HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
A woman is in the second stage of labor where the fetal head has just been born and the nurse observes the immediate retraction of the head against the perineum. What action should the nurse expect to perform to assist the healthcare provider?
Correct Answer: B
Rationale: Shoulder dystocia is indicated, and suprapubic pressure is the first maneuver to relieve it. Vacuum, fundal pressure, and forceps are not initial actions for this complication.
Question 2 of 5
A parent rushes their pre-school age child to the emergency department with an asthma exacerbation. Which additional finding should alert the nurse that the child is in acute respiratory distress?
Correct Answer: A
Rationale: Nasal flaring indicates increased respiratory effort, a sign of acute distress. Bronchial breath sounds and diaphragmatic respirations are normal, and a respiratory rate of 35 is within normal limits for a preschooler.
Question 3 of 5
The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with ADHD. Which statement(s) made by the caregiver demonstrates an understanding?
Correct Answer: B
Rationale: Designating a study area creates a structured environment beneficial for ADHD management. Nonstimulants can be effective, specialized plans are not automatic, and organization charts are helpful but less indicative of overall understanding.
Question 4 of 5
The nurse receives 2 newborns within the first minutes after a vaginal delivery and intervenes to establish adequate respirations. What is the priority issue that the nurse should address to ensure the newborn's survival?
Correct Answer: C
Rationale: Newborns are at high risk for heat loss due to large surface area and immature thermoregulation. Preventing hypothermia is critical in the first minutes to ensure survival.
Question 5 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.