HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 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 2 of 5
A preschool-aged child who is experiencing respiratory distress is brought to the emergency department by the parents. The child is anxious, has a temperature of 102.8° F (39.3° C), and is drooling from the mouth while leaning forward when sitting. Which action should the nurse prepare the child for next?
Correct Answer: C
Rationale: Symptoms suggest epiglottitis, requiring urgent intubation or tracheotomy to secure the airway. Other actions are not immediate priorities.
Question 3 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 4 of 5
The nurse is assessing the lung sounds of a preschooler. Which action should the nurse implement to ensure the child's cooperation?
Correct Answer: B
Rationale: Allowing the child to use a stethoscope on a stuffed animal helps the child understand the purpose of the stethoscope, reduces fear of the unfamiliar device, and encourages cooperation. Other options may distract the child or alter breathing patterns, interfering with the assessment.
Question 5 of 5
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?
Correct Answer: C
Rationale: Placing the child in a quiet environment addresses the irritability and sensitivity to light and sound caused by Kawasaki disease, reducing stress and discomfort. Other interventions, while important, are not the priority.