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OB/Peds HESI Practice Questions With 100% SURE ANSWERS
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JACKLINEOB/Peds HESI Practice Questions With 100% SURE ANSWERS
Terms in this set (41)
The RN is monitoring an infant with CHD closely 3. tachycardia
for SSx of HF. The RN should assess the infant for
which early sign of HF? RATIONALE:
HF is the inability of the heart to pump a sufficient amt of blood to meet the O2 and metabolic
1. Pallor needs of the body. The early SSx of HF include tachycardia, tachypnea, profuse scalp sweating,
2. Cough fatigue & irritability, sudden weight gain, and resp distress. A cough may occur in HF as a result of
3.Tachycardia mucosal swelling & irritation, but is not an early sign. Pallor may be noted in an infant w/ HF, but is
4.Slow and shallow breathing not an early sign.
The nurse reviews the laboratory results for a child 4. anti-streptolysin O titer
with a suspected diagnosis of rheumatic fever,
knowing that which laboratory study would assist RATIONALE:
in confirming the diagnosis? Rheumatic fever is an inflammatory autoimmune disease that affects the CT of the heart, joints,
skin (SQ tissues), BV, and CNS. A Dx of rheumatic fever is confirmed by the presence of 2 major
1. Immunoglobulin manifestations or 1 major and 2 minor manifestations from the Jones criteria. In addition, evidence
2. Red blood cell count of a recent strep infection is confirmed by a + anti-streptolysin O titer, streptozyme assay, or anti-
3. White blood cell count DNase B assay.
4.Anti-streptolysin O titer
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, 9/15/24, 9:25 AM
On assessment of a child admitted with a 3. conjunctival hyperemia
diagnosis of acute-stage Kawasaki disease, the
nurse expects to note which clinical manifestation RATIONALE:
of the acute stage of the disease? Kawasaki disease, aka mucocutaneous lymph node syndrome, is an acute systemic inflammatory
illness. In the acute stage, the child has a fever, conjunctival hyperemia, red throat, swollen hands,
1. Cracked lips rash, and enlargement of the cervical lymph nodes. In the subacute stage, cracking lips and
2. Normal appearance fissures, desquamation of the skin on the tips of the fingers and toes, joint pain, cardiac
3.Conjunctival hyperemia manifestations, and thromobocytosis occur. In the convalescent stage, the child appears normal,
4.Desquamation of the skin but SSx of inflammation may be present
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The mother of a child being discharged after heart 4. "The child may return to school in 3 weeks but needs to go half-days for the 1st few days"
surgery asks the nurse when the child will be able
to return to school. Which is the most appropriate RATIONALE:
response to the mother? After heart surgery, the child may be able to return to school in 3 weeks but needs to go half-
days for the 1st few days. The mother also should be told that the child cannot participate in PE
1. "The child may return to school in 1 week." for 2 months.
2. "The child will not be able to return to school
during this academic year."
3. "The child may return to school in 1 week but
needs to go half-days for the first 2 weeks."
4. "The child may return to school in 3 weeks but
needs to go half-days for the first few days."
Prostaglandin E1 is prescribed for a child with 2. maintains adequate CO
transposition of the great arteries. The mother of
the child is a registered nurse and asks the nurse RATIONALE:
why the child needs the medication. What is the A child with transposition of the great arteries may receive prostaglandin E1 temporarily to
most appropriate response to the mother about increased blood mixing if systemic and pulmonary mixing is inadequate to maintain adequate CO.
the action of the medication?
1. Prevents blue (tet) spells
2. Maintains adequate cardiac output
3. Maintains an adequate hormonal level
4. Maintains the position of the great arteries
OB/Peds HESI Practice Questions
2/15
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