HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions)

Page 1 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 1 preview image

HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PNReview, Hesi Peds, PN HESI Peds, Peds & Maternity HESI, HESIMaternity/Pediatric RemediationAfter repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN) obtains anaxillary temperature of 97.2 F and places the newborn under a radiant heat warmer. Which additionalfinding should the PN observe in the newborn? - Tremors of the hands during crying.Which information should the practical nurse (PN) provide the parents about the purpose of instillingerythromycin (llotycin) ophthalmic ointment in the newborn's eyes. - Prophylactic treatment forgonorrheal and chlamydia infection.What is the most important action by the practical nurse (PN) in preventing neonatal infection? - Handwashing.a client who took iron supplements during pregnancy delivers and infant by cesarean section. On thesecond postpartum day, the client reports having a constipated stool that is greenish-black in color.Which action should the practical nurse (PN) implement? - Record color and consistency of the stool.A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is positive. She askswhat she should be concerned about during the weeks before her first visit. Which signs and symptomsshould the practical nurse (PN) tell the client to report immediately to the healthcare provider? (selectall that apply) - A. Vaginal bleedingD. Membrane ruptureE. Severe headachesA 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and now weighs 6pound and 15 ounces. Which action should the practical nurse take? - Document the weight loss

Page 2 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 2 preview image

Page 3 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 3 preview image

Which medication is prescribed for the prevention of ophthalmia neonatorum? - Erythromycin (iilotycin)A multiparous client's membranes rupture after 8 hours of labor. which action should the practical nurseimplement at this time? - Assess the fetal heart rate (FHR) and pattern.The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client who has justgiven birth to an 8-pound boy when dark red blood comes from the client's vagina. What action is mostimportant for the PN to implement? - Continue to massage the fundus until firm.Which client should the practical nurse (PN) closely monitor for severe after pains? - A multigravida whois breastfeeding.The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-pound 3-ouncenewborn and determines the client's bladder is distended. Which additional finding should the PNreport to the charge nurse? - Excessive bleeding on the perineal pad.The practical nurse (PN) places a newborn who is 4 hours old with an axillary temperature of 97.2 Funder the radiant heat warmer. Which rationale supports the PN's action? - The newborn's thin layer ofsubcutaneous fat provides poor insulation.Which strategy should the practical nurse (PN) implement to prevent a puerperal infection for a clientduring the first postpartum week? - Implement strict medical and aseptic technique.Which client is a candidate for the administration of human immune globulin (RhoGam) after delivery? -The Rh-negative mother who delivers a Rh-positive baby.Which physiological cause(s) for constipation during pregnancy should the practical nurse (PN) explainto a client in the first trimester? (Select all that apply.) - A. Displacement of the colon.E. Decrease in peristalsis.

Page 4 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 4 preview image

A 14-week gestational client, who weighed 125 pounds before pregnancy, comes into the health clinicfor a prenatal appointment. The client's weight today is 129 pounds. What action should the practicalnurse (PN) implement? - Document the finding in the medical record.The practical nurse (PN) is reviewing the informational packets with a client who is at risk forpreeclampsia. Which information is most important for the PN reinforce with the client? - Notify theclinic if any vision changes are experienced.A primigravida at 33-weeks gestation is admitted after being involved in a motor vehicle collision (MVC).The client has no complaints of abdominal pain and no evidence of vaginal bleeding. Which actionshould the practical nurse (PN) anticipate implementing for the client? - Obtain a biophysical profile.A primigravida client asks the practical nurse (PN). "How will i know that I will be going into labor soon?"Which sign should the PN provide that is a common sign? - Burst of energy.A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the practical nurse (PN)she is having contractions every 5 minutes. The healthcare provider determines she is dilated 3 cm andin early labor. What action should the practical nurse (PN) implement when the client groans with eachcontraction? - Demonstrate simple relaxation measures.A primiparous client asks the practical nurse (PN) how much her newborn baby should sleep every day.What information should the PN provide? - A newborn sleeps most of the day and gradually will haveincreasing periods of wakefulness.The mother asks the practical nurse (PN) what her infant may need if the phenylketonuria(PKU) test ispositive. What type of treatment should the PN tell the mother will be required? - Lifelong dietarymanagement.The practical nurse (PN) is discussing aspects of newborn hygiene with the new parents as they preparefor discharge. Which information should the PN provide? - Create a draft-free environment whenbathing the baby.

