HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
The nurse observes a mother giving her 11-month-old ferrous sulfate (iron drops), followed by 2 ounces (60 mL) of orange juice. What should the nurse do next?
Correct Answer: D
Rationale: Following iron drops with orange juice enhances iron absorption due to vitamin C, warranting positive feedback. Other actions are incorrect.
Question 2 of 5
A school-age child with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response?
Correct Answer: C
Rationale: Decreased periorbital edema indicates restored blood protein levels and reduced fluid leakage, a therapeutic response. Other findings suggest complications.
Question 3 of 5
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this disease process?
Correct Answer: C
Rationale: Upper mid abdominal pain described as gnawing and burning is a hallmark symptom of PUD, directly related to ulcer formation in the stomach or duodenum, unlike other symptoms which may suggest different conditions.
Question 4 of 5
A client has an absolute neutrophil count (ANC) of 500/mm3 (0.5 x 10/L) after completing chemotherapy. Which intervention is most important for the nurse to implement?
Correct Answer: C
Rationale: Severe neutropenia (ANC 500/mm3) increases infection risk, making protective isolation the priority to minimize exposure to pathogens, preventing potentially life-threatening infections.
Question 5 of 5
The healthcare provider prescribes regular insulin 10 units/hr IV. The IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline. How many mL/hr should the nurse program the infusion pump? (Enter numerical value only.)
Correct Answer: 10 mL/hr
Rationale: The solution contains 1 unit/mL (100 units/100 mL). For a prescribed rate of 10 units/hr, the infusion pump should be set to deliver 10 mL/hr, as each mL provides 1 unit of insulin.