EXAM/ HESI PN MATERNITY EXAM |
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QUESTIONS AND VERIFIED ANSWERS
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What information should the practical nurse (PN) reinforce with the
parents of a 3 month old infant about liquid medication administration?
a) pour the medication into a small cup and allow the infant to drink it
b) place the medication in a nipple and have infant suck the nipple
c) administer the medication with a dropper to the back of the infant's
tongue
d) use an oral syringe to place the medication in the side of the infant's
mouth - ✔✔✔ Correct Answer > Answer: D
Rationale:
An oral syringe is a useful device for measuring small quantities of
medications for infants. The syringe is placed in the side of the mouth.
(B) increases the amount of air the infant swallows, which cause
excessive gas. (B and D) increase the risk for aspiration.
,The practical nurse (PN) arrives at the playgrounds and sees a school-
aged boy who has eaten something he is allergic to and is
demonstrating a stridor. Which action should the PN implement first?
a) ask if the child is alone
b) call for an ambulance
c) mov the child to a different environment
d) determine what the child has eaten - ✔✔✔ Correct Answer >
Answer: B
Rationale:
Food allergy hypersensitivity can cause an anaphylactic reaction that
can occur shortly after ingestion (5-30 minutes) or exposure to an
allergen, and manifest with hives, rash, flushing, asthmatic episode, or
airway compromise, such as stridor. The first action is to call for an
ambulance (B) immediately, since the condition may progress and
become life-threatening. (A,C, and D) do not have the same priority of
(B).
A nursing instructor asks a nursing student to list the functions of the
amniotic fluid. The student responds correctly by stating that which of
the following are functions of amniotic fluid? Select all that apply.
A. Allows for fetal movement
B. Is a measure of kidney function
,C. Surrounds, cushions, and protects the fetus
D. Maintains the body temperature of the fetus
E. Prevents large particles such as bacteria from passing to the fetus
F. Provides an exchange of nutrients and waste products between the
mother and the fetus - ✔✔✔ Correct Answer > A, B, C, D
A child who is admitted with acute abdominal pain and possible
appendicitis. Which action should the practical nurse (PN) implement
for the child's abdominal discomfort?
a) assist the child to any position of comfort.
b) give a saline enema to cleanse the bowel
c) lay a heating pad on the abdomen
d) place the bed in trendelenburg - ✔✔✔ Correct Answer > Answer:
A
Rationale:
Abdominal pain is a common childhood complaint, but this child should
be assisted to any position of comfort (A) that relieves the pain. (B and
D) are contraindicated with possible appendicitis and increase the risk
of ruptured appendix. If the appendix should rupture, (C) increases the
spread of the infection.
, A child is admitted for observation following a closed head injury.
Which assessment is most essential for the practical nues (PN) to
monitor for an early sign of a worsening condition?
a) level of consciousness
b) posturing
c) focal neurologic signs
d) vital signs - ✔✔✔ Correct Answer > Answer: A
Rationale:
Following a head injury, determining a change in the child's LOC (A)
provides the first indication that a progression of the injury is possible.
(C) is a symptom of advanced neurologic insult. Alterations in
consciousness appear earlier than alterations of (B and D).
A 3 year old boy with cerebral palsy (CP) has difficulty swallowing,
cannot hold a utensil, and is slightly underweight for his height. Which
action should the practical nurse implement when feeding this child?
a) put the child in a well-supported semi-reclining position
b) offer a specialized formula per tube feeding
c) place the child in a sitting position with the neck hyperextended
d) stabilize the child's jaw with the caregiver's hand - ✔✔✔ Correct
Answer > Answer: D