HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse is planning care for a 4-year-old girl who is diagnosed as having a developmental disability. What should be thetotle primary focus of treatment for this child?
Correct Answer: D
Rationale: Helping the child achieve her maximum potential focuses on individualized care to optimize development and well-being, addressing her unique abilities and needs.
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.
Question 3 of 5
To maintain patency of the ductus arteriosus, the nurse administers a prescribed dose of prostaglandin intravenously (IV) to a week-old infant diagnosed with transposition of the great vessels. Based on which finding should the nurse stop the medication administration immediately?
Correct Answer: A
Rationale: A heart rate of 50 beats/minute indicates bradycardia, a serious adverse effect of prostaglandin, requiring immediate cessation of the medication.
Question 4 of 5
A 15-year-old girl asks the clinic nurse for information about oral contraceptives because she is planning to have sexual relations with her 17-year-old boyfriend but does not want her parents to know. Which action should the nurse take?
Correct Answer: A
Rationale: Counseling about the risks and benefits of oral contraceptives prioritizes the adolescent's health, providing informed decision-making support while respecting confidentiality.
Question 5 of 5
When administering indomethacin to a premature infant who has patent ductus arteriosus, the nurse should anticipate which outcome?
Correct Answer: C
Rationale: Indomethacin promotes closure of the patent ductus arteriosus, reducing the cardiac murmur associated with the abnormal blood flow.