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
An infant who is developmentally delayed has a ventricular peritoneal (VP) shunt for hydrocephalus. The nurse makes a postoperative home visit to assess the child's progress. During the visit, the mother tells the nurse, 'When the shunt is removed, the pressure in my baby's head will be gone.' Which response should the nurse provide?
Correct Answer: B
Rationale: The shunt is typically a permanent device that may need replacement as the child grows to manage fluid drainage. Other responses are incorrect or misleading about shunt management.
Question 3 of 5
The nurse is caring for a client who had an appendectomy 4 hours ago. Which finding requires immediate action by the nurse?
Correct Answer: A
Rationale: A high-pitched sound (stridor) upon inspiration suggests airway obstruction, a life-threatening emergency requiring immediate action to ensure airway patency and adequate oxygenation post-surgery.
Question 4 of 5
The healthcare provider prescribes diazepam 8 mg IM every 4 hours PRN muscle spasms for a client with a fractured femur. The available vial is labeled, 'Diazepam Injection, USP 10 mg/2 mL.' How many mL should the nurse administer to the client? (Enter numerical value only. If rounding is required round to the nearest tenth.)
Correct Answer: 1.6 mL
Rationale: The vial provides 5 mg/mL (10 mg/2 mL). For an 8 mg dose, the nurse should administer 1.6 mL (8 mg ÷ 5 mg/mL), calculated to meet the prescribed dose.
Question 5 of 5
A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?
Correct Answer: B
Rationale: Comparing the pain scale rating with prescribed dosing ensures the appropriate analgesic and dose are selected based on pain severity, promoting safe and effective pain management.