HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 of 5
The nurse assesses an adult client 24 hours following abdominal surgery and finds the client's blood pressure is 98/40 mm Hg. The client is tachycardic, restless, and irritable. Which action should the nurse perform first?
Correct Answer: A
Rationale: The correct answer is A because low blood pressure and tachycardia suggest bleeding, which checking under the back can confirm.
Choice B is not the priority.
Choice C is secondary.
Choice D follows assessment.
Question 2 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.
Question 3 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 4 of 5
A client with Addison's disease started taking hydrocortisone in a divided daily dose last week. It is most important for the nurse to monitor which serum laboratory value?
Correct Answer: C
Rationale: The correct answer is C because hydrocortisone can elevate blood glucose, requiring monitoring in Addison's disease.
Choice A is less relevant to hydrocortisone.
Choice B is unrelated to hydrocortisone effects.
Choice D is not directly affected.
Question 5 of 5
Which instruction should the nurse include in the discharge teaching for a client who has gastroesophageal reflux?
Correct Answer: B
Rationale: The correct answer is B because elevating the bed head prevents acid reflux during sleep.
Choice A worsens reflux.
Choice C is incorrect as high-fiber foods are not contraindicated.
Choice D is wrong as antacids can be used as needed.