HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Asking about a typical school day helps identify stressors causing physical symptoms, providing insight for emotional support. Other options are less relevant or premature.
Question 2 of 5
A 9-year-old boy is diagnosed with type 1 diabetes mellitus (DM). Which stage of Erikson’s theory of psychosocial development is the nurse addressing when teaching this client about insulin injections?
Correct Answer: C
Rationale: At 9 years, the child is in the industry stage, focusing on competence in self-care skills like insulin injections. Other stages apply to different ages.
Question 3 of 5
For each client activity, click to indicate whether the activity shows positive or negative health promotion postamputation due to extensive peripheral vascular disease.
| Options | Positive | Negative |
|---|---|---|
| Inquires about blood pressure. (Positive) | ||
| Asks questions about self-care. (Positive) | ||
| Executes pull-ups on a trapeze bar. (Positive) | ||
| Turns side to side. (Positive) | ||
| Requests nurse to perform wound care. (Negative) | ||
| Avoids looking at residual limb. (Negative) |
Correct Answer: Positive: A,B,C,D; Negative: E,F
Rationale: Positive activities (inquiring about blood pressure, self-care questions, physical exercises, mobility) promote recovery and adaptation. Negative activities (relying on nurse for wound care, avoiding residual limb) hinder independence and psychological adjustment.
Question 4 of 5
An infant born 2 days ago has not passed a meconium stool and begins to vomit bilious secretions. Which action should the nurse take first?
Correct Answer: B
Rationale: Gathering IV supplies addresses the risk of dehydration and shock from vomiting and possible bowel obstruction, which is the priority. Other actions are less urgent.
Question 5 of 5
The nurse calls the healthcare provider because a client diagnosed with an abdominal aortic aneurysm (AAA) is reporting low back pain. Which additional information about the client would be important for the nurse to tell the healthcare provider?
Correct Answer: B
Rationale: Low back pain in AAA may suggest aneurysm expansion or rupture. Hematocrit and blood pressure indicate potential bleeding or hemodynamic instability, critical for the provider's assessment.