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 admitted to the unit with severe abdominal pain and fever is diagnosed with appendicitis and is placed on the surgery schedule for an appendectomy. The child reports to the nurse of experiencing sudden relief in abdominal pain. Which action should the nurse take first?
Correct Answer: C
Rationale: Sudden pain relief may indicate appendix rupture, a medical emergency requiring immediate provider notification. Other actions are secondary.
Question 3 of 5
The nurse is assessing a 6-month-old infant. Which response requires further evaluation by the nurse?
Correct Answer: D
Rationale: The startle reflex should disappear by 4 months; persistence at 6 months suggests neurological issues requiring evaluation. Other responses are normal.
Question 4 of 5
A preschool-aged child who is experiencing respiratory distress is brought to the emergency department by the parents. The child is anxious, has a temperature of 102.8° F (39.3° C), and is drooling from the mouth while leaning forward when sitting. Which action should the nurse prepare the child for next?
Correct Answer: C
Rationale: Symptoms suggest epiglottitis, requiring urgent intubation or tracheotomy to secure the airway. Other actions are not immediate priorities.
Extract:
History and Physical
The client is a 58-year-old male who wants to be screened for diabetes mellitus. The client has a sister who has type 2 diabetes mellitus. He has a history of depression, which is treated with paroxetine 10 mg PO every day. The client also discloses that he occasionally takes cannabis in edible form. He denies smoking or drinking. He works in a chemical factory where he is occasionally exposed to fumes. The client's body mass index (BMI) is 28 kg/m3
Question 5 of 5
What other nutritional recommendation(s) would be helpful for this client in reducing risk for type 2 diabetes mellitus? Select all that apply.
Correct Answer: B,C,F
Rationale: Eliminating sugary beverages, increasing fiber, and minimizing refined grains reduce blood sugar spikes and improve insulin sensitivity, key for prediabetes management, unlike cinnamon or no-fat diets.