HESI PN OBSTETRICS/MATERNITY PRACTICE EXAM,
PEDIATRICS HESI PN REVIEW, HESI PEDS, PN HESI PEDS,
PEDS & MATERNITY HESI, HESI MATERNITY/PEDIATRIC
REMEDIATION | TESTBANK | LATEST VERSION| WITH
NGN VERIFIED QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES GR
Which intervention should the practical nurse (PN) provide a neonate during
hospitalization?
Offer the neonate a pacifier between feedings.
A father expresses concern that his 3-day-old infant looks "yellow." Which
information should the practical nurse (PN) provide?
Physiologic jaundice occurs from a normal reduction in red blood cells.
,The practical nurse (PN) is monitoring a child who is manifesting signs of shock after
a motor vehicle collision. Which finding is most important for the PN to report to
the
charge nurse?
a) narrowing pulse pressure
b) apprehension
c) irritability
d) thirst
Answer:
A
Rationale
:
As shock progresses, perfusion in the microcirculation becomes marginal despite
compensatory adjustments, and the signs of decompensated shock become
pronounced, such as tachycardia and narrowing pulse pressure (A). (The difference
between systolic and diastolic blood pressure), which should be reported
immediately. (B,C, and D) are not as significant as (A).
,The mother of a 9 month old male infant is concerned because he cries whenever
she leaves him with a sitter. What is the best response for the practical nurse (PN)
to
provide?
a) "Have you noticed whether your baby is teething?"
b) "Crying when you leave him in a healthy sign of attachment."
c) "Consider taking the baby to the doctor because he may be ill."
d) "You could consider leaving the infant more often so he can adjust."
Answer:
B
Rationale
:
Healthy attachment is manifested by stranger anxiety in late infancy (B). Pain from
teething expressed by the infant's cries does not occur only when the mother leaves
the infant with another person (A). The PN should evaluate the infant's
developmental needs
(C) before suggesting the infant may be ill. An infant who manifests stranger
anxiety is best supported by the mother if the infant is left for shorter periods of
time, not (D).
, Which preoperative action is most important for the practical nurse (PN) to
implement for a newborn with meningomyelocele?
a) document vital signs
b) prevent skin breakdown
c) minimize the risk for infection
d) monitor neurologic functioning
Answer:
C
Rationale
:
A meningomyelocele provides a direct entry for bacteria into the central nervous
system, leading to meningitis. Measures that protect the integrity of the
meningomyelocele sac and infection control measures should be implemented to
minimize the risk of infection (C). (A,B, and D) should be implemented but do not
have the priority of (C).
PEDIATRICS HESI PN REVIEW, HESI PEDS, PN HESI PEDS,
PEDS & MATERNITY HESI, HESI MATERNITY/PEDIATRIC
REMEDIATION | TESTBANK | LATEST VERSION| WITH
NGN VERIFIED QUESTIONS AND ANSWERS WITH
DETAILED RATIONALES GR
Which intervention should the practical nurse (PN) provide a neonate during
hospitalization?
Offer the neonate a pacifier between feedings.
A father expresses concern that his 3-day-old infant looks "yellow." Which
information should the practical nurse (PN) provide?
Physiologic jaundice occurs from a normal reduction in red blood cells.
,The practical nurse (PN) is monitoring a child who is manifesting signs of shock after
a motor vehicle collision. Which finding is most important for the PN to report to
the
charge nurse?
a) narrowing pulse pressure
b) apprehension
c) irritability
d) thirst
Answer:
A
Rationale
:
As shock progresses, perfusion in the microcirculation becomes marginal despite
compensatory adjustments, and the signs of decompensated shock become
pronounced, such as tachycardia and narrowing pulse pressure (A). (The difference
between systolic and diastolic blood pressure), which should be reported
immediately. (B,C, and D) are not as significant as (A).
,The mother of a 9 month old male infant is concerned because he cries whenever
she leaves him with a sitter. What is the best response for the practical nurse (PN)
to
provide?
a) "Have you noticed whether your baby is teething?"
b) "Crying when you leave him in a healthy sign of attachment."
c) "Consider taking the baby to the doctor because he may be ill."
d) "You could consider leaving the infant more often so he can adjust."
Answer:
B
Rationale
:
Healthy attachment is manifested by stranger anxiety in late infancy (B). Pain from
teething expressed by the infant's cries does not occur only when the mother leaves
the infant with another person (A). The PN should evaluate the infant's
developmental needs
(C) before suggesting the infant may be ill. An infant who manifests stranger
anxiety is best supported by the mother if the infant is left for shorter periods of
time, not (D).
, Which preoperative action is most important for the practical nurse (PN) to
implement for a newborn with meningomyelocele?
a) document vital signs
b) prevent skin breakdown
c) minimize the risk for infection
d) monitor neurologic functioning
Answer:
C
Rationale
:
A meningomyelocele provides a direct entry for bacteria into the central nervous
system, leading to meningitis. Measures that protect the integrity of the
meningomyelocele sac and infection control measures should be implemented to
minimize the risk of infection (C). (A,B, and D) should be implemented but do not
have the priority of (C).
