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A patient suspected of abruptio placentae or placenta previa
should be monitorized for bleeding at IV sites and gums due to
the increased risk of DIC. What isn’t DIC related to?
A. cervical carcinoma
B. fetal demise
C. infection/sepsis
D. pregnancy-induced hypertension
Answer: A
Explanation: DIC is related to fetal demise, infection/sepsis,
pregnancy-induced hypertension (Preeclampsia) and
abruptio palcentae. Cervical carcinoma is related to
Podophyllin.
A patient which has been diagnosed with CVA has symptoms of
aphasia, right hemiparesis, but no memory or hearing deficit. In
what hemisphere has the patient most probably suffered a
lesion?
A. Left
B. Superior left side
C. Inferior right side
D. Right
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Answer: D
Explanation: A patient with a diagnosis of CVA presents with
symptoms of aphasia, right hemiparesis, but no memory or
hearing deficit has suffered a lesion in the left hemisphere.
A patient brought to the emergency room has the following
symptoms: hypertension, , bladder and bowel distention,
exaggerated autonomic responses, headache, sweating, goose
bumps, and bradycardia. What will the patient be diagnosed with
in this case?
A. spinal shock
B. increased ICP
C. cerebral vascular accident
D. autonomic dysreflexia
Answer: D
Explanation: The symptoms of autonomic dysreflexia are
hypertension, bladder and bowel distention, exaggerated
autonomic responses, headache, sweating, goose bumps, and
bradycardia.
A patient who is 32 weeks gestation is experiencing dark, red
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vaginal bleeding and the nurse determines the FHR to be 100
bpm and her abdomen is rigid and boardlike. What action should
the nurse take first?
A. Administer O2 per face mask
B. Abdominal manipulation
C. vaginal manipulation
D. Abdominal exam
Answer: A
Explanation: The nurse should immediately notify the healthcare
provider and no abdominal or vaginal manipulation or exams
should be done. Administer O2 per face mask and monitor for
bleeding at IV sites and gums due to the increased risk of DIC.
A patient who is 32 weeks gestation has the following
symptoms: dark, red vaginal bleeding, 100 bpm FHR, rigid
abdomen and severe pain. What is the difference between
abruptio placentae and placenta previa?
A. abruptio placentae: painless bright red bleeding occurring in the
third trimester
B. abruptio placentae: occurs in the 2nd trimester
C. placenta previa: occurs in the 2nd trimester
D. placenta previa: painless bright red
NURSING 420 HESI Exam Questions And
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bleeding occurring in the third
trimester Answer: D
Explanation: The nurse must use knowledge base to differentiate
between abruptio placentae (dark, red vaginal bleeding, 100 bpm
FHR, rigid abdomen and severe pain) from placenta previa
(painless bright red bleeding occurring in the third trimester).
A nurse must use knowledge base to differentiate between
abruptio placentae (dark, red vaginal bleeding, 100 bpm FHR,
rigid abdomen and severe pain) from placenta previa (painless
bright red bleeding occurring in the third trimester). What
assessments should be done in case of a patient suspected of
abruptio placentae or placenta previa?
A. abdominal or vaginal manipulation
B. Leopold’s maneuvers
C. internal monitoring
D. Monitor for bleeding at IV sites and gums due to the increased risk
of DIC
Answer: D
Explanation: Patients with abruptio placentae or placenta previa
(actual or suspected) should have NO abdominal or vaginal
manipulation. NO Leopold’s maneuvers. NO vaginal exams. NO
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