OB/Peds HESI Practice Questions
A 1-12 months-old child is diagnosed with intussusception, and the mother of the child asks the
pupil nurse to describe the sickness. Which statement by way of the student nurse suggests
correct expertise of this disease?
1.
"It is an acute bowel obstruction."
2.
"It is a situation that reasons an acute inflammatory manner inside the bowel."
3.
"It is a condition in which a distal segment of the bowel prolapses into a proximal segment of the
bowel."
four.
"It is a circumstance wherein a proximal section of the bowel prolapses into a distal segment of
the bowel." - ANS-4. It is a situation in which the proximal phase of the bowel prolapses right
into a distal phase of the bowel
A 12-year-vintage child with newly diagnosed thalassemia is delivered to the health center
exhibiting not on time sexual maturation, fatigue, anorexia, pallor, and lawsuits of headache.
The baby seems listless and small for age and has frontal bossing. What have to the nurse
count on to observe on overview of the outcomes of the laboratory checks?
1.Macrocytosis and hyperchromia
2.Excessive purple blood cell manufacturing
three.Excessive mature erythrocyte proliferation
four.Deficient production of purposeful hemoglobin - ANS-4. Deficient production of useful hgb
RATIONALE:
Defective hgb is produced as a result of genetically poor beta-polypeptide. This hgb is volatile,
disintegrates, and damages the erythrocytes. Rapid destruction of the purple cells stimulates
fast production of immature crimson cells, and the internet gain is less than optimally functioning
crimson cells. Iron from the RBC destruction is stored within the tissues, causing a couple of
troubles. In thalassemia, immature erythrocytes proliferate, no longer mature ones. This is a
progressive anemia. The nurse additionally might observe microcytosis and hypochromia
A 12-yr-old woman is admitted to the medical institution with suspected appendicitis. What
nursing interventions need to be carried out preoperatively?
1.Applying a heating pad for 5-minute durations as prescribed
2.Administering acetaminophen as wanted for ache, as prescribed
,three.Placing the adolescent in a fetal role, facet-mendacity with legs drawn up to chest
4.Inserting a nasogastric tube and attaching it to low intermittent suction; measuring drainage as
prescribed - ANS-3. Placing the adolescent in a fetal position, facet lying w/ legs drawn up to
chest
RATIONALE:
A pt w/ appendicitis is more secure while mendacity in what's traditionally known as the fetal
function, w/ legs drawn up closer to the chest. This flexed positioning assists in reducing the
pain that comes w/ appendicitis by means of reducing the stress at the stomach area. A heating
pad can result in a ruptured appendix. Pain meds are not given to the pt bc they masks the SSx
that accompany a ruptured appendix. A NGT can be necessary publish-op for gastric
decompression, or pre-op if perforation happens.
A three-12 months-old toddler is visible within the fitness care medical institution, and a
diagnosis of encopresis is made. The nurse expects to offer teaching about which client hassle?
1.Odor
2.Nausea
three.Malaise
four.Diarrhea - ANS-1. Scent
RATIONALE:
Encopresis is the repeated voluntary or involuntary passage of feces of ordinary or
near-everyday consistency in places now not appropriate for that cause consistent with the
individual's very own sociocultural placing. SSx include evidence of dirty clothing, scratching or
rubbing the anal place bc of inflammation, fecal scent w/o apparent recognition by using the kid,
and social withdrawal
A infant admitted to the health facility with a diagnosis of gastroenteritis and dehydration weighs
17 kilos 2 oz. (7.Eight kg). The dad and mom nation that his preadmission weight turned into 18
pounds four oz. (8.3 kg). Based on weight on my own, what form of dehydration does the nurse
anticipate?
1.Mild dehydration
2.Moderate dehydration
three.Severe dehydration
4.Acute dehydration - ANS-2. Mod dehydration
RATIONALE:
Mild dehydration is a weight loss much less than five%; moderate dehydration is five-10%;
excessive dehydration is >10% weight reduction. All forms of dehydration are acute conditions.
A child has been recognized with acute otitis media of the right ear. Which interventions have to
the nurse encompass in the plan of care? Select all that observe.
, 1.Provide a tender food plan.
2.Position the child on the left facet.
3.Administer an antihistamine twice daily.
