HESI RN
HESI RN Med Surg Questions
Question 1 of 5
The nurse is assessing the lung sounds of a preschooler. Which action should the nurse implement to ensure the child's cooperation?
Correct Answer: B
Rationale: Allowing the child to use a stethoscope on a stuffed animal helps the child understand the purpose of the stethoscope, reduces fear of the unfamiliar device, and encourages cooperation. Other options may distract the child or alter breathing patterns, interfering with the assessment.
Question 2 of 5
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?
Correct Answer: C
Rationale: Placing the child in a quiet environment addresses the irritability and sensitivity to light and sound caused by Kawasaki disease, reducing stress and discomfort. Other interventions, while important, are not the priority.
Question 3 of 5
During a follow-up clinic visit, a mother tells the nurse that her 5-month-old son who had surgical correction for tetralogy of Fallot (TOF) has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Auscultating heart and lungs while the infant is held is a noninvasive way to assess respiratory and cardiac status, monitoring for abnormal sounds or changes in heart rate and oxygen saturation. Other options are not prioritized or appropriate.
Question 4 of 5
The mother of a one-month-old infant calls the clinic to report that the back of her infant's head is flat. How should the nurse respond?
Correct Answer: A
Rationale: Positioning the infant on the stomach when awake helps prevent and correct flat head syndrome (plagiocephaly) by relieving pressure on the skull. Other options increase the risk of SIDS or are ineffective.
Question 5 of 5
The nurse is caring for a one-month-old infant admitted for suspected congenital hypothyroidism. Which diagnostic test results should the nurse report to the healthcare provider?
Correct Answer: B
Rationale: Thyroxine (T4) levels are critical for diagnosing congenital hypothyroidism, as low T4 indicates the condition. Other hormones listed are not relevant to thyroid function.