HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse is admitting a child with a diagnosis of untreated hypoparathyroidism. Which finding indicative of hypocalcaemia should the nurse report to the healthcare provider?
Correct Answer: A
Rationale: A positive Chvostek sign, facial twitching when tapping the facial nerve, indicates hypocalcemia due to nerve irritability from low calcium levels, a critical finding in hypoparathyroidism.
Question 2 of 5
Which nursing problem has the highest priority when providing preoperative care for an infant born with bladder exstrophy?
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.
Extract:
A patient's flow chart is as below.
0800
Patient's vitals: temperature-98.2 degrees Fahrenheit, respiratory rate-47 cycles/min, SpO2-89%.
Admit to the paediatric floor
Monitor heart rate and oxygen saturation continuously
Give oxygen starting at 5 L via face mask, titrate to maintain oxygen saturation at 94%
0845
The nurse is reviewing the assessment.
Question 3 of 5
A patient's flow chart is as below. 0800 Patient's vitals: temperature-98.2 degrees Fahrenheit, respiratory rate-47 cycles/min, SpO2-89%. Admit to the paediatric floor Monitor heart rate and oxygen saturation continuously Give oxygen starting at 5 L via face mask, titrate to maintain oxygen saturation at 94% 0845 The nurse is reviewing the assessment. Based on the child's condition and vital signs following the peripheral intravenous line placement, what medications should the nurse expect the physician to order? Select all that apply.
Correct Answer: C,D
Rationale: Albuterol and racemic epinephrine are appropriate for treating stridor and respiratory distress in croup, addressing bronchospasm and airway swelling.
Extract:
Question 4 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 5 of 5
The nurse is providing education to a new parent on the potential causes of developmental dysplasia of the hip and recommendations to decrease the incidence in infants. Which statement made by the parent should the nurse recognize as understanding the education?
Correct Answer: D
Rationale: Holding the infant with legs widely spread apart allows natural hip flexion and abduction, reducing the risk of developmental dysplasia by preventing adduction.