HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
A client who reports feeling chronically fatigued has a hemoglobin of 10 g/dL (110 mmol/L), hematocrit of 34% (0.34 volume fraction), and microcytic and hypochromic red blood cells (RBCs). Based on these findings, which dinner selection should the nurse suggest to the client?
Correct Answer: D
Rationale: Microcytic, hypochromic RBCs suggest iron deficiency anemia. Beef steak provides heme iron, broccoli offers non-heme iron, and oranges enhance absorption with vitamin C, addressing the client's anemia.
Question 2 of 5
A school-aged child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's parent, the recent occurrence of which illness is most significant?
Correct Answer: B
Rationale: A recent sore throat, often caused by group A streptococcus, is the primary trigger for acute rheumatic fever if untreated. Other illnesses are not linked.
Question 3 of 5
The nurse is assessing the lung sounds of a preschooler. Which action should the nurse implement to ensure the child's cooperation?
Correct Answer: B
Rationale: Allowing the child to use a stethoscope on a stuffed animal helps the child understand the purpose of the stethoscope, reduces fear of the unfamiliar device, and encourages cooperation. Other options may distract the child or alter breathing patterns, interfering with the assessment.
Question 4 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.
Question 5 of 5
A client with benign prostatic hyperplasia (BPH) is preparing for discharge following a transurethral needle ablation (TUNA). Which information should the nurse include in the discharge instructions?
Correct Answer: D
Rationale: Monitoring the urinary stream for decreased output is critical post-TUNA to detect complications like re-obstruction, which could indicate issues with the procedure's effectiveness or healing process.