HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 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.
Extract:
History and Physical
The client is a 58-year-old male who wants to be screened for diabetes mellitus. The client has a sister who has type 2 diabetes mellitus. He has a history of depression, which is treated with paroxetine 10 mg PO every day. The client also discloses that he occasionally takes cannabis in edible form. He denies smoking or drinking. He works in a chemical factory where he is occasionally exposed to fumes. The client's body mass index (BMI) is 28 kg/m3
Question 2 of 5
What other nutritional recommendation(s) would be helpful for this client in reducing risk for type 2 diabetes mellitus? Select all that apply.
Correct Answer: B,C,F
Rationale: Eliminating sugary beverages, increasing fiber, and minimizing refined grains reduce blood sugar spikes and improve insulin sensitivity, key for prediabetes management, unlike cinnamon or no-fat diets.
Extract:
Question 3 of 5
A client with type 2 diabetes mellitus arrives to the clinic reporting episodes of weakness and palpitations. Which finding is most important for the nurse to monitor?
Correct Answer: C
Rationale: Weakness and palpitations suggest hypoglycemia, with excessive perspiration (diaphoresis) being a classic symptom, indicating the body's response to low blood sugar, requiring immediate monitoring.
Question 4 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 5 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.