HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A client with diabetes mellitus is admitted with an upper respiratory infection. Which changes in blood glucose management should the nurse tell the client to expect?
Correct Answer: C
Rationale: The correct answer is C because infections increase blood glucose levels due to the body's stress response, often requiring higher insulin doses to maintain control.
Choice A is incorrect as more frequent glucose monitoring is typically needed during illness.
Choice B, while important for hydration, is not directly related to blood glucose management.
Choice D is inappropriate as adequate nutrition supports recovery.
Question 2 of 5
The nurse is developing home care instructions for a client with peripheral artery disease (PAD). Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because structured exercise improves circulation and reduces PAD symptoms.
Choice A may not enhance arterial flow.
Choice C can be harmful if done improperly.
Choice D is inappropriate as a healthy weight supports cardiovascular health.
Question 3 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: C
Rationale: The correct answer is C because saline rinses soothe and clean the oral mucosa, reducing mucositis symptoms.
Choice A aids swallowing but not mucositis.
Choice B supports nutrition but is not specific.
Choice D may worsen mucositis due to irritants.
Question 4 of 5
While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately?
Correct Answer: C
Rationale: The correct answer is C because confirming pregnancy ensures safe surgical planning.
Choice A risks fetal harm.
Choice B does not confirm pregnancy.
Choice D is premature without confirmation.
Question 5 of 5
Which nursing problem should be selected for a client who is receiving thrombolytic infusions for treatment of an acute myocardial infarction (AMI)?
Correct Answer: C
Rationale: The correct answer is C because thrombolytics increase bleeding risk, making injury prevention critical.
Choice A is less common.
Choice B is secondary to immediate risks.
Choice D is relevant but not the priority.