HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 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 2 of 5
A family suspects that AIDS dementia is occurring in their adult child who is HIV positive. Which symptom confirms the suspicion?
Correct Answer: C
Rationale: A change in handwriting indicates graphomotor impairment, a specific neurological symptom of AIDS dementia, reflecting cognitive dysfunction, unlike other symptoms which are less specific.
Question 3 of 5
The healthcare provider prescribes diazepam 8 mg IM every 4 hours PRN muscle spasms for a client with a fractured femur. The available vial is labeled, 'Diazepam Injection, USP 10 mg/2 mL.' How many mL should the nurse administer to the client? (Enter numerical value only. If rounding is required round to the nearest tenth.)
Correct Answer: 1.6 mL
Rationale: The vial provides 5 mg/mL (10 mg/2 mL). For an 8 mg dose, the nurse should administer 1.6 mL (8 mg ÷ 5 mg/mL), calculated to meet the prescribed dose.
Question 4 of 5
Five months following treatment for herpes zoster, an older adult client tells the home health nurse of continuing to experience pain where the rash occurred. Which action should the nurse implement?
Correct Answer: D
Rationale: Persistent pain post-herpes zoster suggests postherpetic neuralgia. A comprehensive pain assessment is the priority to understand its characteristics and guide management, unlike other actions which are less relevant.
Question 5 of 5
A 9-month-old with Tay-Sachs disease is admitted due to seizures. Which assessment is most important for the nurse to obtain?
Correct Answer: D
Rationale: Exaggerated startle reaction is specific to Tay-Sachs and may trigger seizures, making it critical to assess. Other findings are less urgent.