HESI RN
HESI RN Care of Women and Pediatric Nursing Questions
Extract:
Question 1 of 5
The healthcare provider prescribes a maintenance dose of magnesium sulfate 2 grams per hour intravenously (IV) for a client with preeclampsia. The IV bag contains magnesium sulfate 20 grams in dextrose 5% in water 500 mL. How many mL/hour should the nurse program the infusion pump? (Enter numerical value only)
Correct Answer: 50
Rationale:
To deliver 2 grams/hour from a solution of 20 grams in 500 mL, calculate: (2 grams/hour ÷ 20 grams) × 500 mL = 50 mL/hour.
Question 2 of 5
A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol, a synthetic prostaglandin E drug. How should the nurse respond?
Correct Answer: A
Rationale: Misoprostol induces uterine contractions, increasing miscarriage risk '. It is not linked to preeclampsia ', has effects on the fetus ', and is used to prevent, not cause, postpartum hemorrhage '.
Question 3 of 5
Assessment findings of a 4-hour-old newborn include an axillary temperature of 96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness, hypotonia, and a weak cry. Based on these findings, which action should the nurse implement?
Correct Answer: A
Rationale: Jitteriness, hypotonia, weak cry, and low temperature suggest hypoglycemia. Obtaining a heel stick glucose level ' is critical. Swaddling ' and pulse oximetry ' are secondary, and documentation ' does not address the immediate need.
Question 4 of 5
When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full-term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage. Which is this client's gravidity?
Correct Answer: A
Rationale: Gravidity counts total pregnancies, including the current one. One full-term, one premature, one miscarriage, and the current pregnancy total four '. Options B, C, and D miscalculate the number of pregnancies.
Question 5 of 5
At 0600 while admitting a woman for a scheduled repeat cesarean section (C-section), the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?
Correct Answer: B
Rationale: Coffee intake before surgery can affect anesthesia. Informing the anesthesia provider ' is the priority. Starting IV ', contacting the obstetrician ', and checking labs ' are secondary.