HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 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 2 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 3 of 5
In providing discharge teaching to a client with chronic obstructive pulmonary disease (COPD), which instruction is most important for the nurse to emphasize?
Correct Answer: A
Rationale: Changes in sputum color may indicate infection or exacerbation in COPD, requiring prompt reporting to the healthcare provider for timely management to prevent worsening respiratory status.
Question 4 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 5 of 5
A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Asking about a typical school day helps identify stressors causing physical symptoms, providing insight for emotional support. Other options are less relevant or premature.