HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 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 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
The nurse is caring for a child with chronic kidney disease who is experiencing renal osteodystrophy. Which outcome should the nurse explain to the parents about the sequela for their child with renal osteodystrophy?
Correct Answer: A
Rationale: Renal osteodystrophy causes impaired bone formation, leading to arrested growth. Other outcomes are not specific.
Question 4 of 5
The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the health care provider immediately?
Correct Answer: A
Rationale: Chest pain indicates acute chest syndrome, a life-threatening complication requiring immediate reporting. Other findings are less urgent.
Question 5 of 5
For each client activity, click to indicate whether the activity shows positive or negative health promotion postamputation due to extensive peripheral vascular disease.
| Options | Positive | Negative |
|---|---|---|
| Inquires about blood pressure. (Positive) | ||
| Asks questions about self-care. (Positive) | ||
| Executes pull-ups on a trapeze bar. (Positive) | ||
| Turns side to side. (Positive) | ||
| Requests nurse to perform wound care. (Negative) | ||
| Avoids looking at residual limb. (Negative) |
Correct Answer: Positive: A,B,C,D; Negative: E,F
Rationale: Positive activities (inquiring about blood pressure, self-care questions, physical exercises, mobility) promote recovery and adaptation. Negative activities (relying on nurse for wound care, avoiding residual limb) hinder independence and psychological adjustment.