HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 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.
Question 2 of 5
The healthcare provider prescribes regular insulin 10 units/hr IV. The IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline. How many mL/hr should the nurse program the infusion pump? (Enter numerical value only.)
Correct Answer: 10 mL/hr
Rationale: The solution contains 1 unit/mL (100 units/100 mL). For a prescribed rate of 10 units/hr, the infusion pump should be set to deliver 10 mL/hr, as each mL provides 1 unit of insulin.
Question 3 of 5
A preschool-age boy in a daycare facility scratches his head frequently, and the nurse confirms the presence of head lice. The nurse washes the child's hair with permethrin shampoo and calls his parents. Which instruction should the nurse provide to the parents about treatment for head lice?
Correct Answer: C
Rationale: Washing linens and clothing in hot water kills lice and eggs, preventing reinfestation. Other instructions are ineffective or unnecessary.
Question 4 of 5
A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling. Which action should the nurse take?
Correct Answer: D
Rationale: Sudden testicular pain and swelling suggest testicular torsion, a medical emergency requiring immediate provider notification for evaluation and possible surgery.
Question 5 of 5
A client experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?
Correct Answer: D
Rationale: Antihistamines for Ménière's disease target vertigo, a hallmark symptom. Ambulating without vertigo indicates the medication's effectiveness in controlling this symptom.