HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 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.
Question 2 of 5
On the first postpartum day, the nurse examines a new mother's breasts. What condition is the nurse most likely to find?
Correct Answer: B
Rationale: On the first postpartum day, breasts typically fill and secrete colostrum due to hormonal changes initiating lactation. Soft breasts, immediate let-down, or significant tenderness are less common at this stage.
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 are essential for managing potential respiratory deterioration during IV placement in a child with acute respiratory symptoms.
Question 4 of 5
The client is awake and alert, interacting with parents at the bedside. She has thin, copious mucus from her nose and mouth and a cough. She took her bottle in 20 minutes, with no issues. The client's monitor alarmed, oxygen saturation is 59%. She is cyanotic. The client was placed in a knee-to-chest position, and the rapid response team was called. What could be the potential cause of the client's condition?
Correct Answer: B
Rationale: Arrhythmia can cause sudden hypoxia and cyanosis, as seen with low oxygen saturation. Seizures, increased oxygen demand, and acidosis are less likely to cause such acute desaturation.
Question 5 of 5
The nurse is caring for a client who is 40-weeks gestation in active labor and has received epidural anesthesia. What is the most important assessment for the nurse to conduct following the administration of epidural anesthesia?
Correct Answer: B
Rationale: Epidural anesthesia can cause hypotension, affecting maternal and fetal well-being. Monitoring maternal blood pressure is critical to detect and manage this risk promptly.