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
The nurse is caring for a client receiving thrombolytic therapy following an acute myocardial infarction (MI). Which nursing problem should the nurse identify as priority for this client?
Correct Answer: A
Rationale: Thrombolytic therapy increases bleeding risk, making the risk for injury due to bleeding the priority, as it can lead to severe complications like hemorrhage, requiring immediate monitoring and intervention.
Question 3 of 5
Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID 19. Which action is most important for the nurse to take?
Correct Answer: C
Rationale: Isolating the client prevents potential COVID-19 transmission, critical given symptoms suggestive of infection, protecting others until test results confirm the diagnosis.
Question 4 of 5
The nurse is providing discharge instructions to the caregiver of an infant with recurrent otitis media. Which statement made by the caregiver should the nurse recognize as needing additional education about minimizing subsequent infections?
Correct Answer: A
Rationale: Benzocaine drops do not prevent otitis media and may cause harm. Other statements reflect correct preventive measures.
Question 5 of 5
Click to mark whether the client statement indicates understanding or no understanding of the education given.
| Options | Understanding | No understanding |
|---|---|---|
| Making these changes will also help me avoid other chronic health conditions. (Understanding) | ||
| If I have symptoms like increased thirst and urination, I should come in and get my blood sugar checked. (Understanding) | ||
| If my fasting blood sugar is less than 100 mg/dL (5.6 mmol/L) next time, I can go back to my usual eating habits. (No understanding) | ||
| I can never eat sugar again. (No understanding) | ||
| If I make the changes we talked about, I will not get type 2 diabetes. (No understanding) | ||
| Understanding: A,B; No understanding: C,D,E |
Correct Answer:
Rationale: Understanding statements reflect benefits of lifestyle changes and symptom monitoring. Misunderstandings include assuming normal glucose allows poor habits, banning all sugar, or believing changes eliminate diabetes risk entirely.