Page 5 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 5 preview image

A mother who is preparing for discharge begins asking the practical nurse (PN) questions about bottlefeeding her infant. What information should the PN reinforce? - Burp the newborn periodically duringthe feeding.An infant who weight 4550 grams is delivered using forceps-assisted vaginal delivery. What action ismost important for the practical nurse (PN) to implement? - Monitor for signs of hypoglycemia.A young adult female comes to the health clinic to confirm a positive home pregnancy test. Afterdetermining the client's last menstrual period (LMP) as August 5, what expected date of birth (EDB)should the practical nurse (PN) calculate? - May 12The practical nurse (PN) quickly moves the crib of a male newborn and notices that his legs flex. armsfan out, and then return toward his midline. What action should the PN implement? - Document thenewborn demonstrates a Moro reflex.Which finding for a 2-week-old infant should the practical nurse (PN) report to the healthcare provider?- Yellowish tinge around the eyes.Which intervention should the practical nurse (PN) provide a neonate during hospitalization? - Offer theneonate a pacifier between feedings.A father expresses concern that his 3-day-old infant looks "yellow." Which information should thepractical 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 vehiclecollision. Which finding is most important for the PN to report to the charge nurse?a) narrowing pulse pressureb) apprehension

Page 6 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 6 preview image

c) irritabilityd) thirst - Answer: ARationale:As shock progresses, perfusion in the microcirculation becomes marginal despite compensatoryadjustments, and the signs of decompensated shock become pronounced, such as tachycardia andnarrowing pulse pressure (A). (The difference between systolic and diastolic blood pressure), whichshould 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 asitter. 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: BRationale:Healthy attachment is manifested by stranger anxiety in late infancy (B). Pain from teething expressedby the infant's cries does not occur only when the mother leaves the infant with another person (A). ThePN should evaluate the infant's developmental needs (C) before suggesting the infant may be ill. Aninfant who manifests stranger anxiety is best supported by the mother if the infant is left for shorterperiods of time, not (D).Which preoperative action is most important for the practical nurse (PN) to implement for a newbornwith meningomyelocele?a) document vital signsb) prevent skin breakdown

Page 7 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 7 preview image

c) minimize the risk for infectiond) monitor neurologic functioning - Answer: CRationale:A meningomyelocele provides a direct entry for bacteria into the central nervous system, leading tomeningitis. Measures that protect the integrity of the meningomyelocele sac and infection controlmeasures should be implemented to minimize the risk of infection (C). (A,B, and D) should beimplemented but do not have the priority of (C).The practical nurse is caring for a 6 year old girl who had surgery 12 hours ago. The child tells the PNthat she does not have pain but a few minutes later, tells her parents that she does. What childdevelopment concept is relevant to this situation?a) inconsistency in pain reporting suggests that pain not presentb) a child may have pain yet deny its presence to the nursec) truthful reporting of pain should occur by this aged) children use pain experiences to manipulate their parents - Answer: BRationale:A child may fear receiving an injection for pain or may believe that pain is a deserved punishment forsome misdeed, so the pain is denied (D) when the nurse asks the child, who then readily admits havingpain to a parent. This behavior should not be interpreted as (C) but as a valid indication of pain. (A andC) are incorrect interpretations of this behavior.A 6 year old who had a tonsillectomy 12 hours ago is complaining of thirst. What should the practicalnurse (PN) offer?a) popsicleb) lemonade

