Question 1
HESI Pediatric and Women’s Health. Upon completion of a 14-day antibiotic treatment for bacterial meningitis in an infant, the nurse prepares the family for discharge. Which information should the nurse include?
- A Have the antibiotic trough level drawn within 3 days.
- B Continue strict monitoring of daily wet diapers for 1 week.
- C Administer antipyretic medication on a continuous basis.
- D Monitor the infant for response to auditory stimuli.
Question 2
Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding indicates to the nurse that the medication is having the desired effect?
- A Reduction of fever.
- B Improved caloric intake.
- C Reduction of edema.
- D Weight gain.
Question 3
The nurse reviews the client’s history and physical, the nurses’ notes, and the flow sheet. Select the findings that will help the nurse determine what is causing the client’s symptoms.
- Rupture of membranes for 16 hours
- Normal spontaneous vaginal birth
- Breastfeeding 7 to 8 times a day for 10 minutes
- Discharge hemoglobin of 9.2 g/dL (92 g/L)
- Current vital signs
- Shopping yesterday for 5 hours
- Foul-smelling lochia rubra
Question 4
For each assessment finding, click to indicate whether findings from this client’s assessment are generally associated with mastitis, endometritis, or could be a sign of both conditions.
- Pulse of 105 beats/minute: Both mastitis and endometritis
- Foul-smelling lochia rubra at 2 weeks postpartum: Endometritis
- Baby fed pumped breast milk: Mastitis
- Temperature of 101.2° F (38.4° C): Both mastitis and endometritis
- Pain rating of 4 on a 0 to 10 scale: Both mastitis and endometritis
- Feeling chilled, achy, and fatigued: Both mastitis and endometritis
Question 5
The nurse determines the need to perform more of an assessment based on the client’s symptoms. Based on the assessment findings, the priority diagnosis suspected is:
- Priority Diagnosis: mastitis
- This diagnosis places the client at risk of: abscess HESI Pediatric and Women’s Health
Question 6
The nurse knows that the mastitis in this scenario is most likely caused by [Option 1], as evidenced by [Option 2].
- Option 1: a plugged duct
- Option 2: the firm red area at the 9 o’clock position
Question 7
To help resolve the mastitis and endometritis for this client, which nursing education interventions should be included?
- Wash hands before handling the breast.
- Apply warm compresses to affected area before feeding.
- Finish antibiotics even if symptoms improve.
- Pump breasts if feeding will be missed, due to absence from the infant.
- Vary breastfeeding positions at each feeding.
Question 8
The nurse provides discharge instructions for the client. Which descriptions indicate that the mastitis has resolved and breast health is being well maintained?
- The temperature taken at home is 99.0° F (37.2° C).
- The infant is breastfeeding every 2 to 3 hours for 20 minutes in a variety of positions.
- The red area on her right breast has resolved.
Question 9
A 3-year-old child with a history of recurrent ear infections is brought to the clinic. The child is crying and clings to the mother when the nurse approaches. Which action should the nurse implement first?
- A Request extra staff to assist with the child during the assessment.
- B Talk to the mother and gradually focus on the child’s toy.
- C Complete the assessment while the child is crying to finish quickly. HESI Pediatric and Women’s Health
- D Explain the reasons for the clinic visit to the child.
Question 10
A preschooler with a high fever is leaning forward and drooling. Which action should the nurse implement next?
- A Use a tongue blade to visualize the throat for inflammation.
- B Obtain bedside trays for intubation or tracheotomy by the healthcare provider.
- C Prepare the child for a throat culture and blood work.
- D Place the child in a mist tent to provide moist air.
Question 11
A 68-year-old client is 2 days postoperative following a total hip replacement and is being discharged to a subacute facility. Which action is the priority for the nurse to implement?
- A Perform a thorough skin assessment.
- B Empty the suction drainage from the surgical site.
- C Verify the surgeon’s signature on the discharge orders.
- D Review the client’s insurance coverage for the new facility. HESI Pediatric and Women’s Health
Question 16
A 4-month-old female with a history of GERD is hospitalized for postoperative recovery following fundoplication surgery. At 0750, the infant is grimacing, moving her legs and body constantly, but is consolable with a pacifier. At 0752, her FLACC score is 6. Based on the FLACC score and developmental level, indicate which nurse actions are appropriate.
- Encourage the baby’s mother to breastfeed the baby: Appropriate
- Consult a child life specialist: Appropriate
- Ask the healthcare provider to prescribe a nonsteroidal antiinflammatory drug: Appropriate
- Have one of the parents hold the baby: Appropriate
- Perform guided imagery: Not appropriate
- Wait 1 hour, reassess, and give medication if the FLACC score remains elevated: Not appropriate
- Request a prescription for an opioid: Appropriate
Question 17
Which other assessment data would the nurse want to collect before implementing pain management strategies? Select all that apply.
