HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
The mother of a one-month-old infant calls the clinic to report that the back of her infant's head is flat. How should the nurse respond?
Correct Answer: A
Rationale: Positioning the infant on the stomach when awake helps prevent and correct flat head syndrome (plagiocephaly) by relieving pressure on the skull. Other options increase the risk of SIDS or are ineffective.
Question 2 of 5
The nurse is preparing an older adult client for a magnetic resonance imaging (MRI) with contrast. Which laboratory value should the nurse report to the healthcare provider before the scan is performed?
Correct Answer: B
Rationale: Elevated serum creatinine (1.9 mg/dL) indicates impaired kidney function, increasing the risk of contrast-induced nephropathy, requiring reporting before an MRI with contrast.
Question 3 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 4 of 5
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?
Correct Answer: C
Rationale: Placing the child in a quiet environment addresses the irritability and sensitivity to light and sound caused by Kawasaki disease, reducing stress and discomfort. Other interventions, while important, are not the priority.
Question 5 of 5
The nurse is caring for a client with chemotherapy induced mucositis who is describing soreness of the tongue and oral tissues. Which is the best initial nursing action?
Correct Answer: D
Rationale: Frequent mouth care maintains oral hygiene, reduces infection risk, and soothes irritated tissues in mucositis, serving as the initial step before other interventions like analgesics.