HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
A client experiencing a sudden onset of confusion and trouble speaking at home is transported to the emergency department. The client does not understand simple commands and appears very frustrated. Which intervention should the nurse perform in the immediate management of the client?
Correct Answer: D
Rationale: Determining symptom onset and progression is critical for diagnosing conditions like stroke, guiding urgent management decisions, and assessing eligibility for time-sensitive treatments.
Question 2 of 5
In assessing a client with skin ulcers on the lower extremity, which findings indicate that the ulcers are likely to be of venous, rather than arterial, origin?
Correct Answer: B
Rationale: Venous ulcers are characterized by irregular shapes and severe edema due to venous hypertension, unlike arterial ulcers which present with signs of poor perfusion like absent pulses or cool skin.
Question 3 of 5
The mother of a 6-year-old girl is concerned about her child's obesity. The child's weight plots at the 75th percentile, and height at the 25th percentile. The child's body mass index (BMI) is at the 85th percentile for age and gender. Which intervention(s) should the nurse implement? Select all that apply.
Correct Answer: A,E
Rationale: Obtaining a diet history and assessing physical activity patterns identify unhealthy habits for targeted interventions. Other options are misleading or insufficient.
Question 4 of 5
An infant who has a Wilms' tumor is admitted for surgery. Which intervention should the nurse implement during the preoperative period?
Correct Answer: A
Rationale: Avoiding abdominal manipulation prevents rupture or spread of Wilms' tumor. Other options are inappropriate due to the infant's age, condition, or lack of symptoms.
Question 5 of 5
The parents of a child with acute lymphoblastic leukemia (ALL) are learning to care for their child at home. Which statement made by the parents should the nurse recognize as correct monitoring for early signs of an infection in the child?
Correct Answer: C
Rationale: Notifying for a temporal temperature above 100°F is accurate and timely for detecting infections in ALL. Other methods are less reliable or risky.