HESI RN
HESI RN Med Surg Questions
Question 1 of 5
The nurse is caring for a client who had a cholecystectomy two days ago. The client is febrile, reporting upper abdominal pain radiating to the back, and has had three episodes of vomiting in the last 8 hours. The nurse reviews the client's serum amylase and lipase level results which are twice the normal value. Based on these findings, the nurse should recognize the client is exhibiting symptoms of which condition?
Correct Answer: B
Rationale: Elevated amylase and lipase with fever, vomiting, and upper abdominal pain radiating to the back indicate acute pancreatitis, a potential post-cholecystectomy complication.
Question 2 of 5
The nurse observes a mother giving her 11-month-old ferrous sulfate (iron drops), followed by 2 ounces (60 mL) of orange juice. What should the nurse do next?
Correct Answer: D
Rationale: Following iron drops with orange juice enhances iron absorption due to vitamin C, warranting positive feedback. Other actions are incorrect.
Question 3 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.
Question 4 of 5
A client with chronic kidney disease on peritoneal dialysis exhibits redness, tenderness, and drainage around the catheter site on the abdominal wall. While planning care, the nurse is most concerned about preventing which complication related to these findings?
Correct Answer: B
Rationale: Redness, tenderness, and drainage suggest an exit site infection, a common peritoneal dialysis complication, which must be prevented to avoid progression to peritonitis.
Question 5 of 5
A mother brings her preteen daughter to the clinic for her first female examination. During the health assessment, the nurse should implement which technique to determine if the client has reached the age of menarche?
Correct Answer: B
Rationale: Tanner staging assesses puberty stage, indicating likelihood of menarche. Other techniques are irrelevant or unreliable.