HESI RN Maternity Exam 7n

Extract:

Question 1 of 5

The nurse is instructing the parents of a child who underwent a surgical repair of a myelomeningocele on how to change an occlusive dressing on the child's back. Which parental statement indicates understanding of the procedure?

Correct Answer: C

Rationale: An intact dressing prevents fecal contamination, reducing infection risk. Keeping the incision moist or removing tape rapidly can disrupt healing, and while a dry dressing aids suture removal, preventing contamination is the priority.

Question 2 of 5

During the admission procedure of a school-age child, the child states, 'I'm going to have an operation.'. What is the best response for the nurse to provide to this child?

A. I'm glad your mother told you why you were coming to the hospital.'. B. We're going to do everything we can to take very good care of you.'. C. Are you scared?' D. Tell me what an operation is.'.

Correct Answer: D

Rationale: Asking the child to explain their understanding of an operation allows the nurse to assess knowledge, correct misconceptions, and provide tailored education, fostering trust and reducing anxiety.

Question 3 of 5

The nurse is providing information to a parent of a six-month old about vaccinations. Which statement made by the parent should the nurse recognize as understanding the information?

A. Immunocompromised children can be given a live virus vaccine. B. Children with febrile illness should not receive a vaccine. C. Second doses of vaccines can be given to children with prior allergic reactions. D. Breastfed children cannot receive a vaccine until after the introduction of solid foods.

Correct Answer: B

Rationale: Vaccinations should be delayed in children with febrile illness to avoid complications. Live vaccines are contraindicated in immunocompromised children, allergic reactions preclude second doses, and breastfeeding does not affect vaccination timing.

Question 4 of 5

A parent rushes their pre-school age child to the emergency department with an asthma exacerbation. Which additional finding should alert the nurse that the child is in acute respiratory distress?

A. Flaring of the nares. B. Bilateral bronchial breath sounds. C. Diaphragmatic respirations. D. Resting respiratory rate of 35 breaths/minute.

Correct Answer: A

Rationale: Nasal flaring indicates increased respiratory effort, a sign of acute distress. Bronchial breath sounds and diaphragmatic respirations are normal, and a respiratory rate of 35 is within normal limits for a preschooler.

Question 5 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?

A. Manual resuscitation bag B. An advanced airway kit C. A dose of subcutaneous epinephrine D. The child's favorite toy

Correct Answer: A,B

Rationale: A manual resuscitation bag and advanced airway kit are critical for managing potential respiratory failure during IV placement in a child with respiratory distress.