HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 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 2 of 5
The nurse is evaluating a client's understanding of diet teaching about the DASH (Dietary Approaches to Stop Hypertension) eating plan. Which behavior indicates that the client is adhering to the eating plan?
Correct Answer: C
Rationale: The DASH plan emphasizes low-fat dairy, like fat-free yogurt, aligning with the client's behavior, unlike other options which do not specifically reflect DASH principles.
Question 3 of 5
For each client activity, click to indicate whether the activity shows positive or negative health promotion postamputation due to extensive peripheral vascular disease.
| Options | Positive | Negative |
|---|---|---|
| Inquires about blood pressure. (Positive) | ||
| Asks questions about self-care. (Positive) | ||
| Executes pull-ups on a trapeze bar. (Positive) | ||
| Turns side to side. (Positive) | ||
| Requests nurse to perform wound care. (Negative) | ||
| Avoids looking at residual limb. (Negative) |
Correct Answer: Positive: A,B,C,D; Negative: E,F
Rationale: Positive activities (inquiring about blood pressure, self-care questions, physical exercises, mobility) promote recovery and adaptation. Negative activities (relying on nurse for wound care, avoiding residual limb) hinder independence and psychological adjustment.
Question 4 of 5
While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately?
Correct Answer: C
Rationale: A bedside pregnancy test is critical to confirm pregnancy status before surgery, ensuring the safety of both the client and potential fetus, as surgery could pose risks if pregnancy is confirmed.
Question 5 of 5
A 9-year-old admitted to the unit with severe abdominal pain and fever is diagnosed with appendicitis and is placed on the surgery schedule for an appendectomy. The child reports to the nurse of experiencing sudden relief in abdominal pain. Which action should the nurse take first?
Correct Answer: C
Rationale: Sudden pain relief may indicate appendix rupture, a medical emergency requiring immediate provider notification. Other actions are secondary.