Page 8 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 8 preview image

c) orange juiced) chocolate milk - Answer: ARationale:Small amounts of clear liquids without red dyes should be offered to the child. Popsicles (A) are cold andhelp soothe a dry throat. Citrus drinks (B and C) are acidic and irritate the operative site in the posteriororopharynx. Milk (D) thickens oral mucus which makes swallowing more difficult and causes coughing.The mother of a male newborn calls the clinic to inquire about the formation of a yellow crust over herson's circumcision area. What information should the practical nurse (PN) provide?a) do not remove the yellow crust from the siteb) stop using petroleum around the head of the penisc) bring him into the clinicd) tightly fasten the diaper - Answer: ARationale:Crust formation is part of the healing process and should be removed (A). (C) is not indicated at thistime. The diaper should be fastened loosely, not tightly (D) which can place pressure on the incision site.(B) assists in the healing process and should not be discontinued.The mother of a child with croup is having barking, coughing episodes calls the clinic for assistance.What action should the practical nurse (PN) recommend that the mother implement first?a) take the child outside in the cool airb) bring the child directly to the emergency roomc) sit with the child in bathroom with a hot shower runningd) have the child drink plenty of fluids - Answer: C

Page 9 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 9 preview image

Rationale:Croup (laryngotracheobronchitis) is a viral infection that causes a "barking" cough and varying degreesof inspiratory stridor, which often responds to a high humidity environment. Most children can bemanaged at home using the stream from a hot shower in a closed bathroom (C) which often stopslaryngeal spasm. Increasing the child's fluid intake is important (D), but not a priority at thistime.Although exposure to cold air (A) also relieves stridor, parents should be encouraged to use misthumidifier in the child's room. (B) is not necessary unless the child is having increasingly difficultybreathing that may lead to a compromised airway.Which finding should the practical nurse confirm with the parents of an infant who is admitted withpossible intussusception?a) red currant jelly stoolsb) clay colored stoolsc) constant abdominal paind) projectile vomiting after meals - Answer: ARationale:Red currant jelly stools (A) is a sign of intussusception, which causes a mixture of stool, mucous, andblood as the intestines telescopes inside itself. (D) is associated with pyloric stenosis. (B) is consistentwith biliary obstruction. Infants with intussusception usually have periods of severe pain followed byintervals in which they appear comfortable, not (C).The practical nurse (PN) is observing a group of children at a day care center to determine whetherchildren are achieving developmental milestones. Which activity should the PN identify as typical for a 2year old child's cognitive development?a) has a vocabulary of about 1000 wordsb) uses short sentences to express self

Page 10 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 10 preview image

c) initiates play with other childrend) recognizes right and wrong - Answer: BRationale:Although children develop at different rates, a 2 year old typically uses short sentences to expressindependence and control (B) and has a vocabulary of up to 300 words, not (A). At the age of 2 years, atoddler is developing negativism without understanding the concepts of right and wrong (D). A 2 yearold engages in solitary play and parallel play but does not initiate or cooperative with other children (C)in play, which begins with socialization of the preschool child.The practical nurse (PN) is interviewing a 10 year old girl about school and her extracurricular activities.She responds, "I like school. I play the flute in the school band, and I take tennis lessons." Based onErikson's psychosocial theory, the PN identifies that this child is in what stage of development?a) identityb) intimacyc) industryd) initiative - Answer: CRationale:Erikson's stage of industry (C) for a school aged child is demonstrated by successful participation in newskills and peer activities, such as sports and band. (A, B, and D) are achieved in other age groups.The practical nurse (PN) identifies an increased frequency of otitis media (OM) is children who arecoming to the clinic. Based on this finding, which age group should the PN monitor a child for signs andsymptoms of OM?a) toddlerb) preschooler

