HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
An adolescent with a past surgical history of orchiopexy for cryptorchidism is evaluated in a primary care setting. Which anticipatory guidance should the nurse provide?
Correct Answer: A
Rationale: Teaching testicular self-examinations is essential for monitoring testicular health post-orchiopexy, enabling early detection of abnormalities like cancer.
Question 2 of 5
The nurse is providing education to a group of adolescents about smoking prevention. Which approach should the nurse include to incorporate Piaget's cognitive development theory of formal operations?
Correct Answer: A
Rationale: Classifying health behaviors as healthy and unhealthy engages abstract thinking and categorization, aligning with Piaget's formal operations stage, which emphasizes hypothetical reasoning.
Question 3 of 5
A one-month old male infant is brought to the clinic by his mother who states that her son has been vomiting forcefully after each meal for the last three days. The infant is afebrile, dehydrated, and pyloric stenosis is suspected. Which other findings should the nurse identify that are consistent with pyloric stenosis?
Correct Answer: B
Rationale: An olive-shaped mass in the abdominal area is a hallmark sign of pyloric stenosis, caused by hypertrophy of the pyloric muscle leading to gastric outlet obstruction. Other options like rooting or bile-stained emesis are not specific to this condition.
Question 4 of 5
When administering indomethacin to a premature infant who has patent ductus arteriosus, the nurse should anticipate which outcome?
Correct Answer: C
Rationale: Indomethacin promotes closure of the patent ductus arteriosus, reducing the cardiac murmur associated with the abnormal blood flow.
Question 5 of 5
An adolescent hospitalized with sickle cell anaemia reports to the nurse of experiencing a pain level of 10 on a 0 to 10 numerical scale. The nurse observes the adolescent on a phone call laughing. Which action should the nurse take?
Correct Answer: C
Rationale: Documenting the incongruence between the reported pain level and observed behavior ensures accurate assessment and communication for further evaluation.