HESI RN
HESI RN Med Surg Exam 2 Questions
Extract:
Question 1 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.
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
The nurse determines that an adult client who is admitted to the postanesthesia care unit (PACU) following abdominal surgery has a tympanic temperature of 94.6°F (34.8°C), a heart rate of 88 beats/minute, a respiratory rate of 14 breaths/minute, and a blood pressure of 94/68 mm Hg. Which action should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B because a low tympanic temperature may result from improper measurement, requiring verification with another method.
Choice A is unrelated to temperature.
Choice C is not the priority.
Choice D is routine but not immediate.
Question 4 of 5
Which nursing problem should be selected for a client who is receiving thrombolytic infusions for treatment of an acute myocardial infarction (AMI)?
Correct Answer: C
Rationale: The correct answer is C because thrombolytics increase bleeding risk, making injury prevention critical.
Choice A is less common.
Choice B is secondary to immediate risks.
Choice D is relevant but not the priority.
Question 5 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.