HESI RN
HESI RN Maternity Exam 7n Questions
Extract:
Question 1 of 5
The nurse is caring for a child who has had a unilateral long-leg cast applied for the correction of club foot. What is the most important action for the nurse to perform?
Correct Answer: A
Rationale: Monitoring capillary refill assesses circulation, critical to prevent complications like tissue necrosis from cast compression.
Question 2 of 5
A 3-year-old female patient woke up this morning feeling agitated and with a fever of 103.4° F (39.7° C). She was crying yesterday and reported back pain. She has a history of asthma controlled by daily cetirizine and occasional albuterol. She has had two urinary tract infections (UTIs) in the past 4 months. Given the patient's history and current condition, which condition is she most likely experiencing, what actions should the nurse take, and what parameters should the nurse monitor?
Correct Answer: A
Rationale: Fever, agitation, and back pain with a UTI history suggest a recurrent UTI. Administering an antipyretic addresses fever, a key symptom, while further evaluation confirms the diagnosis.
Question 3 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 are essential for managing potential respiratory deterioration during IV placement in a child with acute respiratory symptoms.
Question 4 of 5
A multiparous client with active herpes lesions is admitted to the unit with spontaneous rupture of membranes. What action should the nurse take?
Correct Answer: D
Rationale: Active herpes lesions during labor increase neonatal transmission risk. A cesarean section is recommended to prevent this. Blood cultures, dressings, and penicillin (for bacterial infections) are not appropriate.
Question 5 of 5
The current vital signs for a primipara who delivered vaginally during the previous shift are: temperature 100.4° F (38° C), heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and blood pressure 130/74 mm Hg. Which action should the nurse implement?
Correct Answer: C
Rationale: All vital signs are within normal postpartum ranges. Documenting them is appropriate, as no immediate intervention is indicated based on these findings.