HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
What are some possible changes that might explain the trend in glycosylated haemoglobin in this client? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Stress , excessive calorie intake , reduced carbohydrate intake , and puberty-related insulin needs can all affect glycosylated hemoglobin levels by altering blood glucose control.
Too much insulin is less likely without specific evidence.
Question 2 of 5
The nurse is caring for a school-age child who has laboratory results that reveal the presence of anti-gliadin and anti-endomysial immunoglobulin G and immunoglobulin A antibodies. The nurse should identify with the parent and child which food to avoid after discharge to home?
Correct Answer: C
Rationale: Anti-gliadin and anti-endomysial antibodies indicate gluten sensitivity, likely celiac disease, so wheat bread, containing gluten, must be avoided.
Question 3 of 5
A 12-year-old boy with hemophilia is hospitalized for hemarthrosis of his right knee. He is complaining of severe knee pain. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Elevating and immobilizing the knee in a flexed position minimizes movement, reducing pain and further bleeding in hemarthrosis.
Question 4 of 5
A paediatric home care nurse schedules a visit to the home of a 4-week-old newborn who had a low thyroxine (T4) and a high thyroid stimulating hormone (TSH) at birth, and was diagnosed with congenital hypothyroidism or cretinism. Which instruction is most important for the nurse to provide the parents of this child?
Correct Answer: A
Rationale: Administering supplemental thyroid hormone daily is critical to replace deficient hormone, preventing developmental delays in congenital hypothyroidism.
Question 5 of 5
A newborn infant is diagnosed with hypospadias and the parents have requested a circumcision prior to discharge. Which response should the nurse provide?
Correct Answer: A
Rationale: The foreskin is often used in hypospadias repair to reconstruct the urethra, so circumcision is typically avoided to preserve tissue for surgery.