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'. What other symptoms is the nurse likely to note in a child diagnosed with epiglottitis?
Correct Answer: B
Rationale: A thick, muffled voice is characteristic of epiglottitis due to epiglottal swelling. Wheezing, purulent discharge, productive cough, and dyspnea are less specific.
Question 2 of 5
The nurse is providing information to a parent of a six-month old about vaccinations. Which statement made by the parent should the nurse recognize as understanding the information?
Correct Answer: B
Rationale: Vaccinations should be delayed in children with febrile illness to avoid complications. Live vaccines are contraindicated in immunocompromised children, allergic reactions preclude second doses, and breastfeeding does not affect vaccination timing.
Question 3 of 5
The nurse is caring for a toddler with a large, unrepaired ventricular septal defect and heart failure. What assessment finding should the nurse expect?
Correct Answer: C
Rationale: Tachycardia is common in toddlers with ventricular septal defects and heart failure as the heart compensates for increased workload. Blood pressure variance, hypotension, and normal pulse oximetry are not typical findings.
Question 4 of 5
A 3-year-old female patient woke up this morning feeling agitated and with a fever of 103.4° F (39.7° C). She was crying yesterday and reported back pain. She has a history of asthma controlled by daily cetirizine and occasional albuterol. She has had two urinary tract infections (UTIs) in the past 4 months. Given the patient's history and current condition, which condition is she most likely experiencing, what actions should the nurse take, and what parameters should the nurse monitor?
Correct Answer: A
Rationale: Fever, agitation, and back pain with a UTI history suggest a recurrent UTI. Administering an antipyretic addresses fever, a key symptom, while further evaluation confirms the diagnosis.
Question 5 of 5
The nurse is reviewing the patient's condition and vital signs following the placement of a 5% dextrose intravenous line. Which medications should the nurse anticipate the healthcare provider will order? Select all that apply.
Correct Answer: A,B,C
Rationale: Acetaminophen, morphine, and aspirin may be ordered for pain or fever post-IV placement. Albuterol is irrelevant without respiratory issues.