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 critical for managing potential respiratory failure during IV placement in a child with respiratory distress.
Question 2 of 5
The nurse finds that an infant admitted for surgical repair of an inguinal hernia voids a urinary stream from the ventral surface of the penis. What action should the nurse take?
Correct Answer: C
Rationale: Voiding from the ventral penis suggests hypospadias, a congenital condition. Documenting this finding ensures it is reported and addressed appropriately.
Question 3 of 5
A multiparous client with active herpes lesions is admitted to the unit with spontaneous rupture of membranes. What action should the nurse take?
Correct Answer: D
Rationale: Active herpes lesions during labor increase neonatal transmission risk. A cesarean section is recommended to prevent this. Blood cultures, dressings, and penicillin (for bacterial infections) are not appropriate.
Question 4 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 5 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 ensure preparedness for respiratory compromise during IV placement.