4/21/26, 4:25 PM OB/Peds HESI Practice Questions Flashcards | Quizlet
OB/Peds HESI Practice Questions
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Terms in this set (41)
The RN is monitoring an infant with 3. tachycardia
CHD closely for SSx of HF. The RN
should assess the infant for which RATIONALE:
early sign of HF? 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
2.Cough tachycardia, tachypnea, profuse scalp sweating,
3.Tachycardia fatigue & irritability, sudden weight gain, and resp
4.Slow and shallow breathing distress. A cough may occur in HF as a result of
mucosal swelling & irritation, but is not an early
sign. Pallor may be noted in an infant w/ HF, but is
not an early sign.
The nurse reviews the laboratory 4. anti-streptolysin O titer
results for a child with a suspected
diagnosis of rheumatic fever, RATIONALE:
knowing that which laboratory Rheumatic fever is an inflammatory autoimmune
study would assist in confirming the disease that affects the CT of the heart, joints,
diagnosis? 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
2.Red blood cell count manifestations from the Jones criteria. In addition,
3.White blood cell count evidence of a recent strep infection is confirmed
4.Anti-streptolysin O titer by a + anti-streptolysin O titer, streptozyme assay,
or anti-DNase B assay.
https://quizlet.com/1170741861/flash-cards/?new 1/22
,4/21/26, 4:25 PM OB/Peds HESI Practice Questions Flashcards | Quizlet
On assessment of a child admitted 3. conjunctival hyperemia
with a diagnosis of acute-stage
Kawasaki disease, the nurse expects RATIONALE:
to note which clinical manifestation Kawasaki disease, aka mucocutaneous lymph
of the acute stage of the disease? node syndrome, is an acute systemic
inflammatory illness. In the acute stage, the child
1.Cracked lips has a fever, conjunctival hyperemia, red throat,
2.Normal appearance swollen hands, rash, and enlargement of the
3.Conjunctival hyperemia cervical lymph nodes. In the subacute stage,
4.Desquamation of the skin cracking lips and fissures, desquamation of the
skin on the tips of the fingers and toes, joint pain,
cardiac manifestations, and thromobocytosis
occur. In the convalescent stage, the child
appears normal, but SSx of inflammation may be
present
The mother of a child being 4. "The child may return to school in 3 weeks but
discharged after heart surgery asks needs to go half-days for the 1st few days"
the nurse when the child will be
able to return to school. Which is RATIONALE:
the most appropriate response to After heart surgery, the child may be able to
the mother? return to school in 3 weeks but needs to go half-
days for the 1st few days. The mother also should
1."The child may return to school in 1 be told that the child cannot participate in PE for
week." 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."
https://quizlet.com/1170741861/flash-cards/?new 2/22
, 4/21/26, 4:25 PM OB/Peds HESI Practice Questions Flashcards | Quizlet
Prostaglandin E1 is prescribed for a 2. maintains adequate CO
child with transposition of the great
arteries. The mother of the child is a RATIONALE:
registered nurse and asks the nurse A child with transposition of the great arteries
why the child needs the medication. may receive prostaglandin E1 temporarily to
What is the most appropriate increased blood mixing if systemic and
response to the mother about the pulmonary mixing is inadequate to maintain
action of the medication? adequate CO.
1.Prevents blue (tet) spells
2.Maintains adequate cardiac
output
3.Maintains an adequate hormonal
level
4.Maintains the position of the great
arteries
The nurse is assessing a newborn 4. withhold the med and notify HCP
with heart failure before
administering the prescribed RATIONALE:
digoxin. In reviewing the laboratory The apical pulse rate for a newborn is 120-160
data, the nurse notes that the bpm. The therapeutic dig level is 0.5-0.8. Bc the
newborn has a digoxin blood level apical rate is low and the dig blood level is
of 1.6 ng/mL (2.05 mmol/L) and an elevated, indicating toxicity, the RN would
apical heart rate of 90 beats/min. withhold the med and notify the HCP
The mother also tells the nurse that
the newborn just vomited her
formula. Which intervention should
the nurse take?
1.Retake the apical pulse.
2.Administer the medication.
3.Withhold the medication for 1
hour.
