HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
The nurse calls the healthcare provider because a client diagnosed with an abdominal aortic aneurysm (AAA) is reporting low back pain. Which additional information about the client would be important for the nurse to tell the healthcare provider?
Correct Answer: B
Rationale: Low back pain in AAA may suggest aneurysm expansion or rupture. Hematocrit and blood pressure indicate potential bleeding or hemodynamic instability, critical for the provider's assessment.
Question 2 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 3 of 5
The nurse is performing a routine assessment of a 3-year-old at a community health center. Which behavior by the child should alert the nurse to request a follow-up for a possible autism spectrum disorder (ASD)?
Correct Answer: D
Rationale: Odd repetitive behaviors are specific to ASD, indicating a need for follow-up. Other behaviors are less specific or normal.
Question 4 of 5
When providing care for a child who is in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement?
Correct Answer: D
Rationale: Monitoring pulses and sensation prevents complications like compartment syndrome or nerve damage, which are critical in traction. Other interventions are secondary.
Question 5 of 5
A preschool-aged child who is experiencing respiratory distress is brought to the emergency department by the parents. The child is anxious, has a temperature of 102.8° F (39.3° C), and is drooling from the mouth while leaning forward when sitting. Which action should the nurse prepare the child for next?
Correct Answer: C
Rationale: Symptoms suggest epiglottitis, requiring urgent intubation or tracheotomy to secure the airway. Other actions are not immediate priorities.