Page 11 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 11 preview image

c) school agerd) adolescent - Answer: ARationale:Infants and toddlers (A) are most prone to otitis media due to the anatomical structure of theeustachian tube that allows fluid and microbial entry into the middle ear. (B, C, and D) are mostsusceptible to acute infectious diseases acquired through environmental transmission from daycare orschool settings.The practical nurse (PN) collects information about infant growth and development milestones forinfants who come to the clinic for a well child visit. Which findings should the PN document as normalinfant growth and development?a) maternal iron stores persist during the first 12 months of lifeb) anterior fontanel closes by 6 to 10 months of agec) binocularity is well established by 8 months of aged) birth weight double by age 5 months and triples by 1 year - Answer: DRationale:Infants gain approximately 1.5 pounds/month until age 5 to 6 months, when the birth weight doubles,and by 1 year of age, the birth weight usually triples (D). The anterior fontanel closes by 12 to 18 monthsof age, with the average being 14 months, not (B). Binocularity begins to develop by 6 weeks of age andshould be well established by age 4 months, not (C). Maternally derived iron stores ares present for thefirst 5 to 6 months and gradually diminish, which results in an expected lowered hemoglobin levelstoward the end of the first 6 months (A).Which nonfood item is the most common cause of respiratory arrest in young children?a) latex balloons

Page 12 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 12 preview image

b) broken rattlesc) buttonsd) pacifiers - Answer: ARationale:Nonfood items cause the majority of choking deaths in young children. Latex balloons (A), whetherpartially inflated, uninflated, or popped, are the leading cause of pediatric choking that leads toaspiration of small objects (A,B, and D) because they experience the environment by placing objects inthe mouth, but (A) is the leading cause of death causing respiratory obstruction and arrest.The practical nurse (PN) is talking with a group of elementary students about bicycle safety. Whichinformation should the PN provide?a) wearing protective gear on a bicycle is a voluntary measureb) children should wear a bicycle helmet when riding a bicyclec) bicycle injuries involve a collision with an automobiled) riding double is allowed if the bicycle has an extra large seat - Answer: BRationale:Bicycle accidents that result in head injuries are a common, accidental cause of morbidity and mortality,so bicycle safety and some state laws mandate that children should wear a protective helmet (B). (A, C,and D) do not provide accurate information.An adolescent female who comes to the school clinic is reluctant to confide her concerns to the practicalnurse (PN). The PN tells the teen that confidentiality and privacy are maintained unless a life-threatening situation arises. Which principal supports the PN's response?a) disclosures from the adolescent should be kept confidentialb) minor adolescents should not be encouraged to disclose private concerns

Page 13 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 13 preview image

c) the adolescent should be encouraged to seek help outside of the school clinicd) honest information ensures establishing a trusting relationship - Answer: DRationale:Critical elements in establishing trusting relationships include active listening, responding to theadolescent's emotions, and ensuring confidentiality and privacy, but situations that pose a life-threatening situation for the adolescent must be reported. Minor-aged adolescents have the right toconfidential communication with providers unless the client is being abused or a life-threateningsituation is evident. Honesty (D) is vital in the development of trust between an adolescent and a healthprofessional. (A,B, and C) do not provide immediate intervention for the adolescent's concerns aboutself integrity and safety.The practical nurse (PN) is caring for a 6 year old girl who had surgery 12 hours ago. The child tells thePN that she does not have pain but a few minutes later, tells her parents that she does. What childdevelopment concept is relevant to this situation?a) inconsistency in pain reporting suggests that pain is not presentb) truthful reporting of pain should occur by this agec) a child may have pain yet deny its presence to the nursed) children use pain experiences to manipulate their parents - Answer: CRationale:A child may fear receiving an injection for pain or may believe that pain is a deserved punishment forsome misdeed, so the pain is denied (C) when the nurse asks the child, who then readily admits havingpain to a parent. This behavior should not be interpreted as (D) but as a valid indication of pain. (A andB) are incorrect interpretations of this behavior.The practical nurse (PN) is monitoring a child who is manifesting signs of shock after a motor vehiclecollision. Which finding is most important for the PN to report to the charge nurse?

