HESI RN
Hesi Med Surg Questions
Extract:
Question 1 of 5
The nurse is caring for a client with chemotherapy-induced mucositis who is describing soreness of the tongue and oral issues. Which is the best initial nursing action?
Correct Answer: B
Rationale: Administering a topical analgesic provides immediate pain relief for mucositis, addressing the client's discomfort first before implementing other supportive measures like diet or mouth care.
Question 2 of 5
A client with metastatic cancer reports a pain level of 10 on a pain scale of 0 to 10. Twenty minutes after the nurse administers an IV analgesic, the client reports no pain relief. Which intervention is most important for the nurse to include in this client's plan of care?
Correct Answer: A
Rationale: A fixed and continuous analgesic schedule ensures consistent pain relief for chronic severe cancer pain, preventing fluctuations and addressing inadequate response to the initial dose.
Question 3 of 5
A client is admitted to the medical unit during an exacerbation of systemic lupus erythematosus (SLE). It is most important to report which assessment finding to the health care provider?
Correct Answer: B
Rationale: Hematuria indicates potential kidney involvement, a serious complication of SLE that can lead to renal failure. Prompt reporting is critical for timely intervention to prevent end-stage renal disease.
Question 4 of 5
Which admission assessment findings should the nurse document related to a client who has been diagnosed with Cushing's syndrome?
Correct Answer: D
Rationale: Central-type obesity with thin extremities is a hallmark of Cushing's syndrome due to cortisol-induced fat redistribution and muscle wasting, making it a key finding to document.
Question 5 of 5
The nurse is assessing a client who has herpes zoster. Which question will allow the nurse to gather further information about this condition?
Correct Answer: A
Rationale: Asking if everyone at home has had varicella helps determine the risk of transmission of the varicella-zoster virus, which causes herpes zoster, to non-immune individuals, informing isolation precautions.