HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 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 2 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.
Extract:
History and Physical
Nurses’ Notes
Flow sheet
Orders
Imaging Studies
A 19-year-old female client presents to the emergency department reporting tightness in her chest and difficulty breathing. The client's friend, who accompanied the client to the emergency department, reports she was at a park playing soccer with a group of college friends when the symptoms started. The park is close to a residential area where a fire was burning and there was a moderate breeze in the air. The client reported itching eyes and coughing. Approximately 15 minutes into the game, the client stopped running and held her hand on her chest, saying it felt tight. The client had difficulty catching her breath.
Home Medications
Albuterol/ipratropium every 4 hours by inhaler PRN for shortness of breath, last dose 2 days ago
Fluticasone/vilanterol 100/25 mcg inhaled daily, last dose 3 days ago
Ibuprofen 600 mg PO PRN for pain, last dose this morning for headache
Question 3 of 5
What finding(s) are cues for a respiratory problem? Select all that apply.
Correct Answer: A,B,D,E,F,G
Rationale: Sitting upright, chest tightness, tachypnea, restlessness, dyspnea, and low pulse oxygenation (85%) are direct indicators of respiratory distress, unlike medication compliance which is not a symptom.
Extract:
Question 4 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 5 of 5
A client with a cervical spinal injury (C7) is experiencing autonomic dysreflexia. The nurse should first assess the client for which precipitating factor?
Correct Answer: A
Rationale: Autonomic dysreflexia is often triggered by a distended bladder, which sends signals to the spinal cord that cannot pass the injury level, causing uncontrolled sympathetic activation. Assessing for this common precipitating factor is the priority to address the underlying cause.