HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
An adolescent client who has successfully managed hemophilia for the past 10 years is evaluated by the nurse. Which behavior best evidences the client's adjustment to the disorder as an adolescent?
Correct Answer: C
Rationale: Serving as a counselor indicates successful self-management and the ability to support others, reflecting strong adjustment. Ice storage, extra pads, and slow chewing are less comprehensive indicators of adaptation.
Question 2 of 5
A patient in active labor is prescribed oxytocin 12 milliunits/min intravenously (IV). The IV bag contains 5 units of oxytocin in 500 mL of lactated Ringer's solution. How many mL/hour should the nurse set the infusion pump to? (Enter numerical value only)
Correct Answer: 0.72
Rationale: The concentration is 5 units/500 mL = 0.01 units/mL. Convert 12 milliunits/min to 0.72 units/hour (12/1000 * 60). Infusion rate is 0.72/0.01 = 72 mL/hour.
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
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 5 of 5
During the second stage of labor, 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 anticipate performing to assist the healthcare provider?
Correct Answer: B
Rationale: This scenario indicates shoulder dystocia. Applying suprapubic pressure helps dislodge the shoulder. Vacuum or forceps are not immediate actions, and fundal pressure may worsen the condition.