- A Hearing acuity
- B Blood pressure
- C Deep tendon reflexes
- D Heart rate
- E Parents religious affiliation
- F Level of consciousness
- G Blood type
Question 18
The nurse is reviewing the prescription and planning the appropriate pain management. Complete the following sentence by choosing from the lists of options.
For best pain management, the nurse should give 3.75 mL of acetaminophen every 4 hours as scheduled.
- Choice 1 (Volume): 5 mL, 2.5 mL, 3.75 mL
- Choice 2 (Frequency): if the FLACC score is elevated, as scheduled, when asked by the parents
Question 20
The nurse is providing preconception counseling. Which supplement should the nurse recommend to help prevent the occurrence of anencephaly?
- A Folic acid.
- B Iron.
- C Calcium.
- D Vitamin D.
Question 21
During the admission procedure of a school age child, the child states, “I’m going to have an operation.” Which response is best for the nurse to provide to this child?
- A “Tell me what an operation is.”
- B “I’m glad your mother told you why you were coming to the hospital.”
- C “Are you scared?”
- D “We’re going to do everything we can to take very good care of you.” HESI Pediatric and Women’s Health
Question 22
The nurse is providing discharge instructions to the caregiver of an infant with recurrent otitis media. Which statement made by the caregiver should the nurse recognize as needing additional education about minimizing subsequent infections?
- A Schedule visit for pneumococcal vaccine.
- B Instill benzocaine otic drops regularly.
- C Avoid any smoking inside the house.
- D Give infant the full course of antibiotics.
Question 23
Review H and P, nurse’s note, and flow sheet. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
- Potential Condition: Miliaria
- Actions to Take: Remove some of the baby’s clothing, Clean the area with warm water
- Parameters to Monitor: Temperature, Hygiene
Question 24
A newborn is delivered by cesarean section to a mother who is HIV-positive. The mother received antiretroviral therapy during pregnancy. Which intervention should the nurse implement?
- A Delay the initial bath for 1 to 2 days.
- B Give zidovudine 6 to 12 hours after birth.
- C Encourage breastfeeding every 2 to 3 hours.
- D Administer antibiotics for 7 to 10 days.
Question 25
A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling. Which action should the nurse take?
- A Obtain a swab of secretions from the penis and urethra.
- B Report the findings immediately to the healthcare provider.
- C Provide the adolescent with a urinal for urinary hesitancy.
- D Collect a sterile urine sample for culture and sensitivity.
Question 26
Which is the most important assessment for the nurse to conduct following the administration of epidural anesthesia to a client who is at 40-weeks gestation?
- A Maternal blood pressure.
- B Level of pain sensation.
- C Station of presenting part.
- D Variability of fetal heart rate.
Question 27
A 34-week gestation multigravida comes to the clinic for her bimonthly appointment. Which assessment finding should the nurse report to the healthcare provider?
- A Fetal heart rate of 110 beats/minute.
- B 1+ edema on her lower extremities.
- C Fundal height of 30 cm.
- D Weight gain of 2 pounds (0.91 kg).
Question 28
The parent of an 11-year-old client who has juvenile idiopathic arthritis tells the nurse, “I really don’t want my child to become dependent on pain medication, so I only allow taking the medication when the pain is really bad.” Which information is most important for the nurse to provide this parent?
- A Encourage quiet activities such as watching television as a pain distracter.
- B Giving pain medication around the clock helps control the pain. HESI Pediatric and Women’s Health
- C The child should be encouraged to rest when experiencing pain.
- D The use of hot baths can be used as an alternative for pain medication.
Question 29
The nurse is caring for a primigravida client who delivered vaginally 48-hours ago. The client’s laboratory results are: hemoglobin 12.5 g/dL, hematocrit 34%, hepatitis B surface antigen negative, rubella non-immune, group B Streptococcus positive. Which prescription should the nurse prepare to administer?
- A Hepatitis B immunoglobulin.
- B Blood transfusion.
- C Rubella vaccination.
- D Penicillin G potassium.
Question 30
The nurse is planning care for a child with heart failure. Which intervention should the nurse include in the plan of care?
- A Limit oral fluid intake.
- B Administer oxygen via nasal cannula.
- C Perform a weight check. HESI Pediatric and Women’s Health
- D Place the child in a side-lying position.
Question 31
A 6-year-old child with a history of sickle cell anemia is admitted with a vaso-occlusive crisis. Which action should the nurse prioritize?
- A Increase the frequency of vital signs.
- B Prepare for a surgical procedure.
- C Administer prescribed pain medication.
- D Encourage increased oral fluid intake.
