HESI RN Med Surg | Nurselytic

Questions 176

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HESI RN Med Surg Questions

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Question 1 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 2 of 5

A family suspects that AIDS dementia is occurring in their adult child who is HIV positive. Which symptom confirms the suspicion?

Correct Answer: C

Rationale: A change in handwriting indicates graphomotor impairment, a specific neurological symptom of AIDS dementia, reflecting cognitive dysfunction, unlike other symptoms which are less specific.

Question 3 of 5

An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LHRH) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment?

Correct Answer: D

Rationale: LHRH injections delay puberty, allowing the child to reach puberty with peers, aligning sexual maturity. Other statements misalign with treatment goals.

Question 4 of 5

Lactulose was prescribed two days ago for a client who was recently diagnosed with hepatic encephalopathy. The client is confused and experiencing frequent loose stools. Laboratory findings show an elevated serum ammonia (NH) level of 220 μg/dL (157.1 μmol/dL). Which action should the nurse take?

Correct Answer: B

Rationale: Lactulose reduces ammonia levels by promoting its excretion, and the elevated ammonia level indicates the need to continue therapy. Loose stools are an expected effect, and continuing the dose addresses the underlying hepatic encephalopathy.

Question 5 of 5

The nurse is caring for an infant admitted with dehydration, irritability, signs of extreme hunger, and a palpable olive-like mass in the upper right abdominal quadrant. When feeding the infant, the nurse should monitor for which development?

Correct Answer: C

Rationale: Projectile vomiting is a hallmark of pyloric stenosis, indicated by the olive-like mass. Other symptoms are less specific or unrelated.

Similar Questions

The nurse is conducting an admission assessment of an infant with heart failure who is scheduled for repair of restenosis of coarctation of the aorta that was repaired 4 days after birth. Findings include blood pressure higher in the arms than the lower extremities, pounding brachial pulses, and slightly palpable femoral pulses. Which pathophysiologic mechanism supports these findings?
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?
The nurse observes a mother giving her 11-month-old ferrous sulfate (iron drops), followed by 2 ounces (60 mL) of orange juice. What should the nurse do next?
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this disease process?
After initiating a steroid nebulizer treatment for a client with asthma in respiratory distress, which intervention is most important for the nurse to implement?

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