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