HESI PN OB/HESI PN PEDIATRICS/HESI
PN MATERNITY EXAM 2024 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED RATIONALES
EXAM |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
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A 4 year old girl is brought to the emergent care center with a frog like croaking sound on inspiration.
She is having difficulty breathing and has her chin trust forward with her mouth open. She is drooling,
agitated, and insists on sitting upright. What action should the PN take?
a) Auscultate the lungs and make preparations for placing the child in a mist tent.
b) Examine the oral pharynx and report to the HCP
c) make the child lie down on the stretcher & rest quietly
D) notify the HCP & prep for immediate intubation of tracheotomy
Answer: D
Rationale:
The child is exhibiting signs of acute epiglottis, a serious obstructive, inflammatory process that can
rapidly progress to severe respiratory distress, which requires immediate intubation or tracheotomy
(D) by the HCP to secure the airway. (A, B, and C) are contraindicated.
A toddler with a chronic illness that requires frequent hospitalization is likely to experience which
psychosocial developmental problem?
a) interference with the development of autonomy
b) distortion of differentiation of self from parent
c) delayed language, fine motor, and self care skill
d) fixation with the feelings of inadequacy
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,Answer: A
Rationale:
Frequent hospitalization for a toddler with a chronic illness may experience interference with the
development of autonomy (A), which is a major psychosocial task of the age group 1-3 years of age.
Achieving other psychosocial development tasks can be impeded during the stages of school age (B),
infancy (C), and preschool age children (D).
After reinforcing information to treat a sprained ankle, what statement by the adolescent indicates tot
he PN that further instruction is needed?
a) keep the leg elevated when sitting
b) put an ice pack on the ankle, alternating 30 minutes on & 30 minutes off
c) apply warm compresses to the ankle for the first 24 hours
d) wrap the ankle in an elastic bandage for support
Answer: C
Rationale:
The "RICE" treatment (rest, ice, compression, & elevation) should be implemented for a sprain. Warm
compresses (C) reflects the need for further instruction because heat causes vasodilation which can
increase fluid accumulation in the injured area and increase swelling. (A, B, and D) reflect correct
understanding of the treatment protocol.
Which response should the PN provide a school age child who asks to talk with a dying sister?
a) touch provides tactile presence of others if she does not responds to words
b) talk loudly to ensure the dying client hears & recognizes others voices
c) sitting close offers the dying person the sensation of others presence
d) although the dying client may not response, she cna still hear what is said
Answer: D
Rationale:
There is evidence that hearing acuity remains during the dying process, so talking to a dying client is
important both for the client the family (D). (A) os unnecessary. Although, (B and C) provide additional
actions, hearing (D) remains an intact sensory perceptions through unconsciousness and the dying
process.
When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse would
explain that this is most probably the result of which of the following?
A. thrombophlebitis
B. pregnancy induced hypertension
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,C. pressure on blood vessels from the enlarging uterus
D. the force of gravity pulling down on the uterus
D - Explanation
Pressure of the growing uterus on blood vessels results in an increased risk for venous stasis in the
lower extremities. Subsequently, edema and varicose vein formation may occur. Thrombophlebitis is
an inflammation of the veins due to thrombus formation. Pregnancy-induced hypertension is not
associated with these symptoms. Gravity plays only a minor role with these symptoms.
Which of the following would cause a false-positive result on a pregnancy test?
A. The test was performed less than 10 days after an abortion
B. The test was performed too early or too late in the
pregnancy
C. The urine sample was stored too long at room
temperature
D. A spontaneous abortion or a missed abortion is
impending
A - Explanation
A false-positive reaction can occur if the
pregnancy test is performed less than 10 days after an abortion. Performing the tests too early or too
late in the pregnancy, storing the urine sample too long at room temperature, or having a
spontaneous or missed abortion impending can all produce false- negative results.
During a lecture on reproduction, a student nurse asks the instructor what determines the sex of a fetus.
Accurate information in response to this question would be:
A. "The sex of the fetus is not determined until the eighth week of gestation."
B. "The fertilization of the zygote is the point at which sex is determined."
C. "Males have one less pair of chromosomes than females."
D. "Sex is determined by the chromosomes contributed by the ovum."
B. Explanation
The sex of the fetus is determined at the point that the sperm fertilizes the ovum to form the zygote.
Sex is ultimately determined by the chromosome contributed by the sperm.
Pediazole is a suspension medication that contains 200 mg erythromycin and 600 mg sulfisoxazole per 5
mL. The physician orders Pediazole 4 mL PO every 12 hours. How many mg of sulfisoxazole is this client
receiving in a 24-hour period?
A. 160 mg
B. 320 mg
C. 480 mg
D. 960 mg
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, D. Explanation
600 mg/ 5 mL = x mg/ 4 mL
2400 = 5x
x= 2400/5
x= 480 mg per dose x 2 = 960 mg in 24 hours.
A primigravida patient who is 12 weeks pregnant visits a helath promotion program in the community
pertaining to the pregnancy care. A group of nursing student is educating the public about measures to
prevent discomfort of pregnancy. The primigravida patient asks one of the student about measures on
how to prevent heartburn she is experiencing throughout the day. Select all the necessary measures to
prevent the primigravia patient's complaint.
A. Eating small, frequent meals and avoiding fatty and spicy food
B. Eating high fiber foods and increase drinking fluids
C. Drinking milk between milk
D. Arranging frequent rest periods throughout the day
E. Sitting upright for 30 minutes after a meal
F. Engaging in regular exercise
A, C, E
The nurse identifies substance abuse behaviors exhibited by a pregnant client during an initial prenatal
screening. While promoting a therapeutic and accepting environment, the care managment by the
nurse would be MOST appropriate if focused on which of the following?
A. Discouraging substance use during pregnancy
B. Termination of the pregnancy at an early stage
C. Eliminating substance use during pregnancy
D. Setting boundaries with the client in regards to substance use
C.
Explanation
Use of substances during pregnancy can lead to severe fetal or neonatal abnormalities, complications,
and death. The primary goal of nursing care should be prevention or elimination of substance use
during pregnancy.
This is a dark streak down the midline of the abdomen that may appear as the uterus is enlarging. The
LPN correctly describes this to the pregnant woman as?
LINEA NIGRA
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