HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
A mother brings her preteen daughter to the clinic for her first female examination. During the health assessment, the nurse should implement which technique to determine if the client has reached the age of menarche?
Correct Answer: B
Rationale: Tanner staging assesses puberty stage, indicating likelihood of menarche. Other techniques are irrelevant or unreliable.
Question 2 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.
Question 3 of 5
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?
Correct Answer: D
Rationale: Following iron drops with orange juice enhances iron absorption due to vitamin C, warranting positive feedback. Other actions are incorrect.
Question 4 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 5 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.