HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
The nurse is assessing a 6-month-old infant. Which response requires further evaluation by the nurse?
Correct Answer: D
Rationale: The startle reflex should disappear by 4 months; persistence at 6 months suggests neurological issues requiring evaluation. Other responses are normal.
Extract:
Nurse Notes
Laboratory Results
The client is a 58-year-old male who wants to be screened for diabetes mellitus. The client has a sister who has type 2 diabetes mellitus. He has a history of depression, which is treated with paroxetine 10 mg PO every day. The client also discloses that he occasionally takes cannabis in edible form. He denies smoking or drinking. He works in a chemical factory where he is occasionally exposed to fumes. The client's body mass index (BMI) is 28 kg/m3.
Question 2 of 5
Based on the laboratory data, the client has diabetes mellitusprediabeteshypoglycemiagestational diabetes related to fatty liver diseaseimpaired glucose tolerancetolerance occupational exposurelack of insulin production.
| prediabetes |
| impaired glucose tolerance |
| lack of insulin production |
| hypoglycemia |
| gestational diabetes |
Correct Answer: A,B
Rationale: Prediabetes and impaired glucose tolerance are indicated by elevated but sub-diabetic glucose levels, reflecting insulin resistance, unlike hypoglycemia or gestational diabetes which do not fit the client's profile.
Extract:
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
The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the health care provider immediately?
Correct Answer: A
Rationale: Chest pain indicates acute chest syndrome, a life-threatening complication requiring immediate reporting. Other findings are less urgent.
Question 5 of 5
A client experiencing a sudden onset of confusion and trouble speaking at home is transported to the emergency department. The client does not understand simple commands and appears very frustrated. Which intervention should the nurse perform in the immediate management of the client?
Correct Answer: D
Rationale: Determining symptom onset and progression is critical for diagnosing conditions like stroke, guiding urgent management decisions, and assessing eligibility for time-sensitive treatments.