HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID 19. Which action is most important for the nurse to take?
Correct Answer: C
Rationale: Isolating the client prevents potential COVID-19 transmission, critical given symptoms suggestive of infection, protecting others until test results confirm the diagnosis.
Extract:
Patient Data History and Physical
Laboratory Results
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. Nurse Notes Discussed the Dietary Approaches to Stop Hypertension (DASH) diet with the client and gave examples of appropriate portion sizes.
Question 2 of 5
What item(s) should be included in the treatment regimen for this client? Select all that apply.
Correct Answer: A,C,G
Rationale: For a client with prediabetes, exercise planning, weight reduction, and nutrition education improve insulin sensitivity and reduce diabetes risk, unlike insulin or extra carbohydrates which are not indicated.
Extract:
Question 3 of 5
When providing care for a child who is in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement?
Correct Answer: D
Rationale: Monitoring pulses and sensation prevents complications like compartment syndrome or nerve damage, which are critical in traction. Other interventions are secondary.
Question 4 of 5
A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Asking about a typical school day helps identify stressors causing physical symptoms, providing insight for emotional support. Other options are less relevant or premature.
Question 5 of 5
A mother brings her preteen daughter to the clinic for her first female examination. During the health assessment, the nurse should implement which technique to determine if the client has reached the age of menarche?
Correct Answer: B
Rationale: Tanner staging assesses puberty stage, indicating likelihood of menarche. Other techniques are irrelevant or unreliable.