HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
A school-aged child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's parent, the recent occurrence of which illness is most significant?
Correct Answer: B
Rationale: A recent sore throat, often caused by group A streptococcus, is the primary trigger for acute rheumatic fever if untreated. Other illnesses are not linked.
Question 2 of 5
The nurse is caring for an infant admitted with dehydration, irritability, signs of extreme hunger, and a palpable olive-like mass in the upper right abdominal quadrant. When feeding the infant, the nurse should monitor for which development?
Correct Answer: C
Rationale: Projectile vomiting is a hallmark of pyloric stenosis, indicated by the olive-like mass. Other symptoms are less specific or unrelated.
Question 3 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.
Question 4 of 5
A 9-year-old admitted to the unit with severe abdominal pain and fever is diagnosed with appendicitis and is placed on the surgery schedule for an appendectomy. The child reports to the nurse of experiencing sudden relief in abdominal pain. Which action should the nurse take first?
Correct Answer: C
Rationale: Sudden pain relief may indicate appendix rupture, a medical emergency requiring immediate provider notification. Other actions are secondary.
Question 5 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.