HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 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 2 of 5
A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?
Correct Answer: B
Rationale: The correct answer is B because headache, fever, nuchal rigidity, and petechial rash are classic for meningococcal meningitis.
Choice A lacks rash and rigidity.
Choice C may have rash but not rigidity.
Choice D does not include rash or rigidity.
Question 3 of 5
The nurse assesses an adult client 24 hours after a bowel exploration and formation of a sigmoid colostomy. Which assessment finding should be reported to the surgeon immediately?
Correct Answer: B
Rationale: The correct answer is B because a purple stoma indicates compromised blood flow, risking necrosis and requiring urgent intervention.
Choice A is expected post-surgery.
Choice C is normal shortly after surgery.
Choice D is a normal finding.
Question 4 of 5
An adult client newly diagnosed with left ventricular dysfunction is admitted to the hospital with fine rales and wheezing. When assessing this client, which additional finding is the nurse likely to obtain?
Correct Answer: C
Rationale: The correct answer is C because jugular vein distension is a hallmark of left ventricular dysfunction and heart failure.
Choice A is less common.
Choice B is secondary to other signs.
Choice D is non-specific.
Question 5 of 5
A client is recovering from an episode of urinary tract calculi. During discharge teaching, the client asks about dietary restrictions. In discussing fluid intake, the nurse should include which type of fluid limitation?
Correct Answer: A
Rationale: The correct answer is A because citrus juices are high in oxalates, which can contribute to kidney stone formation.
Choice B contains oxalates but is less significant.
Choice C is incorrect as fluid intake should be increased.
Choice D is unrelated to stone prevention.