HESI Milestone 2 Retake Exam|
Questions and Correct Answers Graded
A+ | Latest 2024/2025
What should the nurse do for her pregnant patient who has a positive GBS
test?
A. give antibiotics after birth
B. give antibiotics before birth
C. advise that the patient should abort the pregnancy
D. prepare for immediate induction of the pregnant patient
give antibiotics before birth
A patient has experienced placenta abruption and is being prepared for a
C- Section, her family is asking why she has to have one now, how should
the nurse respond?
A. the baby needs to come out quickly and this is the safest way for the
baby and mother
B. let the UAP explain why as the nurse gets the patient ready for the OR
C. advise that the patient goes against the surgery
D. this is the only way keep you from having an infection
the baby needs to come out quickly and this is the safest way for the baby
and mother
,The nurse is watching a fetal heart rate strip and the strip reads there are
variable decelerations, what should the nurse do?
A. report findings to the HCP
B. call a rapid response
C. change the maternal positioning in bed
D. do nothing
change the maternal position in bed
A postpartum patients bladder is distended and they show signs of a boggy
uterus. What action should the nurse take first?
A. perform a fundal massage
B. do nothing
C. notify the HCP
D. have the patient empty their bladder
perform a fundal massage
The nurse is assessing an infant and does not see his testes, what should
the nurse do first?
A. do nothing since this is a normal finding
B. tell the parent that at birth they have misgendered the child
C. palpate further
D. notify the HCP
palpate further
, A newborn was born 1-5 minutes ago and has peripheral cyanosis and
respirations are 40. What actions should the nurse take?
A. continue to monitor
B. call a rapid response
C. call a code
D. call NICU
continue to monitor
A mother states that her newborn has a needle stick mark on their leg and
asks what it is from, how would the nurse respond?
A. It's from an IV that was placed in the newborn
B. it's from the vitamin K injection
C. it's from the vitamin B injection
D. it's from blood typing
it's from the vitamin K injection
A patient with sickle cell comes into the emergency room with extreme
pain, what should the nurse do?
A. provide O2 and increase the patients fluid intake
B. only increase the patients fluid intake
C. give pain medication
D. discharge the patient
provide O2 and increase the patients fluid intake
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