HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 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 2 of 5
Following a motor vehicle accident, a client with chest trauma receives a chest tube to relieve a hemothorax. Two hours following the chest tube insertion, the nurse observes the water level in the water-seal chamber is rising during inspiration and falling during expiration. Which action should the nurse implement?
Correct Answer: B
Rationale: Rising water levels during inspiration and falling during expiration, known as tidaling, indicate proper chest tube function, as it reflects pressure changes in the pleural space. Continuing to monitor the drainage system ensures ongoing assessment of drainage characteristics without disrupting the system unnecessarily.
Question 3 of 5
The nurse is preparing to administer medications for an eight-month-old infant with heart failure. The infant has a blood pressure of 114/66 mm Hg, apical pulse of 88 beats/minute, and respirations of 30 breaths/minute. Which medication should the nurse withhold until the health care provider is notified?
Correct Answer: B
Rationale: Digoxin is withheld if the apical pulse is below 90 beats/minute in infants to prevent toxicity. Other medications are not contraindicated.
Question 4 of 5
The mother of a 6-year-old girl is concerned about her child's obesity. The child's weight plots at the 75th percentile, and height at the 25th percentile. The child's body mass index (BMI) is at the 85th percentile for age and gender. Which intervention(s) should the nurse implement? Select all that apply.
Correct Answer: A,E
Rationale: Obtaining a diet history and assessing physical activity patterns identify unhealthy habits for targeted interventions. Other options are misleading or insufficient.
Question 5 of 5
An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LHRH) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment?
Correct Answer: D
Rationale: LHRH injections delay puberty, allowing the child to reach puberty with peers, aligning sexual maturity. Other statements misalign with treatment goals.