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 ensure preparedness for respiratory compromise during IV placement.
Question 2 of 5
Assessment findings of a 4-hour-old newborn include: axillary temperature of 96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness, hypotonic, and weak cry. Based on these findings, which action should the nurse implement?
Correct Answer: D
Rationale: Jitteriness, hypotonia, and weak cry suggest hypoglycemia. A heel stick glucose test is urgent to confirm and treat this condition.
Question 3 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.
Question 4 of 5
The nurse is evaluating the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?
Correct Answer: C
Rationale: By age 3, children typically speak in simple sentences with four or more words. Gestures with 1-2 word sentences and single-word sentences are milestones for younger children, and recognizing letters/numbers is expected around age 4-5.
Question 5 of 5
A nurse is caring for a client diagnosed with acute rhinosinusitis. Which of the following instructions should the nurse provide to the client? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Applying warm compresses can help relieve pain and pressure by reducing inflammation and promoting sinus drainage. Completing prescribed antibiotics is crucial to eliminate bacterial infection. Avoiding smoking reduces nasal irritation and promotes healing. Avoiding swimming prevents irritation from chlorinated water. Periorbital edema is not a normal finding and may indicate a complication.