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 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 3 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.
Question 4 of 5
A client with a right ulnar fracture and cast placement reports an increase in arm pain. Which action should the nurse take next?
Correct Answer: B
Rationale: Increased pain post-cast placement may indicate compartment syndrome, a serious condition. Assessing radial pulse volume evaluates circulation distal to the fracture, critical for detecting compromised perfusion.
Question 5 of 5
A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Asking about a typical school day helps identify stressors causing physical symptoms, providing insight for emotional support. Other options are less relevant or premature.