4.Irrigate the right ear with everyday saline every eight hours.
Five.Administer ibuprofen for fever each 4 hours as prescribed and as wished.
6.Instruct the dad and mom approximately the want to manage the prescribed antibiotics for the
full route of therapy. - ANS-1. Offer tender weight loss plan
five. Administer ibuprofen for fever q4h as Rx'd and PRN
6. Coach the dad and mom approximately the need to manage the Rx'd abx for the total
direction of remedy
RATIONALE:
Acute OM is an inflammatory d/o because of an infection of the center ear. The child regularly
has fever, pain, loss of urge for food, and viable ear drainage. The infant is also irritable and
lethargic and can roll the head or pull at the or rub the affected ear. Otoscopic examination can
also display a purple, opaque, bulging, and motionless tympanic membrane. Hearing loss may
be stated in particular in chronic OM. The infant's fever ought to be treated with ibuprofen. The
infant is positioned on his/her affected aspect to facilitate drainage. A smooth weight-reduction
plan is suggested in the course of the intense stage to avoid ache which can arise w/ chewing.
Abx are Rx'd to treat the bacterial contamination and must be administered for the overall Rx'd
direction. The ear have to not be irrigated with NS bc it could exacerbate the irritation in
addition. Antihistamines aren't commonly recommended as a part of the therapy
A child is admitted to the pediatric unit with a diagnosis of acute stage Kawasaki disease. Which
evaluation findings by the nurse are characteristic of this disorder? Select all that practice.
1.Red throat
2.Cracking lips
3.Conjunctival hyperemia
4.Desquamation of the pores and skin
5.Enlargement of the cervical lymph nodes - ANS-1. Purple throat
three. Conjuctival hyperemia
five. Enlargement of the cervical lymph nodes
RATIONALE:
Kawasaki disease is called mucocutaneous lymph node syndrome and is an acute systemic
inflammatory disease. Assessment findings in the extreme degree consist of fever, conjunctival
hyperemia, crimson throat, swollen palms, rash, and expansion of the cervical lymph nodes.
Desquamation of the skin, cracking lips, joint pain, cardiac manifestations, and thrombocytosis
are traits of the subacute level
A 1-12 months-old child is diagnosed with intussusception, and the mother of the child asks the
pupil nurse to describe the sickness. Which statement by way of the student nurse suggests
correct expertise of this disease?
1.
"It is an acute bowel obstruction."
2.
"It is a situation that reasons an acute inflammatory manner inside the bowel."
3.
"It is a condition in which a distal segment of the bowel prolapses into a proximal segment of the
bowel."
four.
"It is a circumstance wherein a proximal section of the bowel prolapses into a distal segment of
the bowel." - ANS-4. It is a situation in which the proximal phase of the bowel prolapses right
into a distal phase of the bowel
A 12-year-vintage child with newly diagnosed thalassemia is delivered to the health center
exhibiting not on time sexual maturation, fatigue, anorexia, pallor, and lawsuits of headache.
The baby seems listless and small for age and has frontal bossing. What have to the nurse
count on to observe on overview of the outcomes of the laboratory checks?
1.Macrocytosis and hyperchromia
2.Excessive purple blood cell manufacturing
three.Excessive mature erythrocyte proliferation
four.Deficient production of purposeful hemoglobin - ANS-4. Deficient production of useful hgb
RATIONALE:
Defective hgb is produced as a result of genetically poor beta-polypeptide. This hgb is volatile,
disintegrates, and damages the erythrocytes. Rapid destruction of the purple cells stimulates
fast production of immature crimson cells, and the internet gain is less than optimally functioning
crimson cells. Iron from the RBC destruction is stored within the tissues, causing a couple of
troubles. In thalassemia, immature erythrocytes proliferate, no longer mature ones. This is a
progressive anemia. The nurse additionally might observe microcytosis and hypochromia
A 12-yr-old woman is admitted to the medical institution with suspected appendicitis. What
nursing interventions need to be carried out preoperatively?
