HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
The nurse is providing discharge instructions to the caregiver of an infant with recurrent otitis media. Which statement made by the caregiver should the nurse recognize as needing additional education about minimizing subsequent infections?
Correct Answer: A
Rationale: Benzocaine drops do not prevent otitis media and may cause harm. Other statements reflect correct preventive measures.
Question 2 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 3 of 5
A client with benign prostatic hyperplasia (BPH) is preparing for discharge following a transurethral needle ablation (TUNA). Which information should the nurse include in the discharge instructions?
Correct Answer: D
Rationale: Monitoring the urinary stream for decreased output is critical post-TUNA to detect complications like re-obstruction, which could indicate issues with the procedure's effectiveness or healing process.
Question 4 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 5 of 5
The nurse is caring for a client who had a cholecystectomy two days ago. The client is febrile, reporting upper abdominal pain radiating to the back, and has had three episodes of vomiting in the last 8 hours. The nurse reviews the client's serum amylase and lipase level results which are twice the normal value. Based on these findings, the nurse should recognize the client is exhibiting symptoms of which condition?
Correct Answer: B
Rationale: Elevated amylase and lipase with fever, vomiting, and upper abdominal pain radiating to the back indicate acute pancreatitis, a potential post-cholecystectomy complication.