HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who had a cholecystectomy two days ago. The client is febrile, reporting upper abdominal pain radiating to the back, and has had three episodes of vomiting in the last 8 hours. The nurse reviews the client's serum amylase and lipase level results, which are twice the normal value. Based on these findings, the nurse should recognize the client is exhibiting symptoms of which condition?
Correct Answer: A
Rationale: The correct answer is A because elevated amylase and lipase with abdominal pain and vomiting indicate acute pancreatitis.
Choice B may not elevate these enzymes.
Choice C involves liver/kidney issues, not amylase/lipase.
Choice D causes fever but not these specific symptoms.
Question 2 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 3 of 5
A client with rheumatoid arthritis has an elevated serum rheumatoid factor. Which interpretation of this finding should the nurse make?
Correct Answer: C
Rationale: The correct answer is C because elevated rheumatoid factor confirms the autoimmune process in rheumatoid arthritis.
Choice A does not indicate decline.
Choice B is unrelated to kidney spread.
Choice D is not specific to joint degeneration onset.
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 because shingles (herpes zoster) is caused by the reactivation of the varicella-zoster virus, which also causes chickenpox (herpes varicella). Affirming the connection between chickenpox and shingles (
B) clarifies the client's understanding of the virus's role. Distinguishing between herpes varicella and herpes zoster (E) educates the client that having had chickenpox does not prevent shingles, as the virus remains dormant and can reactivate.
Choice A is irrelevant to the client's concern about their own risk.
Choice C addresses symptom monitoring but not the client's question.
Choice D is incorrect because the risk of shingles increases with age.
Question 5 of 5
A client with chronic kidney disease (CKD) missed dialysis yesterday to attend a funeral. The client's spouse calls the home health nurse and reports that the client is lethargic and hard to arouse. Which instruction is most important for the nurse to provide?
Correct Answer: B
Rationale: The correct answer is B because missed dialysis can cause severe electrolyte imbalances and fluid overload, requiring urgent medical evaluation.
Choice A is not targeted to the cause.
Choice C assesses access but not the acute issue.
Choice D is a general recommendation, not urgent.