HESI Comprehensive B Practice
1 An 8-year-old child is receiving A
. digoxin (Lanoxin) for congestive Rationale:
heart failure (CHF). In assessing the Nausea and vomiting are early
child, the nurse finds that her apical signs of digoxin toxicity.
heart rate is 80 beats/min, she However, the normal resting heart
complains of being slightly rate for a child 8 to 10 years of age
nauseated, and her serum digoxin is 70 to 110 beats/min and the
level is 1.2 ng/mL. What action therapeutic range of serum digoxin
should the nurse take? levels is 0.5 to 2 ng/mL. Based on
A. Because the child's heart rate and the objective data, (A) is the best
digoxin level are within normal of the choices provided because
range, assess for the cause of the the serum digoxin level is within
nausea. normal levels. (B) is not warranted
B. Hold the next dose of digoxin until by the data presented. The digoxin
the health care provider can be level is within the therapeutic
notified because the serum digoxin range and the child is not showing
level is elevated. signs of toxicity (C). The child's
C. Administer the next dose of pulse rate is within normal range
digoxin and notify the health for her age group (D).
care provider that the child is
showing signs of toxicity.
D. Notify the health care provider
that the child's pulse rate is below
normal for her age group.
2 A 12-year-old boy complains to the C
. nurse that he is "short" (4'5" [53 Rationale:
inches]). His twin sister is 5 inches Girls experience a growth spurt at
taller than he is (4'10" [58 inches]). 9.5 to 14.5 years of age and boys
Based on these findings, what at 10.5 to 16 years of age (C).
conclusion should the nurse reach? There are insufficient data to
A.The boy is not growing as normally support (A); growth trends must
expected. be assessed to reach such a
B.The girl is experiencing a period of conclusion. (B) is not unexpected.
unexpected growth. The fact that the children are
C.A normal growth spurt occurs twins has less to do with their
in girls 1 to 2 years earlier than growth than the fact that they are
boys. D.Male-female twins are not male and female (D).
identical; therefore, their growth
cannot be compared.
3 A 45-year-old female client is C
, . admitted to the psychiatric unit for Rationale:
evaluation. Her husband states that Agoraphobia (C) is the fear of
she has been reluctant to leave home crowds or of being in an open
for the last 6 months. The client has place. (A) is the fear of being in
not gone to work for a month, has closed places. (B) is the fear of
been terminated from her job, and high places. (D) is an abnormal
has not left the house since that time. fear of death or bodies after death.
This client is displaying symptoms of A phobia is an unrealistic fear
which disorder? associated with severe anxiety.
A. Claustrophobia
B.Acrophobia
C.Agoraphobia
D.Necrophobia
4 An adult client with a medical C
. diagnosis of substance abuse and Rationale:
schizophrenia was recently Alcohol enhances the side effects
switched from oral fluphenazine of Prolixin. The half-life of
HCl (Prolixin) to IM fluphenazine Prolixin PO is 8 hours, whereas
decanoate (Prolixin Decanoate) the half-life of the Prolixin
because of medication Decanoate IM is 2 to 4 weeks.
noncompliance. What should the Therefore, the side effects of
nurse teach the client and family drinking alcohol are far more
about this change in medication severe when the client drinks
regimen? alcohol after taking the long-
A. Long-acting medication is acting Prolixin Decanoate IM (C).
more effective than daily (A, B, and D) provide incorrect
medication. information.
B.A client with substance abuse must
not take any oral medications.
C.There will continue to be a risk of
alcohol and drug interaction.
D.Support groups are only helpful for
substance abuse treatment.
HESI PN MATERNAL NEWBERN OB EXAM (4
VERSIONS) / PN HESI MATERNAL NEWBERN OB
EXAM (LATEST-2021): (ANSWERS VERIFIED
100%
CORRECT)
1 An 8-year-old child is receiving A
. digoxin (Lanoxin) for congestive Rationale:
heart failure (CHF). In assessing the Nausea and vomiting are early
child, the nurse finds that her apical signs of digoxin toxicity.
heart rate is 80 beats/min, she However, the normal resting heart
complains of being slightly rate for a child 8 to 10 years of age
nauseated, and her serum digoxin is 70 to 110 beats/min and the
level is 1.2 ng/mL. What action therapeutic range of serum digoxin
should the nurse take? levels is 0.5 to 2 ng/mL. Based on
A. Because the child's heart rate and the objective data, (A) is the best
digoxin level are within normal of the choices provided because
range, assess for the cause of the the serum digoxin level is within
nausea. normal levels. (B) is not warranted
B. Hold the next dose of digoxin until by the data presented. The digoxin
the health care provider can be level is within the therapeutic
notified because the serum digoxin range and the child is not showing
level is elevated. signs of toxicity (C). The child's
C. Administer the next dose of pulse rate is within normal range
digoxin and notify the health for her age group (D).
care provider that the child is
showing signs of toxicity.
D. Notify the health care provider
that the child's pulse rate is below
normal for her age group.
2 A 12-year-old boy complains to the C
. nurse that he is "short" (4'5" [53 Rationale:
inches]). His twin sister is 5 inches Girls experience a growth spurt at
taller than he is (4'10" [58 inches]). 9.5 to 14.5 years of age and boys
Based on these findings, what at 10.5 to 16 years of age (C).
conclusion should the nurse reach? There are insufficient data to
A.The boy is not growing as normally support (A); growth trends must
expected. be assessed to reach such a
B.The girl is experiencing a period of conclusion. (B) is not unexpected.
unexpected growth. The fact that the children are
C.A normal growth spurt occurs twins has less to do with their
in girls 1 to 2 years earlier than growth than the fact that they are
boys. D.Male-female twins are not male and female (D).
identical; therefore, their growth
cannot be compared.
3 A 45-year-old female client is C
, . admitted to the psychiatric unit for Rationale:
evaluation. Her husband states that Agoraphobia (C) is the fear of
she has been reluctant to leave home crowds or of being in an open
for the last 6 months. The client has place. (A) is the fear of being in
not gone to work for a month, has closed places. (B) is the fear of
been terminated from her job, and high places. (D) is an abnormal
has not left the house since that time. fear of death or bodies after death.
This client is displaying symptoms of A phobia is an unrealistic fear
which disorder? associated with severe anxiety.
A. Claustrophobia
B.Acrophobia
C.Agoraphobia
D.Necrophobia
4 An adult client with a medical C
. diagnosis of substance abuse and Rationale:
schizophrenia was recently Alcohol enhances the side effects
switched from oral fluphenazine of Prolixin. The half-life of
HCl (Prolixin) to IM fluphenazine Prolixin PO is 8 hours, whereas
decanoate (Prolixin Decanoate) the half-life of the Prolixin
because of medication Decanoate IM is 2 to 4 weeks.
noncompliance. What should the Therefore, the side effects of
nurse teach the client and family drinking alcohol are far more
about this change in medication severe when the client drinks
regimen? alcohol after taking the long-
A. Long-acting medication is acting Prolixin Decanoate IM (C).
more effective than daily (A, B, and D) provide incorrect
medication. information.
B.A client with substance abuse must
not take any oral medications.
C.There will continue to be a risk of
alcohol and drug interaction.
D.Support groups are only helpful for
substance abuse treatment.
HESI PN MATERNAL NEWBERN OB EXAM (4
VERSIONS) / PN HESI MATERNAL NEWBERN OB
EXAM (LATEST-2021): (ANSWERS VERIFIED
100%
CORRECT)
