HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 of 5
Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. Which action should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A because a Doppler assesses blood flow, critical for detecting complications like thrombosis.
Choice B is secondary.
Choice C is unrelated to pulses.
Choice D addresses edema but not pulses.
Question 2 of 5
A client reports to the nurse of recently visiting someone who has a shingles infection. The client believes that having had chickenpox as a child will be protective against shingles. How should the nurse respond? Select all that apply.
Correct Answer: B,E
Rationale: The correct answers are B and E for the same reasons as Question 1: affirming the link between chickenpox and shingles (
B) and distinguishing herpes varicella from herpes zoster (E) address the client's misconception.
Choice A does not clarify the client's risk.
Choice C is unrelated to the question about protection.
Choice D is incorrect as the risk of shingles increases with age.
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, as infections can elevate blood glucose, necessitating higher insulin doses.
Choice A is incorrect because frequent monitoring is needed.
Choice B supports hydration but not glucose management directly.
Choice D is incorrect as nutrition is essential during recovery.
Question 4 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 5 of 5
The nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?
Correct Answer: A
Rationale: The correct answer is A because dyspnea and sinus tachycardia may indicate fluid overload or heart failure, requiring immediate intervention to prevent complications.
Choice B is a minor symptom not requiring urgent action.
Choice C is expected in AKI but less urgent.
Choice D suggests infection, which is less critical than respiratory and cardiac symptoms.