Complete Question Bank

HESI RN · HESI Pharmacology · Musculoskeletal disorder

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 14-year-old boy who is overweight develops a unilateral limp with pain in the hip and knee on the affected side. Physical exam reveals external rotation of the hip when flexed and pain associated with attempts to internally rotate the hip. What is most important initially when managing this child’s condition

A. Provide information on weight loss
B. Refer to Physical therapy
C. Place child on crutches or in wheelchair to prevent weight bearing
D. Recommend referral to orthopedic specialist

Expert Explanatory Rationale

Correct Answer: Place child on crutches or in wheelchair to prevent weight bearing

Question 2 of 5

Allopurinol:

A. Inhibits xanthine oxidase
B. Blocks the metabolic inactivation of suxamethonium
C. Is contraindicated in renal failure
D. Should not be prescribed with a non-steroidal anti-inflammatory drug (NSAID)

Expert Explanatory Rationale

Correct Answer: Inhibits xanthine oxidase

Question 3 of 5

In a patient with osteoarthritis:

A. Physical exercise and weight loss can be helpful
B. NSAIDs are contraindicated
C. Gold therapy reverses the pathophysiology of the disease
D. Symptoms are exacerbated by bisphosphonates, e.g. alendronate

Expert Explanatory Rationale

Correct Answer: Physical exercise and weight loss can be helpful

Question 4 of 5

What clinical sign will the PNP elicit when assessing a child with a Grade II ankle sprain?

A. Moderate pain, swelling, tenderness, and ecchymosis
B. Mild swelling and tenderness
C. Severe pain, swelling, tenderness, and ecchymosis
D. Point tenderness and deformity

Expert Explanatory Rationale

Correct Answer: Moderate pain, swelling, tenderness, and ecchymosis

Question 5 of 5

3-year-old Sarah is brought to the clinic by her mother who reports that the child refuses to use the right arm after being swung by both arms while playing. The child is sitting with the right arm held slightly flexed and close to the body. What will the primary care pediatric nurse practitioner do?

A. Immobilize the arm with a sling and refer to orthopedics.
B. Gently attempt a supination and flexion technique
C. Consider maltreatment
D. X-ray the child’s right arm and elbow

Expert Explanatory Rationale

Correct Answer: Gently attempt a supination and flexion technique

Ready to Guarantee Your Result?

Start Your HESI RN Preparation Journey Today

Access over 300,000 verified practice questions, comprehensive subject diagnostic exams, and timed clinical simulations engineered for success.

Browse Other Nursing Exams