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
While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately?
Correct Answer: C
Rationale: A bedside pregnancy test is critical to confirm pregnancy status before surgery, ensuring the safety of both the client and potential fetus, as surgery could pose risks if pregnancy is confirmed.
Question 3 of 5
A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?
Correct Answer: A
Rationale: Severe headache, fever, nuchal rigidity, and petechial rash are classic symptoms of meningococcal meningitis, caused by Neisseria meningitidis, requiring urgent recognition and treatment.
Question 4 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 5 of 5
The nurse is caring for a one-month-old infant admitted for suspected congenital hypothyroidism. Which diagnostic test results should the nurse report to the healthcare provider?
Correct Answer: B
Rationale: Thyroxine (T4) levels are critical for diagnosing congenital hypothyroidism, as low T4 indicates the condition. Other hormones listed are not relevant to thyroid function.