HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
A 3-year-old male was brought into the emergency room this morning with a sudden onset of 'fast and noisy breathing'. After reading the history and physical, the nurse suspects the child has _____
Correct Answer: B
Rationale: Croup is likely due to the sudden onset of noisy breathing (stridor) and recent viral symptoms, common in young children.
Question 2 of 5
A nurse is providing instructions to the parent of a 10-year-old child who has recently been diagnosed with type 1 diabetes mellitus (DM). The parent expresses a fear of needles and is unable to perform the procedure of administering subcutaneous insulin injections to the child. What action should the nurse take?
Correct Answer: B
Rationale: Determining if the child can self-administer insulin addresses the parent's fear while ensuring treatment. Evaluating parenting skills or encouraging needle handling may not resolve the issue, and another person's availability is secondary.
Question 3 of 5
The nurse receives 2 newborns within the first minutes after a vaginal delivery and intervenes to establish adequate respirations. What is the priority issue that the nurse should address to ensure the newborn's survival?
Correct Answer: C
Rationale: Newborns are at high risk for heat loss due to large surface area and immature thermoregulation. Preventing hypothermia is critical in the first minutes to ensure survival.
Question 4 of 5
The current vital signs for a primipara who delivered vaginally during the previous shift are: temperature 100.4° F (38° C), heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and blood pressure 130/74 mm Hg. Which action should the nurse implement?
Correct Answer: C
Rationale: All vital signs are within normal postpartum ranges. Documenting them is appropriate, as no immediate intervention is indicated based on these findings.
Question 5 of 5
The nurse is instructing the parent of a 10-year-old child newly diagnosed with type 1 diabetes mellitus (DM) on how to administer subcutaneous insulin injections. The parent expresses a fear of needles and is unable to perform the procedure. What intervention should the nurse implement?
Correct Answer: B
Rationale: Determining if the child can self-administer insulin is a practical solution to the parent's fear, ensuring treatment compliance.