4.Withhold the medication and
notify the health care provider.
https://quizlet.com/1170741861/flash-cards/?new 3/22
OB/Peds HESI Practice Questions
Save
Terms in this set (41)
The RN is monitoring an infant with 3. tachycardia
CHD closely for SSx of HF. The RN
should assess the infant for which RATIONALE:
early sign of HF? 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
2.Cough tachycardia, tachypnea, profuse scalp sweating,
3.Tachycardia fatigue & irritability, sudden weight gain, and resp
4.Slow and shallow breathing distress. A cough may occur in HF as a result of
mucosal swelling & irritation, but is not an early
sign. Pallor may be noted in an infant w/ HF, but is
not an early sign.
The nurse reviews the laboratory 4. anti-streptolysin O titer
results for a child with a suspected
diagnosis of rheumatic fever, RATIONALE:
knowing that which laboratory Rheumatic fever is an inflammatory autoimmune
study would assist in confirming the disease that affects the CT of the heart, joints,
diagnosis? 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
2.Red blood cell count manifestations from the Jones criteria. In addition,
3.White blood cell count evidence of a recent strep infection is confirmed
4.Anti-streptolysin O titer by a + anti-streptolysin O titer, streptozyme assay,
or anti-DNase B assay.
https://quizlet.com/1170741861/flash-cards/?new 1/22
,4/21/26, 4:25 PM OB/Peds HESI Practice Questions Flashcards | Quizlet
On assessment of a child admitted 3. conjunctival hyperemia
with a diagnosis of acute-stage
Kawasaki disease, the nurse expects RATIONALE:
to note which clinical manifestation Kawasaki disease, aka mucocutaneous lymph
of the acute stage of the disease? node syndrome, is an acute systemic
inflammatory illness. In the acute stage, the child
1.Cracked lips has a fever, conjunctival hyperemia, red throat,
2.Normal appearance swollen hands, rash, and enlargement of the
3.Conjunctival hyperemia cervical lymph nodes. In the subacute stage,
4.Desquamation of the skin cracking lips and fissures, desquamation of the
skin on the tips of the fingers and toes, joint pain,
cardiac manifestations, and thromobocytosis
occur. In the convalescent stage, the child
appears normal, but SSx of inflammation may be
present
The mother of a child being 4. "The child may return to school in 3 weeks but
discharged after heart surgery asks needs to go half-days for the 1st few days"
the nurse when the child will be
able to return to school. Which is RATIONALE:
the most appropriate response to After heart surgery, the child may be able to
the mother? return to school in 3 weeks but needs to go half-
days for the 1st few days. The mother also should
1."The child may return to school in 1 be told that the child cannot participate in PE for
week." 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."
https://quizlet.com/1170741861/flash-cards/?new 2/22
, 4/21/26, 4:25 PM OB/Peds HESI Practice Questions Flashcards | Quizlet
Prostaglandin E1 is prescribed for a 2. maintains adequate CO
child with transposition of the great
arteries. The mother of the child is a RATIONALE:
registered nurse and asks the nurse A child with transposition of the great arteries
why the child needs the medication. may receive prostaglandin E1 temporarily to
What is the most appropriate increased blood mixing if systemic and
response to the mother about the pulmonary mixing is inadequate to maintain
action of the medication? adequate CO.
1.Prevents blue (tet) spells
2.Maintains adequate cardiac
output
3.Maintains an adequate hormonal
level
4.Maintains the position of the great
arteries
The nurse is assessing a newborn 4. withhold the med and notify HCP
with heart failure before
administering the prescribed RATIONALE:
digoxin. In reviewing the laboratory The apical pulse rate for a newborn is 120-160
data, the nurse notes that the bpm. The therapeutic dig level is 0.5-0.8. Bc the
newborn has a digoxin blood level apical rate is low and the dig blood level is
of 1.6 ng/mL (2.05 mmol/L) and an elevated, indicating toxicity, the RN would
apical heart rate of 90 beats/min. withhold the med and notify the HCP
The mother also tells the nurse that
the newborn just vomited her
formula. Which intervention should
the nurse take?
1.Retake the apical pulse.
2.Administer the medication.
3.Withhold the medication for 1
hour.
4.Withhold the medication and
notify the health care provider.
https://quizlet.com/1170741861/flash-cards/?new 3/22
