HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
A client who fractured the right femur from a fall at home is placed in traction while awaiting surgery. When the client informs the nurse of the need to urinate, which intervention should the nurse implement?
Correct Answer: D
Rationale: Maintaining traction while using a urinal prevents disruption of fracture alignment, ensuring stability and minimizing complications, while addressing the client's need to urinate.
Question 2 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 3 of 5
The nurse is admitting a client with possible tuberculosis (TB). The client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB?
Correct Answer: A
Rationale: A sputum culture positive for Mycobacterium tuberculosis is the gold standard for confirming TB diagnosis, as it directly identifies the causative bacterium, unlike other tests which may suggest but not confirm TB.
Question 4 of 5
The nurse is caring for a client who had an appendectomy 4 hours ago. Which finding requires immediate action by the nurse?
Correct Answer: A
Rationale: A high-pitched sound (stridor) upon inspiration suggests airway obstruction, a life-threatening emergency requiring immediate action to ensure airway patency and adequate oxygenation post-surgery.
Question 5 of 5
An adolescent with a congenital heart defect is admitted for diagnostic testing with surgery scheduled in 3 days. Which intervention should the nurse implement to best support the client's psychosocial needs?
Correct Answer: B
Rationale: Providing an activity room allows the adolescent to interact with peers, reducing anxiety and isolation, and supports psychosocial well-being. Other options do not address emotional and social needs as effectively.