HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A 6-year-old with heart failure (HF) gained 2 pounds (0.9 kg) in the last 24 hours. Which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Assessing bilateral lung sounds is critical as sudden weight gain in heart failure may indicate fluid retention, potentially causing pulmonary edema, which requires immediate attention.
Question 2 of 5
A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her respiratory rate and heart rate have increased during the last hour. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Notifying the healthcare provider is critical as increased respiratory and heart rates in a postoperative neonate may indicate complications like respiratory distress, requiring prompt assessment.
Question 3 of 5
When screening a 5-year-old for strabismus, which action should the nurse take?
Correct Answer: D
Rationale: Directing the child through the six cardinal positions of gaze tests eye alignment and movement, effectively screening for strabismus.
Question 4 of 5
A 3-year-old child was brought into the emergency room this morning with a sudden onset of 'fast and noisy stick 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 found to have inspiratory stridor and retractions. Will admit to the pediatric floor for treatment. The nurse collects items to replace the peripheral Intravenous line. Which 2 items must the nurse make sure is available before attempting to place the intravenous line?
| Elbow restraints |
| The child's favorite toy |
| Manual resuscitation bag |
| A dose of subcutaneous epinephrine |
| An advanced airway kit |
| Nebulised albuterol |
Correct Answer: C,E
Rationale: A manual resuscitation bag and an advanced airway kit are critical for managing potential airway obstruction or respiratory distress in a child with inspiratory stridor and retractions.
Question 5 of 5
What are some possible changes that might explain the trend in glycosylated haemoglobin in this client? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Stress , excessive calorie intake , reduced carbohydrate intake , and puberty-related insulin needs can all affect glycosylated hemoglobin levels by altering blood glucose control.
Too much insulin is less likely without specific evidence.