HESI LPN
Medical Surgical Assignment Exam HESI Questions
Question 1 of 5
Parents of a school-age child ask the nurse for suggestions in helping the child who is demonstrating school avoidance. What is an appropriate suggestion by the nurse?
Correct Answer: B
Rationale: When a child is demonstrating school avoidance, it is important for parents to be firm and insist that the child go to school. This helps establish a routine and prevents the behavior from becoming a pattern. Taking the child to the healthcare provider for testing (
Choice
A) may not be necessary at this stage as school avoidance is a behavioral issue. Allowing the child to stay home and rest (
Choice
C) may reinforce the avoidance behavior. While consulting with the teacher at school (
Choice
D) is important, the immediate focus should be on addressing the avoidance behavior at home.
Question 2 of 5
A male client with Herpes Zoster (shingles) on his thorax tells the nurse that he is having difficulty sleeping. What is the etiology of this problem?
Correct Answer: A
Rationale: The correct answer is A: Pain. The pain caused by Herpes Zoster (shingles) can disrupt sleep patterns. It is a common symptom of shingles and can lead to difficulty falling asleep or staying asleep. Nocturia (
B), dyspnea (
C), and frequent cough (
D) are not typically associated with shingles and would not directly cause difficulty sleeping in this scenario.
Question 3 of 5
Which of the following is a priority assessment for a client receiving intravenous vancomycin?
Correct Answer: D
Rationale: The correct answer is D, Hearing acuity. Vancomycin is known to cause ototoxicity, which can result in hearing loss. Monitoring the client's hearing acuity is crucial to detect any early signs of ototoxicity. Assessing respiratory rate, blood pressure, and urine output are important assessments in general patient care but are not the priority when specifically monitoring for vancomycin-induced ototoxicity.
Question 4 of 5
A client who is experiencing respiratory distress is admitted with respiratory acidosis. Which pathophysiological process supports the client's respiratory acidosis?
Correct Answer: B
Rationale: High levels of carbon dioxide in the blood lead to respiratory acidosis due to inadequate ventilation. The correct answer is B. In respiratory acidosis, the accumulation of carbon dioxide in the blood occurs due to inadequate exhalation, leading to acidosis.
Choice A is incorrect as low oxygen levels are related to hypoxemia, not respiratory acidosis.
Choice C is incorrect as increased bicarbonate levels would lead to alkalosis, not acidosis.
Choice D is incorrect as an increased respiratory rate causing hyperventilation would actually help decrease carbon dioxide levels, not lead to respiratory acidosis.
Question 5 of 5
How should the nurse measure urinary output for an infant with dehydration?
Correct Answer: C
Rationale: The correct way to measure urinary output for an infant with dehydration is by weighing the diaper. Wet diapers are weighed to assess the amount of output accurately. Attaching a urine collecting bag and inserting a catheter are invasive methods not typically used for routine measurement of urinary output in infants. Wringing out the diaper can lead to inaccurate measurements and is not a recommended method for assessing urinary output.