HESI RN
HESI RN Maternal Newborn I Questions
Extract:
History and Physical
Nurses' Notes
Flow Sheet
Laboratory Results
Orders
The client is a 14-year-old female who sustained facial trauma during a high school basketball game. Surgery was performed 3 days ago to repair the jaw. The client is 112.4 lb (51 kg). She has a left femoral central line for fluids.
Question 1 of 5
Which prescriptions does the nurse expect the healthcare provider to write based on the information? Select all that apply.
Correct Answer: A,C,D
Rationale: Discontinuing NG suction, increasing IV fluids, and adding potassium address hypovolemia and hypokalemia from fluid losses.
Extract:
Question 2 of 5
An adolescent with pelvic inflammatory disease (PID) is admitted to the hospital after 14 days of taking levofloxacin 500 mg PO daily and metronidazole 500 mg IV piggy back (IVBP) twice daily (BID). She asks the nurse, 'Why do I have to be in the hospital? Why can't I get my treatment at home?' Which purpose should the nurse provide that supports an effective outcome?
Correct Answer: D
Rationale: Hospitalization ensures supervised IV antibiotics for severe PID unresponsive to outpatient therapy, preventing complications like tubo-ovarian abscess.
Question 3 of 5
A 34-week gestation multigravida comes to the clinic for her bimonthly appointment. Which assessment finding should the nurse report to the healthcare provider (HCP)?
Correct Answer: B
Rationale: Fundal height of 30 cm is below the expected range (32-36 cm) for 34 weeks gestation, suggesting possible intrauterine growth restriction (IUGR) or oligohydramnios, which requires further evaluation. Mild edema is common, weight gain is normal, and a fetal heart rate of 110 bpm is within the acceptable range.
Question 4 of 5
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?
Correct Answer: D
Rationale: A recent untreated Group A Streptococcus sore throat is the primary risk factor for acute rheumatic fever, triggering an autoimmune response.
Question 5 of 5
Based on the assessment findings, the priority diagnosis suspected is... This diagnosis places the client at risk of...
Correct Answer: A
Rationale: Mastitis, indicated by fever, localized breast symptoms, and systemic signs, is the priority diagnosis. It risks progressing to an abscess if untreated, requiring prompt intervention.