• Mother of a preschool-aged child calls school RN to report her child Med available in solution containing 200 mg/5 ml. How many ml
was bitten by a tick while on a school outing last wk. Mother tells RN should RN give on first day? 2.5
she removed tick & flushed it down toilet. What action should school • 39-wk-gestational multigravida is admitted to L & D with spontaneous
RN take? Schedule test for Lyme disease if rash appears. rupture of membranes (SROM) & contractions occurring every 2-3
• Dr. prescribes phenytoin (Dilantin) for school-aged child mins. A vaginal exam indicates that cervix is dilated 6 cm, 90%
diagnosed with tonic-clonic epilepsy. Which info should RN effaced, & the fetus is at a +2 station. During last 45 mins FHR has
provide parents when teaching about seizure management with ranged between 170 & 180 beats/min. What action should RN
phenytoin? Monitor child’s serum phenytoin levels routinely implement? Take oral maternal temp.
while taking Dilantin. • During admission of newborn, RN identifies localized
• During newborn admission assessment, RN palpates newborn’s swelling that does not cross suture line on the posterior area of
scrotum & does not feel the testicles. Which assessment technique the parietal bone. What action should RN implement? Notify
should RN perform next to verify absence of testes: Perform Dr of cephalhematoma.
transillumination of scrotal sac to visualize shadows of testes. • Mother of 6 y/o girl is concerned about her child’s obesity. The
• The parents of a 14-month-old-child who is hospitalized due to child’s weight plots at 75 percentile, & the height at the 25
febrile seizures tell RN that they fear their child will have percentile. The child’s BMI is at 85 percentile for age & gender.
lifelong seizures. What info should RN convey to these parents? Which interventions should RN implement? SATA: Determine
Reassure the parents that febrile seizures decrease as child child’s usual physical activity pattern, Ask if school has PE
grows older. program, Obtain child’s 3-day diet history based on mother’s
• In determining the one min Apgar score of a male infant, RN input.
assesses a heart rate of 120 beats per min & 44 respirations per min. • Woman 36-wks & Rh negative admitted to L & D with abdominal
He has a loud cry with stimulation, good muscle tone, & his color is cramping. She is placed on strict bedrest & FHR & contraction
acrocyanotic. What Apgar score should RN assign? 9 pattern are monitored with external fetal monitor. Two hrs later, RN
• School-aged child with otitis media receives prescription for notes large amount of bright red vaginal bleeding. Highest priority
azithromycin (Zithromax) 100 mg once, then 50 mg daily for 4 days. nursing action? Assess FHR & Pt’s contraction pattern.
,• Nutritional info RN should give mother of 6-mo-old on introducing
solid foods? Introduce foods one at a time, at 4-7 day intervals.
• Digoxin is prescribed to 3-month-old with congenital heart
disease. RN should teach parents to do what if they miss giving a
dose of this med? If less than four hrs have elapsed, give the
missed dose.
• A 10 y/o boy has been seen frequently by the school RN over
the past three wks after school begins in the fall. He reports
headaches, stomach aches, & difficulty sleeping. What
intervention should RN implement? a. Ask the boy to describe a
typical day at school.
, MATERNITY_AND_PEDS_HESI_REVIEW_3 WELL EXPLAINED RATED A+
• Pt who had her first baby three months ago & is breastfeeding tells dystrophy (DMD). Which characteristic of the disease is most
RN that she is currently using the same diaphragm that she used important for RN to focus on during the initial teaching? c. Lower
before becoming pregnant. What info should RN provide this Pt? legs become progressively weaker, causing a waddling, unsteady
Use other form of conception until new diaphragm obtained. gait.
• In assessing child with suspected bacterial meningitis, RN should • While caring for laboring Pt on continuous fetal monitoring, RN
anticipate a recent history of which problem? a. Ear ache notes FHR pattern that falls & rises abruptly with “V” shaped
appearance. First RN action? Change maternal position.
• Following the vaginal delivery of a 10-pound infant, RN assesses a
• Woman returns to clinic for 2-wk postpartum checkup & has signs
new mother’s vaginal bleeding & finds that she has saturated two
of left breast mastitis. Which instructions should RN suggest Pt
pads in 30 mins & has a boggy uterus. What action should RN
follow at home? SATA: Wear bra with good breast support, Take
implement first? a. Perform fundal massage until firm.
antibitotics at regular intervals, Apply warm compress to left
• Mother brings her 3 y/o son to ER & tells RN he has had an
breast.
upper respiratory infection for past two days. Assessment of
• A one-month old male infant is brought to clinic by his mother
child reveals rectal temp of 102 F. He is drooling & becoming
who states son has been vomiting forcefully after each meal for
increasingly more restless. First RN acton? d. Notify Dr &
last three days. Infant is afebrile, dehydrated, & pyloric stenosis is
obtain a tracheostomy tray.
suspected. What other findings should RN identify that are
• Mother brings 3-month-old to clinic because baby does not sleep
consistent with pyloric stenosis? olive-shaped mass in abdominal
through the night. Which finding is most significant in planning
area
care for this family? diaper area shows severe skin breakdown.
• Babysitter of 7 y/o with type 1 diabetes calls clinic to report that
• Pt 18-wks was informed this morning that she has elevated alpha-
child is very irritable, perspiring, & shaking. Which instructions
fetoprotein (AFP) level. After Dr. leaves room, Pt asks what she
should RN provide to the babysitter? Give child 8oz glass of milk.
should do next. What info should RN provide? Explain sonogram
• Pt in preterm labor has had infusion of mag sulfate running for 8 hrs.
should be scheduled for definitive results.
