RN HESI Obstetrics and Pediatrics Exam 2

Extract:

Question 1 of 5

A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her respiratory rate and heart rate have increased during the last hour. Which intervention should the nurse implement?

Correct Answer: D

Rationale: Notifying the healthcare provider is critical as increased respiratory and heart rates in a postoperative neonate may indicate complications like respiratory distress, requiring prompt assessment.

Question 2 of 5

An adolescent hospitalized with sickle cell anaemia reports to the nurse of experiencing a pain level of 10 on a 0 to 10 numerical scale. The nurse observes the adolescent on a phone call laughing. Which action should the nurse take?

A. Introduce non-pharmacologic strategies for pain reduction. B. Allow adequate privacy and time for the client's phone call. C. Document the concern of incongruent pain rating and behaviour. D. Administer pain medication per the healthcare provider's orders.

Correct Answer: C

Rationale: Documenting the incongruence between the reported pain level and observed behavior ensures accurate assessment and communication for further evaluation.

Question 3 of 5

A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her respiratory rate and heart rate have increased during the last hour. Which intervention should the nurse implement?

A. Administer a prescription for a PRN analgesic. B. Wrap the infant tightly and rock in rocking chair. C. Record the findings in the child's record. D. Notify the healthcare provider of these findings.

Correct Answer: D

Rationale: Notifying the healthcare provider is critical as increased respiratory and heart rates in a postoperative neonate may indicate complications like respiratory distress, requiring prompt assessment.

Question 4 of 5

A mother brings her male pre-schooler to the clinic because he has had diarrhea, vomiting, and high fevers for the past three days. The child begins to cry and cling to his mother when the nurse enters the examination room. Which action should the nurse implement to get the child to cooperate?

A. Request extra staff to help with the nursing assessments. B. Complete the assessment while allowing the child to cry. C. Talk to the mother and gradually focus on the child's toy. D. Explain to the child the reasons an examination is needed.

Correct Answer: C

Rationale: Talking to the mother and focusing on the child's toy builds trust and creates a calming environment, increasing cooperation by reducing anxiety.

Question 5 of 5

What are some possible changes that might explain the trend in glycosylated haemoglobin in this client? Select all that apply.

A. The client may be experiencing stress at home or at school. B. The client may be taking too much insulin. C. The client may be ingesting too many calories for his energy needs. D. The client may be eating fewer carbohydrates. E. The client may have increased insulin requirements due to puberty.

Correct Answer: A,C,D,E

Rationale: Stress , excessive calorie intake , reduced carbohydrate intake , and puberty-related insulin needs can all affect glycosylated hemoglobin levels by altering blood glucose control.
Too much insulin is less likely without specific evidence.

RN HESI Obstetrics and Pediatrics Exam 2 | Nurselytic

Nurselytic

HESI RN

HESI RN