HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
A nurse is providing instructions to the parent of a 10-year-old child who has recently been diagnosed with type 1 diabetes mellitus (DM). The parent expresses a fear of needles and is unable to perform the procedure of administering subcutaneous insulin injections to the child. What action should the nurse take?
Correct Answer: B
Rationale: Determining if the child can self-administer insulin addresses the parent's fear while ensuring treatment. Evaluating parenting skills or encouraging needle handling may not resolve the issue, and another person's availability is secondary.
Question 2 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 3 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.
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
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.