HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
A client with a right ulnar fracture and cast placement reports an increase in arm pain. Which action should the nurse take next?
Correct Answer: B
Rationale: Increased pain post-cast placement may indicate compartment syndrome, a serious condition. Assessing radial pulse volume evaluates circulation distal to the fracture, critical for detecting compromised perfusion.
Question 2 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 3 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.
Question 4 of 5
The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the health care provider immediately?
Correct Answer: A
Rationale: Chest pain indicates acute chest syndrome, a life-threatening complication requiring immediate reporting. Other findings are less urgent.
Question 5 of 5
The healthcare provider prescribes diazepam 8 mg IM every 4 hours PRN muscle spasms for a client with a fractured femur. The available vial is labeled, 'Diazepam Injection, USP 10 mg/2 mL.' How many mL should the nurse administer to the client? (Enter numerical value only. If rounding is required round to the nearest tenth.)
Correct Answer: 1.6 mL
Rationale: The vial provides 5 mg/mL (10 mg/2 mL). For an 8 mg dose, the nurse should administer 1.6 mL (8 mg ÷ 5 mg/mL), calculated to meet the prescribed dose.