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OB/Peds HESI Practice EXAM ||VERIFIED EXAM!!!||
MOST RECENT EXAM ACTUAL COMPLETE REAL
EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED SUCCESS!! | BRAND NEW!!!
On assessment of a child admitted with a diagnosis of
acute-stage Kawasaki disease, the nurse expects to note
which clinical manifestation of the acute stage of the
disease?
1.Cracked lips
2.Normal appearance
3.Conjunctival hyperemia
4.Desquamation of the skin - Answer-3. conjunctival
hyperemia
RATIONALE:
Kawasaki disease, aka mucocutaneous lymph node
syndrome, is an acute systemic inflammatory illness. In
the acute stage, the child has a fever, conjunctival
hyperemia, red throat, swollen hands, rash, and
enlargement of the cervical lymph nodes. In the subacute
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stage, cracking lips and fissures, desquamation of the skin
on the tips of the fingers and toes, joint pain, cardiac
manifestations, and thromobocytosis occur. In the
convalescent stage, the child appears normal, but SSx of
inflammation may be present
The mother of a child being discharged after heart surgery
asks the nurse when the child will be able to return to
school. Which is the most appropriate response to the
mother?
1."The child may return to school in 1 week."
2."The child will not be able to return to school during this
academic year."
3."The child may return to school in 1 week but needs to
go half-days for the first 2 weeks."
4."The child may return to school in 3 weeks but needs to
go half-days for the first few days." - Answer-4. "The child
may return to school in 3 weeks but needs to go half-days
for the 1st few days"
RATIONALE:
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After heart surgery, the child may be able to return to
school in 3 weeks but needs to go half-days for the 1st few
days. The mother also should be told that the child cannot
participate in PE for 2 months.
Prostaglandin E1 is prescribed for a child with
transposition of the great arteries. The mother of the child
is a registered nurse and asks the nurse why the child
needs the medication. What is the most appropriate
response to the mother about the action of the
medication?
1.Prevents blue (tet) spells
2.Maintains adequate cardiac output
3.Maintains an adequate hormonal level
4.Maintains the position of the great arteries - Answer-2.
maintains adequate CO
RATIONALE:
A child with transposition of the great arteries may receive
prostaglandin E1 temporarily to increased blood mixing if
systemic and pulmonary mixing is inadequate to maintain
adequate CO.
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The nurse is assessing a newborn with heart failure before
administering the prescribed digoxin. In reviewing the
laboratory data, the nurse notes that the newborn has a
digoxin blood level of 1.6 ng/mL (2.05 mmol/L) and an
apical heart rate of 90 beats/min. The mother also tells the
nurse that the newborn just vomited her formula. Which
intervention should the nurse take?
1.Retake the apical pulse.
2.Administer the medication.
3.Withhold the medication for 1 hour.
4.Withhold the medication and notify the health care
provider. - Answer-4. withhold the med and notify HCP
RATIONALE:
The apical pulse rate for a newborn is 120-160 bpm. The
therapeutic dig level is 0.5-0.8. Bc the apical rate is low
and the dig blood level is elevated, indicating toxicity, the
RN would withhold the med and notify the HCP
The nurse is preparing to administer digoxin to an infant
with heart failure. Before administering the medication, the
OB/Peds HESI Practice EXAM ||VERIFIED EXAM!!!||
MOST RECENT EXAM ACTUAL COMPLETE REAL
EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED SUCCESS!! | BRAND NEW!!!
On assessment of a child admitted with a diagnosis of
acute-stage Kawasaki disease, the nurse expects to note
which clinical manifestation of the acute stage of the
disease?
1.Cracked lips
2.Normal appearance
3.Conjunctival hyperemia
4.Desquamation of the skin - Answer-3. conjunctival
hyperemia
RATIONALE:
Kawasaki disease, aka mucocutaneous lymph node
syndrome, is an acute systemic inflammatory illness. In
the acute stage, the child has a fever, conjunctival
hyperemia, red throat, swollen hands, rash, and
enlargement of the cervical lymph nodes. In the subacute
,2|Page
stage, cracking lips and fissures, desquamation of the skin
on the tips of the fingers and toes, joint pain, cardiac
manifestations, and thromobocytosis occur. In the
convalescent stage, the child appears normal, but SSx of
inflammation may be present
The mother of a child being discharged after heart surgery
asks the nurse when the child will be able to return to
school. Which is the most appropriate response to the
mother?
1."The child may return to school in 1 week."
2."The child will not be able to return to school during this
academic year."
3."The child may return to school in 1 week but needs to
go half-days for the first 2 weeks."
4."The child may return to school in 3 weeks but needs to
go half-days for the first few days." - Answer-4. "The child
may return to school in 3 weeks but needs to go half-days
for the 1st few days"
RATIONALE:
,3|Page
After heart surgery, the child may be able to return to
school in 3 weeks but needs to go half-days for the 1st few
days. The mother also should be told that the child cannot
participate in PE for 2 months.
Prostaglandin E1 is prescribed for a child with
transposition of the great arteries. The mother of the child
is a registered nurse and asks the nurse why the child
needs the medication. What is the most appropriate
response to the mother about the action of the
medication?
1.Prevents blue (tet) spells
2.Maintains adequate cardiac output
3.Maintains an adequate hormonal level
4.Maintains the position of the great arteries - Answer-2.
maintains adequate CO
RATIONALE:
A child with transposition of the great arteries may receive
prostaglandin E1 temporarily to increased blood mixing if
systemic and pulmonary mixing is inadequate to maintain
adequate CO.
, 4|Page
The nurse is assessing a newborn with heart failure before
administering the prescribed digoxin. In reviewing the
laboratory data, the nurse notes that the newborn has a
digoxin blood level of 1.6 ng/mL (2.05 mmol/L) and an
apical heart rate of 90 beats/min. The mother also tells the
nurse that the newborn just vomited her formula. Which
intervention should the nurse take?
1.Retake the apical pulse.
2.Administer the medication.
3.Withhold the medication for 1 hour.
4.Withhold the medication and notify the health care
provider. - Answer-4. withhold the med and notify HCP
RATIONALE:
The apical pulse rate for a newborn is 120-160 bpm. The
therapeutic dig level is 0.5-0.8. Bc the apical rate is low
and the dig blood level is elevated, indicating toxicity, the
RN would withhold the med and notify the HCP
The nurse is preparing to administer digoxin to an infant
with heart failure. Before administering the medication, the
