HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
An infant who has a Wilms' tumor is admitted for surgery. Which intervention should the nurse implement during the preoperative period?
Correct Answer: A
Rationale: Avoiding abdominal manipulation prevents rupture or spread of Wilms' tumor. Other options are inappropriate due to the infant's age, condition, or lack of symptoms.
Question 2 of 5
The mother of a 6-year-old girl is concerned about her child's obesity. The child's weight plots at the 75th percentile, and height at the 25th percentile. The child's body mass index (BMI) is at the 85th percentile for age and gender. Which intervention(s) should the nurse implement? Select all that apply.
Correct Answer: A,E
Rationale: Obtaining a diet history and assessing physical activity patterns identify unhealthy habits for targeted interventions. Other options are misleading or insufficient.
Question 3 of 5
A client with draining skin lesions of the lower extremity is admitted with possible methicillin resistant Staphylococcus aureus (MRSA). What nursing intervention(s) should the nurse include in the plan of care? Select all that apply.
Correct Answer: A,C,E
Rationale: Standard precautions with a mask, culturing wound drainage for MRSA confirmation, and contact precautions prevent transmission and guide treatment, critical for managing potential MRSA infections.
Question 4 of 5
A mother brings her preteen daughter to the clinic for her first female examination. During the health assessment, the nurse should implement which technique to determine if the client has reached the age of menarche?
Correct Answer: B
Rationale: Tanner staging assesses puberty stage, indicating likelihood of menarche. Other techniques are irrelevant or unreliable.
Question 5 of 5
The nurse is caring for a one-month-old infant admitted for suspected congenital hypothyroidism. Which diagnostic test results should the nurse report to the healthcare provider?
Correct Answer: B
Rationale: Thyroxine (T4) levels are critical for diagnosing congenital hypothyroidism, as low T4 indicates the condition. Other hormones listed are not relevant to thyroid function.