HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 of 5
The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?
Correct Answer: B
Rationale: The correct answer is B because stridor suggests airway obstruction, potentially requiring a tracheostomy.
Choice A is unrelated to airway issues.
Choice C is for vascular access, not airway.
Choice D is for cardiac issues, not relevant.
Question 2 of 5
The nurse is developing home care instructions for a client with peripheral artery disease (PAD). Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because structured exercise improves circulation and reduces PAD symptoms.
Choice A may not enhance arterial flow.
Choice C can be harmful if done improperly.
Choice D is inappropriate as a healthy weight supports cardiovascular health.
Question 3 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.
Question 4 of 5
A client with an external fixation device for a fractured left femur is troubled with left foot pain. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A because swelling may indicate compartment syndrome, a serious complication requiring immediate assessment.
Choice B is unrelated to the pain or fixation device.
Question 5 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.