HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 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 2 of 5
The parents of a child with acute lymphoblastic leukemia (ALL) are learning to care for their child at home. Which statement made by the parents should the nurse recognize as correct monitoring for early signs of an infection in the child?
Correct Answer: C
Rationale: Notifying for a temporal temperature above 100°F is accurate and timely for detecting infections in ALL. Other methods are less reliable or risky.
Question 3 of 5
A client who had a biliopancreatic diversion procedure (BDP) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?
Correct Answer: B
Rationale: Occult positive emesis indicates vomiting, which can exacerbate dehydration through significant fluid loss, requiring immediate intervention in a post-BDP client already dehydrated.
Question 4 of 5
After administering varicella vaccine to a five-year-old child, which instruction should the nurse provide the child's parent?
Correct Answer: A
Rationale: Applying a cool pack reduces discomfort at the injection site. Other instructions are incorrect or unnecessary.
Question 5 of 5
In providing discharge teaching to a client with chronic obstructive pulmonary disease (COPD), which instruction is most important for the nurse to emphasize?
Correct Answer: A
Rationale: Changes in sputum color may indicate infection or exacerbation in COPD, requiring prompt reporting to the healthcare provider for timely management to prevent worsening respiratory status.