HESI RN Med Surg | Nurselytic

Questions 176

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HESI RN Med Surg Questions

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Question 1 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 2 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 3 of 5

A 9-month-old with Tay-Sachs disease is admitted due to seizures. Which assessment is most important for the nurse to obtain?

Correct Answer: D

Rationale: Exaggerated startle reaction is specific to Tay-Sachs and may trigger seizures, making it critical to assess. Other findings are less urgent.

Question 4 of 5

While assisting a client to the toilet, the client begins to have a seizure and the nurse eases the client to the floor. The nurse calls for help and monitors the client until the seizing stops. Which intervention should the nurse implement first?

Correct Answer: A

Rationale: Prolonged apnea during a seizure can lead to hypoxia or cardiac arrest, making it the priority to monitor to ensure respiratory status and client safety post-seizure.

Question 5 of 5

The nurse is providing discharge instructions to the caregiver of an infant with recurrent otitis media. Which statement made by the caregiver should the nurse recognize as needing additional education about minimizing subsequent infections?

Correct Answer: A

Rationale: Benzocaine drops do not prevent otitis media and may cause harm. Other statements reflect correct preventive measures.

Similar Questions

A client with draining skin lesions of the lower extremity is admitted with possible methicillin resistant Staphylococcus aureus (MRSA). What nursing intervention(s) should the nurse include in the plan of care? Select all that apply.
A school-age child with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response?
The nurse is preparing to administer medications for an eight-month-old infant with heart failure. The infant has a blood pressure of 114/66 mm Hg, apical pulse of 88 beats/minute, and respirations of 30 breaths/minute. Which medication should the nurse withhold until the health care provider is notified?
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?
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this disease process?

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