HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a client receiving thrombolytic therapy following an acute myocardial infarction (MI). Which nursing problem should the nurse identify as priority for this client?
Correct Answer: A
Rationale: Thrombolytic therapy increases bleeding risk, making the risk for injury due to bleeding the priority, as it can lead to severe complications like hemorrhage, requiring immediate monitoring and intervention.
Question 3 of 5
In assessing a client with skin ulcers on the lower extremity, which findings indicate that the ulcers are likely to be of venous, rather than arterial, origin?
Correct Answer: B
Rationale: Venous ulcers are characterized by irregular shapes and severe edema due to venous hypertension, unlike arterial ulcers which present with signs of poor perfusion like absent pulses or cool skin.
Question 4 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 5 of 5
The nurse is assessing the lung sounds of a preschooler. Which action should the nurse implement to ensure the child's cooperation?
Correct Answer: B
Rationale: Allowing the child to use a stethoscope on a stuffed animal helps the child understand the purpose of the stethoscope, reduces fear of the unfamiliar device, and encourages cooperation. Other options may distract the child or alter breathing patterns, interfering with the assessment.