HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?
Correct Answer: B
Rationale: Comparing the pain scale rating with prescribed dosing ensures the appropriate analgesic and dose are selected based on pain severity, promoting safe and effective pain management.
Question 2 of 5
A client who fractured the right femur from a fall at home is placed in traction while awaiting surgery. When the client informs the nurse of the need to urinate, which intervention should the nurse implement?
Correct Answer: D
Rationale: Maintaining traction while using a urinal prevents disruption of fracture alignment, ensuring stability and minimizing complications, while addressing the client's need to urinate.
Question 3 of 5
An older adult client with symptoms of osteoarthritis asks the nurse which form of exercise would be most beneficial. Which is the best response by the nurse?
Correct Answer: D
Rationale: Swimming is low-impact, reducing joint stress while improving flexibility and strength, ideal for osteoarthritis, unlike high-impact activities like jogging or tennis.
Question 4 of 5
A school-age child with bronchial asthma has a prescription for albuterol. The child's parent tells the nurse that the medication is used when the child is having difficulty breathing. Which is the best response by the nurse?
Correct Answer: D
Rationale: Albuterol is a quick-relief bronchodilator used as needed for breathing difficulties, confirming correct use. Other responses are inaccurate or unnecessary.
Question 5 of 5
An infant who is developmentally delayed has a ventricular peritoneal (VP) shunt for hydrocephalus. The nurse makes a postoperative home visit to assess the child's progress. During the visit, the mother tells the nurse, 'When the shunt is removed, the pressure in my baby's head will be gone.' Which response should the nurse provide?
Correct Answer: B
Rationale: The shunt is typically a permanent device that may need replacement as the child grows to manage fluid drainage. Other responses are incorrect or misleading about shunt management.