HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
Five months following treatment for herpes zoster, an older adult client tells the home health nurse of continuing to experience pain where the rash occurred. Which action should the nurse implement?
Correct Answer: D
Rationale: Persistent pain post-herpes zoster suggests postherpetic neuralgia. A comprehensive pain assessment is the priority to understand its characteristics and guide management, unlike other actions which are less relevant.
Question 2 of 5
The healthcare provider prescribes regular insulin 10 units/hr IV. The IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline. How many mL/hr should the nurse program the infusion pump? (Enter numerical value only.)
Correct Answer: 10 mL/hr
Rationale: The solution contains 1 unit/mL (100 units/100 mL). For a prescribed rate of 10 units/hr, the infusion pump should be set to deliver 10 mL/hr, as each mL provides 1 unit of insulin.
Question 3 of 5
Click to mark whether the client statement indicates understanding or no understanding of the education given.
| Options | Understanding | No understanding |
|---|---|---|
| Making these changes will also help me avoid other chronic health conditions. (Understanding) | ||
| If I have symptoms like increased thirst and urination, I should come in and get my blood sugar checked. (Understanding) | ||
| If my fasting blood sugar is less than 100 mg/dL (5.6 mmol/L) next time, I can go back to my usual eating habits. (No understanding) | ||
| I can never eat sugar again. (No understanding) | ||
| If I make the changes we talked about, I will not get type 2 diabetes. (No understanding) | ||
| Understanding: A,B; No understanding: C,D,E |
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 4 of 5
A client with chronic kidney disease on peritoneal dialysis exhibits redness, tenderness, and drainage around the catheter site on the abdominal wall. While planning care, the nurse is most concerned about preventing which complication related to these findings?
Correct Answer: B
Rationale: Redness, tenderness, and drainage suggest an exit site infection, a common peritoneal dialysis complication, which must be prevented to avoid progression to peritonitis.
Question 5 of 5
The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease. Which foods should the nurse include in the list of allowed foods for this child?
Correct Answer: A
Rationale: Rice is gluten-free and safe for celiac disease. Other grains contain gluten, which triggers intestinal damage.