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MATERNITY HESI PN V1- v3 -2021.pdf

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HESI PN MATERNITY (VERSION 1). LATEST UPDATE HESI PN MATERNITY (VERSION 1). LATEST UPDATE 1) At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. Assessment findings include diaphoresis, a heart rate of 120 beats/minute, and a blood pressure of 86/48. Which action should the nurse implement next? A. Check the hematocrit results. B. Administer pain medication. C. Increase the rate of IV fluids. D. Monitor client for contractions. Correct Answer: C 2) During a prenatal visit, the LPN/LVN discusses with a client the effects of smoking on the fetus. When compared with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have A. lower Apgar scores. B. lower birth weights. C. respiratory distress. D. a higher rate of congenital anomalies. Correct Answer: D 3) Which action should the LPN/LVN implement when preparing to measure the fundal height of a pregnant client? A. Have the client empty her bladder. B. Request the client lie on her left side. C. Perform Leopold's maneuvers first. D. Give the client some cold juice to drink. Correct Answer:A4) The LPN/LVN identifies crepitus when examining the chest of a newborn who was delivered vaginally. Which further assessment should the nurse perform? A. Elicit a positive scarf sign on the affected side. B. Observe for an asymmetrical Moro (startle) reflex. C. Watch for swelling of fingers on the affected side. D. Note paralysis of affected extremity and muscles. Correct Answer: B 5) One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM Å~ 1. What action should the LPN/LVN take immediately? A. Give the medication as prescribed and monitor for efficacy. B. Encourage the client to breastfeed rather than bottle feed. C. Have the client empty her bladder and massage the fundus. D. Call the healthcare provider to question the prescription. Correct Answer: D

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SOLUTION MANUAL FOR
MATERNITY HESI
PN V1- v3 -2022/2023

ALL QUESTIONS AND ANSWERS



SUCCESS A+

, 2022/2023 PN Hesi Exit V1

Question 1
A school-age client with diabetes is placed on an
intermediateacting insulin and regular insulin before breakfast
and before dinner. She will receive a snack of milk and cereal at
bedtime. What does the nurse tell the client the snack is intended
to do?
You Selected: • Prevent late night
hypoglycemia. Correct response:

• Prevent late night hypoglycemia.


Question 2
A well-known public official of a small community is admitted to
the emergency department following an episode of chest pain.
Several nurses from the medical unit are aware of the admission and
access the official’s electronic medical record to obtain a status
update. What is the best response for the nurse manager to make to
the nurses regarding this situation?
You Selected:

• “Assessing the official’s medical record is a breach of
confidentiality.” Correct response:
• “Assessing the official’s medical record is a breach of
confidentiality.”


Question 3

,A four-year-old child is diagnosed as having acute lymphocytic
leukemia. The white blood cell (WBC) count, especially the
neutrophil count, is low. What is the most important intervention the
nurse should teach the parents?
You Selected:

• Protect your child from infections because his resistance to
infection is decreased Correct response:
• Protect your child from infections because his resistance to
infection is decreased


Question 4
The nurse is caring for a client with influenza. The most effective
way to decrease the spread of microorganisms is:
You Selected:

• placing the client in isolation.
Correct response:

• washing the hands frequently.


Question 5
A client with a history of hypertension has been prescribed a new
antihypertensive medication and is reporting dizziness. Which is the
best way for the nurse to assess blood pressure?
You Selected:

• in the supine, sitting, and standing positions Correct
response:

• in the supine, sitting, and standing positions

, Question 6
A client has a soft wrist-safety device. Which assessment finding
should the nurse investigate further?
You Selected:
• cool, pale fingers Correct
response:

• cool, pale fingers



Question 7
A nurse is caring for a female client before surgery. The client states
that she is glad that she will not be going through menopause as a
result of her surgery and is only having her uterus removed. The
nurse reviews the consent form and notes that the surgery is for a
total abdominal hysterectomy with a salpingo-oophorectomy. What
should the nurse do in this situation?
You Selected:

• Contact the surgeon to explain that the client needs further
clarification regarding surgery.
Correct response:

• Contact the surgeon to explain that the client needs further
clarification regarding surgery.



Question 8
A young client diagnosed with schizophrenia is talking with the
nurse and says, "You know, when I thought everyone was out to get
me, I was staying in my apartment all the time. Now, I would like to
get out and do things again." What is the best initial response by the
nurse?
You Selected:

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Publisher: 2019 ISBN: 9780323653435 Edition: Unknown

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