RN HESI Obstetrics and Pediatrics Exam 2

Extract:

Question 1 of 5

One week after removing a tick that bit him, a student arrives at the school nurse's office with reports of flu-like symptoms. Which intervention should the school nurse implement first?

Correct Answer: B

Rationale: Observing for a rash around the tick bite site is the first intervention because a 'bull's-eye' rash is indicative of Lyme disease, a potential tick-borne illness. This guides further actions, prioritizing specific symptoms over general ones like fever, which is common to many illnesses.

Question 2 of 5

A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her respiratory rate and heart rate have increased during the last hour. Which intervention should the nurse implement?

A. Administer a prescription for a PRN analgesic. B. Wrap the infant tightly and rock in rocking chair. C. Record the findings in the child's record. D. Notify the healthcare provider of these findings.

Correct Answer: D

Rationale: Notifying the healthcare provider is critical as increased respiratory and heart rates in a postoperative neonate may indicate complications like respiratory distress, requiring prompt assessment.

Question 3 of 5

An infant diagnosed with respiratory syncytial virus is being discharged. Which instruction should the nurse include in caregiver education?

A. Place in a prone position during sleep to help breathing. B. Recline when feeding to decrease work of breathing. C. Administer albuterol nebulizer treatments every 4 hours. D. Perform bulb syringe suction with nasal saline drops.

Correct Answer: D

Rationale: Performing bulb syringe suction with nasal saline drops helps clear mucus from the infant's nasal passages, easing breathing and feeding, which is critical for RSV management. Prone sleeping increases SIDS risk, and albuterol is not typically indicated.

Question 4 of 5

Which nursing problem has the highest priority when providing preoperative care for an infant born with bladder exstrophy?

A. Knowledge deficit related to caring for the infant. B. Risk for impaired parenting related to appearance of infant. C. Altered urinary elimination related to exposure of bladder. D. Risk for infection related to impaired skin integrity.

Correct Answer: D

Rationale: Risk for infection is the highest priority due to the exposed bladder in bladder exstrophy, which increases the risk of serious infections requiring immediate attention.

Question 5 of 5

A toddler is hospitalized with Kawasaki's disease. Pharmacological management includes aspirin therapy. What is the primary benefit of the aspirin?

A. Minimize vascular inflammation. B. Control high fever. C. Manage irritability. D. Reduce joint swelling.

Correct Answer: A

Rationale: Aspirin's primary benefit in Kawasaki's disease is minimizing vascular inflammation, reducing the risk of coronary artery complications.