1.Applying a heating pad for 5-minute durations as prescribed
2.Administering acetaminophen as wanted for ache, as prescribed
,three.Placing the adolescent in a fetal role, facet-mendacity with legs drawn up to chest
4.Inserting a nasogastric tube and attaching it to low intermittent suction; measuring drainage as
prescribed - ANS-3. Placing the adolescent in a fetal position, facet lying w/ legs drawn up to
chest
RATIONALE:
A pt w/ appendicitis is more secure while mendacity in what's traditionally known as the fetal
function, w/ legs drawn up closer to the chest. This flexed positioning assists in reducing the
pain that comes w/ appendicitis by means of reducing the stress at the stomach area. A heating
pad can result in a ruptured appendix. Pain meds are not given to the pt bc they masks the SSx
that accompany a ruptured appendix. A NGT can be necessary publish-op for gastric
decompression, or pre-op if perforation happens.
A three-12 months-old toddler is visible within the fitness care medical institution, and a
diagnosis of encopresis is made. The nurse expects to offer teaching about which client hassle?
1.Odor
2.Nausea
three.Malaise
four.Diarrhea - ANS-1. Scent
RATIONALE:
Encopresis is the repeated voluntary or involuntary passage of feces of ordinary or
near-everyday consistency in places now not appropriate for that cause consistent with the
individual's very own sociocultural placing. SSx include evidence of dirty clothing, scratching or
rubbing the anal place bc of inflammation, fecal scent w/o apparent recognition by using the kid,
and social withdrawal
A infant admitted to the health facility with a diagnosis of gastroenteritis and dehydration weighs
17 kilos 2 oz. (7.Eight kg). The dad and mom nation that his preadmission weight turned into 18
pounds four oz. (8.3 kg). Based on weight on my own, what form of dehydration does the nurse
anticipate?
1.Mild dehydration
2.Moderate dehydration
three.Severe dehydration
4.Acute dehydration - ANS-2. Mod dehydration
RATIONALE:
Mild dehydration is a weight loss much less than five%; moderate dehydration is five-10%;
excessive dehydration is >10% weight reduction. All forms of dehydration are acute conditions.
A child has been recognized with acute otitis media of the right ear. Which interventions have to
the nurse encompass in the plan of care? Select all that observe.
, 1.Provide a tender food plan.
2.Position the child on the left facet.
3.Administer an antihistamine twice daily.
4.Irrigate the right ear with everyday saline every eight hours.
Five.Administer ibuprofen for fever each 4 hours as prescribed and as wished.
6.Instruct the dad and mom approximately the want to manage the prescribed antibiotics for the
full route of therapy. - ANS-1. Offer tender weight loss plan
five. Administer ibuprofen for fever q4h as Rx'd and PRN
6. Coach the dad and mom approximately the need to manage the Rx'd abx for the total
direction of remedy
RATIONALE:
Acute OM is an inflammatory d/o because of an infection of the center ear. The child regularly
has fever, pain, loss of urge for food, and viable ear drainage. The infant is also irritable and
lethargic and can roll the head or pull at the or rub the affected ear. Otoscopic examination can
also display a purple, opaque, bulging, and motionless tympanic membrane. Hearing loss may
be stated in particular in chronic OM. The infant's fever ought to be treated with ibuprofen. The
infant is positioned on his/her affected aspect to facilitate drainage. A smooth weight-reduction
plan is suggested in the course of the intense stage to avoid ache which can arise w/ chewing.
Abx are Rx'd to treat the bacterial contamination and must be administered for the overall Rx'd
direction. The ear have to not be irrigated with NS bc it could exacerbate the irritation in
addition. Antihistamines aren't commonly recommended as a part of the therapy
A child is admitted to the pediatric unit with a diagnosis of acute stage Kawasaki disease. Which
evaluation findings by the nurse are characteristic of this disorder? Select all that practice.
1.Red throat
2.Cracking lips
3.Conjunctival hyperemia
4.Desquamation of the pores and skin
5.Enlargement of the cervical lymph nodes - ANS-1. Purple throat
three. Conjuctival hyperemia
five. Enlargement of the cervical lymph nodes
RATIONALE:
Kawasaki disease is called mucocutaneous lymph node syndrome and is an acute systemic
inflammatory disease. Assessment findings in the extreme degree consist of fever, conjunctival
hyperemia, crimson throat, swollen palms, rash, and expansion of the cervical lymph nodes.
Desquamation of the skin, cracking lips, joint pain, cardiac manifestations, and thrombocytosis
are traits of the subacute level
