HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
An adolescent with a congenital heart defect is admitted for diagnostic testing with surgery scheduled in 3 days. Which intervention should the nurse implement to best support the client's psychosocial needs?
Correct Answer: B
Rationale: Providing an activity room allows the adolescent to interact with peers, reducing anxiety and isolation, and supports psychosocial well-being. Other options do not address emotional and social needs as effectively.
Question 2 of 5
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?
Correct Answer: C
Rationale: Placing the child in a quiet environment addresses the irritability and sensitivity to light and sound caused by Kawasaki disease, reducing stress and discomfort. Other interventions, while important, are not the priority.
Question 3 of 5
A client is hospitalized with an inflammatory bowel disease (IBD) exacerbation and is being treated with a corticosteroid. The client develops a rigid abdomen with rebound tenderness. Which action should the nurse take?
Correct Answer: D
Rationale: A rigid abdomen with rebound tenderness suggests a surgical emergency like bowel perforation. Obtaining vital signs assesses hemodynamic stability, guiding urgent intervention.
Question 4 of 5
A client with a right ulnar fracture and cast placement reports an increase in arm pain. Which action should the nurse take next?
Correct Answer: B
Rationale: Increased pain post-cast placement may indicate compartment syndrome, a serious condition. Assessing radial pulse volume evaluates circulation distal to the fracture, critical for detecting compromised perfusion.
Extract:
Patient Data History and Physical
Laboratory Results
The client is a 58-year-old male who wants to be screened for diabetes mellitus. The client has a sister who has type 2 diabetes mellitus. He has a history of depression, which is treated with paroxetine 10 mg PO every day. The client also discloses that he occasionally takes cannabis in edible form. He denies smoking or drinking. He works in a chemical factory where he is occasionally exposed to fumes. The client's body mass index (BMI) is 28 kg/m3. Nurse Notes Discussed the Dietary Approaches to Stop Hypertension (DASH) diet with the client and gave examples of appropriate portion sizes.
Question 5 of 5
What item(s) should be included in the treatment regimen for this client? Select all that apply.
Correct Answer: A,C,G
Rationale: For a client with prediabetes, exercise planning, weight reduction, and nutrition education improve insulin sensitivity and reduce diabetes risk, unlike insulin or extra carbohydrates which are not indicated.