth rinses as swish and spit after meals and bedtime is an effective intervention for managing mucositis. Rinsing with saline helps to keep the mouth clean, reduce bacterial load, and soothe inflamed tissues.

Question 3 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 wake during the night. Which action should the nurse implement to assess for carpal tunnel syndrome?

Correct Answer: D

Rationale: Tapping the wrists (Tinel's sign) assesses for carpal tunnel syndrome by eliciting pain or tingling.

Question 4 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: B

Rationale: Peritonitis is a serious complication that can result from catheter site infections, requiring urgent prevention.

Question 5 of 5

The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet A light (PUVA). Which assessment finding indicates overexposure to this treatment?

Correct Answer: D

Rationale: Tenderness and generalized erythema indicate phototoxic reactions from PUVA overexposure.

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