HESI Practice Question with WRONG answer!

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I bought a HESI book that came with a CD. Here is 1 of the questions I got.

A 15 y/o boy had surgery on his right leg due to a four wheeler accident. On the 2nd day post-op which behavior needs further evaluation by the nurse?

A. Uses PCA pump frequently

B. Spends most of day in room.

C. Expresses fear about ability to walk

D. Wants to go home and see family.

(I picked "expresses fear about ability to walk") Fear is something the nurse should be concerned about RIGHT??? The nurse would see if he needs more education about his injury...RIGHT!?

Well that's wrong. HESI seems to think the answer is "B, Spends most of day in room" The rationale behind that is the boy is a teenager and might be overly concerned about what others are thinking of him. SERIOUSLY!

The 2nd day post op WHERE EXACTLY DOES HESI think this boy should be? Skipping down the hallways?

HESI also said answers the rest of the answers are "normal and not cause for concern"

RN's LVN's PLEASE explain this bogas question to me!

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Not a RN, but I'd pick B as well. Expressing fear about ability to walk would be a normal concern after his surgery. Sure, the nurse would need to talk with him about his fears, but it is a normal concern.

Staying in his room all day would make me concerned about depression and other feelings of low self-worth, which would not be a normal reaction.

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I completely agree with the above poster. My thoughts exactly

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Specializes in Dialysis.

I would also pick B. Spends most of the day in his room might be an indication of depression. The nurse must talk to him to find out how he is feeling. The other answers sound normal to me.

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Specializes in NeuroICU/SICU/MICU.

I would have also picked B, because spending most of the day in his room is "Nursing Exam Code" for acting withdrawn/depressed, it doesn't mean he's in there because he can't currently walk. Frequently using the PCA pump is normal, he's probably in pain. Expressing fears is a good thing, and expected after a major injury. Wanting to go home and see family is also a normal, expected thing too.

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I understand what you're saying, but the answer is B. Trust me, you will learn this in school pretty early on. :)

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