HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
Click to mark whether the client statement indicates understanding or no understanding of the education given.
Correct Answer:
Rationale: Understanding statements reflect benefits of lifestyle changes and symptom monitoring. Misunderstandings include assuming normal glucose allows poor habits, banning all sugar, or believing changes eliminate diabetes risk entirely.
Question 2 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 3 of 5
A client with a cervical spinal injury (C7) is experiencing autonomic dysreflexia. The nurse should first assess the client for which precipitating factor?
Correct Answer: A
Rationale: Autonomic dysreflexia is often triggered by a distended bladder, which sends signals to the spinal cord that cannot pass the injury level, causing uncontrolled sympathetic activation. Assessing for this common precipitating factor is the priority to address the underlying cause.
Question 4 of 5
A 9-month-old with Tay-Sachs disease is admitted due to seizures. Which assessment is most important for the nurse to obtain?
Correct Answer: D
Rationale: Exaggerated startle reaction is specific to Tay-Sachs and may trigger seizures, making it critical to assess. Other findings are less urgent.
Question 5 of 5
A 9-year-old boy is diagnosed with type 1 diabetes mellitus (DM). Which stage of Erikson’s theory of psychosocial development is the nurse addressing when teaching this client about insulin injections?
Correct Answer: C
Rationale: At 9 years, the child is in the industry stage, focusing on competence in self-care skills like insulin injections. Other stages apply to different ages.