HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse?
Correct Answer: A
Rationale: The correct answer is A because severe hypernatremia (185 mEq/L) can cause neurological damage and requires urgent correction.
Choice B is a symptom of DI but less urgent.
Choice C indicates dehydration but is secondary.
Choice D is elevated but not as critical.
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 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 4 of 5
A client with metastatic cancer reports a pain level of 10 on a 0 to 10 scale. Twenty minutes after the nurse administers an IV analgesic, the client states, 'No pain relief yet.' Which intervention is most important for the nurse to include in this client's plan of care?
Correct Answer: B
Rationale: The correct answer is B because a fixed analgesic schedule maintains consistent pain control in severe cases.
Choice A is routine but not immediate.
Choice C is part of management but secondary.
Choice D is essential but not the primary intervention.
Question 5 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.