HESI RN Med Surg Exam 2 | Nurselytic

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HESI RN Med Surg Exam 2 Questions

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Question 1 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 2 of 5

An adult client newly diagnosed with left ventricular dysfunction is admitted to the hospital with fine rales and wheezing. When assessing this client, which additional finding is the nurse likely to obtain?

Correct Answer: C

Rationale: The correct answer is C because jugular vein distension is a hallmark of left ventricular dysfunction and heart failure.
Choice A is less common.
Choice B is secondary to other signs.
Choice D is non-specific.

Question 3 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 4 of 5

A client who suffered an electrical injury with the entrance site on the left hand and the exit site on the left foot is admitted to the burn unit. Which intervention is most important for the nurse to include in this client's plan of care?

Correct Answer: C

Rationale: The correct answer is C because electrical injuries can cause cardiac arrhythmias, making continuous monitoring critical.
Choice A supports mobility but is not urgent.
Choice B is routine but less critical.
Choice D is important but secondary to cardiac monitoring.

Question 5 of 5

Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. Which action should the nurse implement first?

Correct Answer: A

Rationale: The correct answer is A because a Doppler assesses blood flow, critical for detecting complications like thrombosis.
Choice B is secondary.
Choice C is unrelated to pulses.
Choice D addresses edema but not pulses.

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During a routine eye examination, an older client reports decreased peripheral vision and is found to have elevated intraocular pressures. Ophthalmic drops are prescribed for primary open-angle glaucoma (POAG). Which intervention(s) should the nurse include in this client's plan of care? Select all that apply.
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