HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting this finding to the healthcare provider, the nurse should evaluate which laboratory value?
Correct Answer: A
Rationale: Purulent drainage suggests infection. An elevated neutrophil count indicates an immune response to bacterial infection, critical to evaluate before reporting to confirm the infection's presence.
Question 2 of 5
The nurse is caring for a one-month-old infant admitted for suspected congenital hypothyroidism. Which diagnostic test results should the nurse report to the healthcare provider?
Correct Answer: B
Rationale: Thyroxine (T4) levels are critical for diagnosing congenital hypothyroidism, as low T4 indicates the condition. Other hormones listed are not relevant to thyroid function.
Question 3 of 5
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?
Correct Answer: C
Rationale: Placing the child in a quiet environment addresses the irritability and sensitivity to light and sound caused by Kawasaki disease, reducing stress and discomfort. Other interventions, while important, are not the priority.
Question 4 of 5
The nurse is admitting a client with possible tuberculosis (TB). The client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB?
Correct Answer: A
Rationale: A sputum culture positive for Mycobacterium tuberculosis is the gold standard for confirming TB diagnosis, as it directly identifies the causative bacterium, unlike other tests which may suggest but not confirm TB.
Question 5 of 5
A client who fractured the right femur from a fall at home is placed in traction while awaiting surgery. When the client informs the nurse of the need to urinate, which intervention should the nurse implement?
Correct Answer: D
Rationale: Maintaining traction while using a urinal prevents disruption of fracture alignment, ensuring stability and minimizing complications, while addressing the client's need to urinate.