Page 14 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 14 preview image

a) narrowing pulse pressureb) irritabilityc) apprehensiond) thirst - Answer: ARationale:As shock progresses, perfusion in the microcirculation becomes marginal despite compensatoryadjustments, and the signs of decompensated shock become pronounced, such as tachycardia andnarrowing pulse pressure (A) (the difference between systolic and diastolic blood pressure), whichshould be reported immediately. (B,C, and D) are not as significant as (A).The practical nurse (PN) arrives at the playgrounds and sees a school-aged boy who has eatensomething he is allergic to and is demonstrating a stridor. Which action should the PN implement first?a) ask if the child is aloneb) call for an ambulancec) mov the child to a different environmentd) determine what the child has eaten - Answer: BRationale: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, orairway compromise, such as stridor. The first action is to call for an ambulance (B) immediately, sincethe condition may progress and become life-threatening. (A,C, and D) do not have the same priority of(B).A child who is admitted with acute abdominal pain and possible appendicitis. Which action should thepractical nurse (PN) implement for the child's abdominal discomfort?

Page 15 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 15 preview image

a) assist the child to any position of comfort.b) give a saline enema to cleanse the bowelc) lay a heating pad on the abdomend) place the bed in trendelenburg - Answer: ARationale:Abdominal pain is a common childhood complaint, but this child should be assisted to any position ofcomfort (A) that relieves the pain. (B and D) are contraindicated with possible appendicitis and increasethe 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 essentialfor the practical nues (PN) to monitor for an early sign of a worsening condition?a) level of consciousnessb) posturingc) focal neurologic signsd) vital signs - Answer: ARationale:Following a head injury, determining a change in the child's LOC (A) provides the first indication that aprogression of the injury is possible. (C) is a symptom of advanced neurologic insult. Alterations inconsciousness 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 slightlyunderweight for his height. Which action should the practical nurse implement when feeding this child?a) put the child in a well-supported semi-reclining positionb) offer a specialized formula per tube feeding

Page 16 of 16

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 16 preview image

c) place the child in a sitting position with the neck hyperextendedd) stabilize the child's jaw with the caregiver's hand - Answer: DRationale:A child with CP should be fed in an upright, eating position, and manual stability of the oral mechanismsduring swallowing should be provided to minimize the risk of aspiration. Hold the child's jaw (D) fromthe side or front of the face assists with head control, correction of the neck and trunk hyperextension,and jaw stabilization. (A, B, and C) are not indicated.Which of Freud's psychosexual development stages occurs during a toddler's growth and development?a) analb) oralc) genitald) phallic - Answer: ARationale:According to Freud's theory, the anal stage (A_, 1-3 years of age, focuses on toilet training and learningto delay immediate gratification. Oral gratification(B) occurs from birth to one year of age. (C) The stageof genital awareness & exploration. (D) The stage of sexual identity and expression in adolescence.Using Freud's theory, the practical nurse should expect a 2 year old boy to demonstrate the behaviors ofwhich stage?a) phallicb) analc) latencyd) oral - Answer: B

Preview Mode

This document has 100 pages. Sign in to access the full document!

Report

Learning Tools

Writing Tools

Browse Resources

HESI PN Obstetrics, Maternity, Pediatrics Practice Exam With Answers (1000 Solved Questions) - Page 1

Study Now!

Document Details

Related Documents

Nursing School Entrance Exams: HESI A2 / NLN PAX-RN / PSB-RN / RNEE / TEAS, 6th Edition (2020)

HESI Evolve Leadership/Management Practice Exam with Answers (114 Solved Questions)

HESI Comprehensive Medical Surgical Exit Exam with Answers (839 Solved Questions)

2024 HESI Mental Health Actual Exam With Answers (151 Solved Questions)

2023-2024 HESI RN Pharmacology Actual Exam With Answers (180 Solved Questions)

HESI Pharmacology Practice Exam With Answers (102 Solved Questions)

HESI Mental Health Exit Exam With Answers (58 Solved Questions)

HESI Fundamentals Proctored Exam With Answers (6 Solved Questions)

2023 HESI Grammer A2 Exam With Answers (41 Solved Questions)

HESI Grammar A2 Exam Testbank With Answers (50 Solved Questions)

Company

Explore

Study Tools