RN HESI Obstetrics and Pediatrics Exam 2 | Nurselytic

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RN HESI Obstetrics and Pediatrics Exam 2 Questions

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Question 1 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 2 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 3 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.

Question 4 of 5

A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her respiratory rate and heart rate have increased during the last hour. Which intervention should the nurse implement?

Correct Answer: D

Rationale: Notifying the healthcare provider is critical as increased respiratory and heart rates in a postoperative neonate may indicate complications like respiratory distress, requiring prompt assessment.

Question 5 of 5

A 6-year-old with heart failure (HF) gained 2 pounds (0.9 kg) in the last 24 hours. Which intervention is most important for the nurse to implement?

Correct Answer: B

Rationale: Assessing bilateral lung sounds is critical as sudden weight gain in heart failure may indicate fluid retention, potentially causing pulmonary edema, which requires immediate attention.

Similar Questions

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?
A 3-year-old child was brought into the emergency room this morning with a sudden onset of 'fast and noisy stick 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 found to have inspiratory stridor and retractions. Will admit to the pediatric floor for treatment. The nurse collects items to replace the peripheral Intravenous line. Which 2 items must the nurse make sure is available before attempting to place the intravenous line?
A three-year old child with neuroblastoma begins experiencing epistaxis episodes and bruising to the extremities over the past month. Which finding in the medical record should the nurse expect?
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.
A child weighing 67 pounds (30.5 kg) receives a prescription for benztropine 0.61 mg intravenous (IV) every 12 hours. This medication is available as 1 mg/mL ampules. How many mL should the nurse administer? (Enter the numeric value only. If rounding is required, round to the nearest hundredth.)

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