HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
A school-age child with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response?
Correct Answer: C
Rationale: Decreased periorbital edema indicates restored blood protein levels and reduced fluid leakage, a therapeutic response. Other findings suggest complications.
Question 2 of 5
The mother of a one-month-old infant calls the clinic to report that the back of her infant's head is flat. How should the nurse respond?
Correct Answer: A
Rationale: Positioning the infant on the stomach when awake helps prevent and correct flat head syndrome (plagiocephaly) by relieving pressure on the skull. Other options increase the risk of SIDS or are ineffective.
Question 3 of 5
A client experiencing a sudden onset of confusion and trouble speaking at home is transported to the emergency department. The client does not understand simple commands and appears very frustrated. Which intervention should the nurse perform in the immediate management of the client?
Correct Answer: D
Rationale: Determining symptom onset and progression is critical for diagnosing conditions like stroke, guiding urgent management decisions, and assessing eligibility for time-sensitive treatments.
Question 4 of 5
While assisting a client to the toilet, the client begins to have a seizure and the nurse eases the client to the floor. The nurse calls for help and monitors the client until the seizing stops. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Prolonged apnea during a seizure can lead to hypoxia or cardiac arrest, making it the priority to monitor to ensure respiratory status and client safety post-seizure.
Question 5 of 5
An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LHRH) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment?
Correct Answer: D
Rationale: LHRH injections delay puberty, allowing the child to reach puberty with peers, aligning sexual maturity. Other statements misalign with treatment goals.