HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 of 5
The nurse has conducted a cancer prevention community education program. In evaluating the participants' understanding of carcinogens, which statement indicates an accurate understanding?
Correct Answer: B
Rationale: The correct answer is B because carcinogens cause cellular DNA changes leading to cancer.
Choice A is incorrect as carcinogens initiate, not spread, cancer.
Choice C is wrong as carcinogens do not contain cancerous cells.
Choice D is misleading as exposure can often be reduced.
Question 2 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 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
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 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.