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'. According to his parents, he had sneezing and a runny nose last week but seemed to have recovered. The child lives with 2 older, school-age siblings, his parents, and 3 dogs. He was born at 37 weeks' gestation. The parents deny smoking, but his grandmother cares for him in the afternoons and smokes outside when she is at the house. He has no significant medical history. He has received all vaccines except for those due at 3 years. Upon exam, the child is… Which two items must the nurse ensure are available before attempting to place the intravenous line?
Correct Answer: A,B
Rationale: A manual resuscitation bag and advanced airway kit are essential for managing potential respiratory deterioration during IV placement in a child with acute respiratory symptoms.
Question 2 of 5
A patient in active labor is prescribed oxytocin 12 milliunits/min intravenously (IV). The IV bag contains 5 units of oxytocin in 500 mL of lactated Ringer's solution. How many mL/hour should the nurse set the infusion pump to? (Enter numerical value only)
Correct Answer: 0.72
Rationale: The concentration is 5 units/500 mL = 0.01 units/mL. Convert 12 milliunits/min to 0.72 units/hour (12/1000 * 60). Infusion rate is 0.72/0.01 = 72 mL/hour.
Question 3 of 5
A client at 9-weeks gestation informs the nurse that she has reduced her alcohol intake but still consumes at least one alcoholic drink every evening before bedtime. What action should the nurse take?
Correct Answer: D
Rationale: Alcohol consumption during pregnancy poses risks to the fetus. Referring the client to an outpatient program for disulfiram therapy addresses potential dependency effectively. Praising reduced intake may not suffice, insisting on blood tests is invasive, and notifying child protective services is inappropriate without evidence of drug use.
Question 4 of 5
A client who experienced a severe postpartum hemorrhage following the vaginal birth of twins is transferred to the postpartum unit. The nurse knows that assessment for which complication is the highest priority for this client?
Correct Answer: A
Rationale: Severe postpartum hemorrhage increases the risk of DIC, a life-threatening clotting disorder. Psychosis, afterpains, and placenta accreta are less immediate concerns in this context.
Question 5 of 5
A female adolescent with pelvic inflammatory disease (PID) is admitted to the hospital after 14 days of taking levofloxacin 500 mg by mouth (PO) once daily and metronidazole 500 mg PO twice daily. She asks the nurse, 'Why do I have to be in the hospital? Why can't I get my treatment at home?' What purpose should the nurse provide that supports an effective outcome?
Correct Answer: B
Rationale: Hospitalization ensures effective treatment through supervised parenteral antibiotics for severe PID, improving outcomes. Contact precautions, Jarisch-Herxheimer reaction, and cultures are not primary reasons.