Current findings: RR 14 breaths/min; urine output 25 ml/hr; DTRs
• A 4 y/o boy was recently diagnosed with Duchenne muscular
3
MP Hesi Review
was bitten by a tick while on a school outing last wk. Mother tells RN should RN give on first day? 2.5
she removed tick & flushed it down toilet. What action should school • 39-wk-gestational multigravida is admitted to L & D with spontaneous
RN take? Schedule test for Lyme disease if rash appears. rupture of membranes (SROM) & contractions occurring every 2-3
• Dr. prescribes phenytoin (Dilantin) for school-aged child mins. A vaginal exam indicates that cervix is dilated 6 cm, 90%
diagnosed with tonic-clonic epilepsy. Which info should RN effaced, & the fetus is at a +2 station. During last 45 mins FHR has
provide parents when teaching about seizure management with ranged between 170 & 180 beats/min. What action should RN
phenytoin? Monitor child’s serum phenytoin levels routinely implement? Take oral maternal temp.
while taking Dilantin. • During admission of newborn, RN identifies localized
• During newborn admission assessment, RN palpates newborn’s swelling that does not cross suture line on the posterior area of
scrotum & does not feel the testicles. Which assessment technique the parietal bone. What action should RN implement? Notify
should RN perform next to verify absence of testes: Perform Dr of cephalhematoma.
transillumination of scrotal sac to visualize shadows of testes. • Mother of 6 y/o girl is concerned about her child’s obesity. The
• The parents of a 14-month-old-child who is hospitalized due to child’s weight plots at 75 percentile, & the height at the 25
febrile seizures tell RN that they fear their child will have percentile. The child’s BMI is at 85 percentile for age & gender.
lifelong seizures. What info should RN convey to these parents? Which interventions should RN implement? SATA: Determine
Reassure the parents that febrile seizures decrease as child child’s usual physical activity pattern, Ask if school has PE
grows older. program, Obtain child’s 3-day diet history based on mother’s
• In determining the one min Apgar score of a male infant, RN input.
assesses a heart rate of 120 beats per min & 44 respirations per min. • Woman 36-wks & Rh negative admitted to L & D with abdominal
He has a loud cry with stimulation, good muscle tone, & his color is cramping. She is placed on strict bedrest & FHR & contraction
acrocyanotic. What Apgar score should RN assign? 9 pattern are monitored with external fetal monitor. Two hrs later, RN
• School-aged child with otitis media receives prescription for notes large amount of bright red vaginal bleeding. Highest priority
azithromycin (Zithromax) 100 mg once, then 50 mg daily for 4 days. nursing action? Assess FHR & Pt’s contraction pattern.
,• Nutritional info RN should give mother of 6-mo-old on introducing
solid foods? Introduce foods one at a time, at 4-7 day intervals.
• Digoxin is prescribed to 3-month-old with congenital heart
disease. RN should teach parents to do what if they miss giving a
dose of this med? If less than four hrs have elapsed, give the
missed dose.
• A 10 y/o boy has been seen frequently by the school RN over
the past three wks after school begins in the fall. He reports
headaches, stomach aches, & difficulty sleeping. What
intervention should RN implement? a. Ask the boy to describe a
typical day at school.
, MATERNITY_AND_PEDS_HESI_REVIEW_3 WELL EXPLAINED RATED A+
• Pt who had her first baby three months ago & is breastfeeding tells dystrophy (DMD). Which characteristic of the disease is most
RN that she is currently using the same diaphragm that she used important for RN to focus on during the initial teaching? c. Lower
before becoming pregnant. What info should RN provide this Pt? legs become progressively weaker, causing a waddling, unsteady
Use other form of conception until new diaphragm obtained. gait.
• In assessing child with suspected bacterial meningitis, RN should • While caring for laboring Pt on continuous fetal monitoring, RN
anticipate a recent history of which problem? a. Ear ache notes FHR pattern that falls & rises abruptly with “V” shaped
appearance. First RN action? Change maternal position.
• Following the vaginal delivery of a 10-pound infant, RN assesses a
• Woman returns to clinic for 2-wk postpartum checkup & has signs
new mother’s vaginal bleeding & finds that she has saturated two
of left breast mastitis. Which instructions should RN suggest Pt
pads in 30 mins & has a boggy uterus. What action should RN
follow at home? SATA: Wear bra with good breast support, Take
implement first? a. Perform fundal massage until firm.
antibitotics at regular intervals, Apply warm compress to left
• Mother brings her 3 y/o son to ER & tells RN he has had an
breast.
upper respiratory infection for past two days. Assessment of
• A one-month old male infant is brought to clinic by his mother
child reveals rectal temp of 102 F. He is drooling & becoming
who states son has been vomiting forcefully after each meal for
increasingly more restless. First RN acton? d. Notify Dr &
last three days. Infant is afebrile, dehydrated, & pyloric stenosis is
obtain a tracheostomy tray.
suspected. What other findings should RN identify that are
• Mother brings 3-month-old to clinic because baby does not sleep
consistent with pyloric stenosis? olive-shaped mass in abdominal
through the night. Which finding is most significant in planning
area
care for this family? diaper area shows severe skin breakdown.
• Babysitter of 7 y/o with type 1 diabetes calls clinic to report that
• Pt 18-wks was informed this morning that she has elevated alpha-
child is very irritable, perspiring, & shaking. Which instructions
fetoprotein (AFP) level. After Dr. leaves room, Pt asks what she
should RN provide to the babysitter? Give child 8oz glass of milk.
should do next. What info should RN provide? Explain sonogram
• Pt in preterm labor has had infusion of mag sulfate running for 8 hrs.
should be scheduled for definitive results.
Current findings: RR 14 breaths/min; urine output 25 ml/hr; DTRs
• A 4 y/o boy was recently diagnosed with Duchenne muscular
3
MP Hesi Review
