HESI RN
HESI Maternity 55 Questions Quizlet Questions
Question 1 of 5
After administering the varicella vaccine to a 5-year-old child, which instruction should the nurse provide the child's parent?
Correct Answer: D
Rationale: After receiving the varicella vaccine, applying a cool pack to the injection site can help reduce discomfort. This intervention is a simple and effective way to manage local reactions at the site of the vaccination, providing comfort to the child and potentially reducing swelling or pain.
Choices A, B, and C are incorrect because chewable children's aspirin is not typically recommended after vaccination, keeping the child home is not necessary unless advised by a healthcare provider, and monitoring fever alone is not the primary instruction post-varicella vaccination.
Question 2 of 5
The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor. Before initiating this prescription, it is most important for the LPN/LVN to assess the client for which condition?
Correct Answer: A
Rationale: The correct answer is A: Gestational diabetes. Terbutaline (Brethine) is known to cause hyperglycemia, so it is crucial to assess for gestational diabetes before administering it. Assessing for elevated blood pressure (choice
B), urinary tract infection (choice
C), or swelling in lower extremities (choice
D) is not directly related to the potential side effect of terbutaline in causing hyperglycemia.
Question 3 of 5
The healthcare provider is preparing to administer phytonadione to a newborn. Which statement made by the parents indicates understanding why the healthcare provider is administering this medication?
Correct Answer: A
Rationale: The correct answer is A: 'Prevent hemorrhagic disorders.' Phytonadione (vitamin K) is administered to newborns to prevent hemorrhagic disease by promoting blood clotting. Newborns are born with low levels of vitamin K, which is essential for blood clotting, hence the administration to prevent hemorrhagic disorders.
Choice B is incorrect because phytonadione is not given to help an immature liver but to supply vitamin K.
Choice C is incorrect as phytonadione is not administered to improve dietary intake but to provide essential vitamin K.
Choice D is incorrect as phytonadione does not stimulate the immune system but helps with blood clotting.
Question 4 of 5
To confirm respiratory distress syndrome (RDS) in a newborn, what should the nurse assess?
Correct Answer: A
Rationale:
To confirm respiratory distress syndrome (RDS) in a newborn, the nurse should assess diaphragmatic breathing. In RDS, the baby may have difficulty breathing due to immature lungs, leading to shallow, rapid breathing movements. Assessing diaphragmatic breathing directly evaluates the respiratory effort and can help identify the presence of RDS.
Choice B, assessing heart sounds, is not specific to diagnosing RDS but could be relevant for other conditions.
Choice C, monitoring blood oxygen levels, is important but alone may not confirm RDS.
Choice D, checking for signs of infection, is not a direct indicator of RDS but rather suggests a different issue.
Question 5 of 5
In assessing a 9-year-old boy admitted to the hospital with possible acute post-streptococcal glomerulonephritis (APSGN), what information is most significant to obtain in his history?
Correct Answer: C
Rationale: A recent sore throat is most significant in this case as it could indicate a preceding streptococcal infection, which is a crucial factor in diagnosing APSGN. Streptococcal infection often precedes APSGN, and recognizing this history is essential for appropriate management and treatment.
Choices A, B, and D are less relevant in the context of APSGN. Back pain and diuresis are symptoms that may not directly correlate with APSGN, while a history of hypertension, although important in general health assessment, is not as specific to the current scenario compared to a recent sore throat.