HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
The nurse is caring for an infant admitted with dehydration, irritability, signs of extreme hunger, and a palpable olive-like mass in the upper right abdominal quadrant. When feeding the infant, the nurse should monitor for which development?
Correct Answer: C
Rationale: Projectile vomiting is a hallmark of pyloric stenosis, indicated by the olive-like mass. Other symptoms are less specific or unrelated.
Question 2 of 5
An infant born 2 days ago has not passed a meconium stool and begins to vomit bilious secretions. Which action should the nurse take first?
Correct Answer: B
Rationale: Gathering IV supplies addresses the risk of dehydration and shock from vomiting and possible bowel obstruction, which is the priority. Other actions are less urgent.
Question 3 of 5
While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting this finding to the healthcare provider, the nurse should evaluate which laboratory value?
Correct Answer: A
Rationale: Purulent drainage suggests infection. An elevated neutrophil count indicates an immune response to bacterial infection, critical to evaluate before reporting to confirm the infection's presence.
Question 4 of 5
A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling. Which action should the nurse take?
Correct Answer: D
Rationale: Sudden testicular pain and swelling suggest testicular torsion, a medical emergency requiring immediate provider notification for evaluation and possible surgery.
Question 5 of 5
A school-aged child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's parent, the recent occurrence of which illness is most significant?
Correct Answer: B
Rationale: A recent sore throat, often caused by group A streptococcus, is the primary trigger for acute rheumatic fever if untreated. Other illnesses are not linked.