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
The nurse is performing a routine assessment of a 3-year-old at a community health center. Which behavior by the child should alert the nurse to request a follow-up for a possible autism spectrum disorder (ASD)?
Correct Answer: D
Rationale: Odd repetitive behaviors are specific to ASD, indicating a need for follow-up. Other behaviors are less specific or normal.
Question 3 of 5
The nurse is assessing a 6-month-old infant. Which response requires further evaluation by the nurse?
Correct Answer: D
Rationale: The startle reflex should disappear by 4 months; persistence at 6 months suggests neurological issues requiring evaluation. Other responses are normal.
Question 4 of 5
A 9-year-old boy is diagnosed with type 1 diabetes mellitus (DM). Which stage of Erikson’s theory of psychosocial development is the nurse addressing when teaching this client about insulin injections?
Correct Answer: C
Rationale: At 9 years, the child is in the industry stage, focusing on competence in self-care skills like insulin injections. Other stages apply to different ages.
Question 5 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.