HESI PN OBSTETRICS / MATERNITY EXAM
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1.
The practical nurse (PN) is monitoring a child who is manifesting signs of shock after a motor vehicle
collision. Which finding is most important for the PN to report to the charge nurse?
A) Narrowing pulse pressure
B) Apprehension
C) Irritability
D) Thirst
Answer: A
EXPLANATION: Narrowing pulse pressure is a late and critical sign of decompensated shock. It
indicates decreasing cardiac output and perfusion. It requires immediate intervention.
2.
The mother of a 9-month-old infant is concerned because he cries whenever she leaves him with a sitter.
What is the best response by the PN?
A) "Have you noticed whether your baby is teething?"
B) "Crying when you leave him is a healthy sign of attachment."
C) "Consider taking the baby to the doctor because he may be ill."
D) "You could consider leaving the infant more often so he can adjust."
Answer: B
EXPLANATION: Stranger anxiety at this age reflects healthy emotional development and attachment.
3.
Which preoperative action is most important for a newborn with meningomyelocele?
A) Document vital signs
B) Prevent skin breakdown
C) Minimize risk for infection
D) Monitor neurologic functioning
Answer: C
EXPLANATION: The open sac increases risk of meningitis. Infection control is the highest priority.
4.
A 6-year-old who had surgery 12 hours ago denies pain to the nurse but admits pain to parents later.
Which concept applies?
A) Inconsistency means pain is not present
B) A child may have pain but deny it to the nurse
C) Truthful reporting of pain should occur by this age
, D) Child is manipulating the parents
Answer: B
EXPLANATION: Children may fear injections or punishment and deny pain to healthcare professionals.
5.
What should a PN offer a 6-year-old post-tonsillectomy child who is thirsty?
A) Popsicle
B) Lemonade
C) Orange juice
D) Chocolate milk
Answer: A
EXPLANATION: Cold, clear fluids like popsicles soothe the throat. Citrus and dairy are not appropriate.
6.
A mother reports yellow crust over a newborn’s circumcision site. What should the PN say?
A) Do not remove the yellow crust
B) Stop using petroleum jelly
C) Bring the infant to the clinic
D) Tightly fasten the diaper
Answer: A
EXPLANATION: Yellow crust indicates normal healing. It should not be removed.
7.
Which initial home care action should the PN suggest for a child with croup?
A) Take child outside in cool air
B) Bring child to ER immediately
C) Sit in a steamy bathroom
D) Have the child drink fluids
Answer: C
EXPLANATION: High humidity helps reduce laryngeal inflammation and stridor.
8.
Which finding confirms intussusception in an infant?
A) Red currant jelly stools
B) Clay-colored stools
C) Constant abdominal pain
D) Projectile vomiting
Answer: A
EXPLANATION: Blood and mucus in stools is characteristic of intussusception.
9.
Which activity reflects normal 2-year-old cognitive development?
A) 1000-word vocabulary
B) Uses short sentences
C) Initiates group play
D) Understands right and wrong
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1.
The practical nurse (PN) is monitoring a child who is manifesting signs of shock after a motor vehicle
collision. Which finding is most important for the PN to report to the charge nurse?
A) Narrowing pulse pressure
B) Apprehension
C) Irritability
D) Thirst
Answer: A
EXPLANATION: Narrowing pulse pressure is a late and critical sign of decompensated shock. It
indicates decreasing cardiac output and perfusion. It requires immediate intervention.
2.
The mother of a 9-month-old infant is concerned because he cries whenever she leaves him with a sitter.
What is the best response by the PN?
A) "Have you noticed whether your baby is teething?"
B) "Crying when you leave him is a healthy sign of attachment."
C) "Consider taking the baby to the doctor because he may be ill."
D) "You could consider leaving the infant more often so he can adjust."
Answer: B
EXPLANATION: Stranger anxiety at this age reflects healthy emotional development and attachment.
3.
Which preoperative action is most important for a newborn with meningomyelocele?
A) Document vital signs
B) Prevent skin breakdown
C) Minimize risk for infection
D) Monitor neurologic functioning
Answer: C
EXPLANATION: The open sac increases risk of meningitis. Infection control is the highest priority.
4.
A 6-year-old who had surgery 12 hours ago denies pain to the nurse but admits pain to parents later.
Which concept applies?
A) Inconsistency means pain is not present
B) A child may have pain but deny it to the nurse
C) Truthful reporting of pain should occur by this age
, D) Child is manipulating the parents
Answer: B
EXPLANATION: Children may fear injections or punishment and deny pain to healthcare professionals.
5.
What should a PN offer a 6-year-old post-tonsillectomy child who is thirsty?
A) Popsicle
B) Lemonade
C) Orange juice
D) Chocolate milk
Answer: A
EXPLANATION: Cold, clear fluids like popsicles soothe the throat. Citrus and dairy are not appropriate.
6.
A mother reports yellow crust over a newborn’s circumcision site. What should the PN say?
A) Do not remove the yellow crust
B) Stop using petroleum jelly
C) Bring the infant to the clinic
D) Tightly fasten the diaper
Answer: A
EXPLANATION: Yellow crust indicates normal healing. It should not be removed.
7.
Which initial home care action should the PN suggest for a child with croup?
A) Take child outside in cool air
B) Bring child to ER immediately
C) Sit in a steamy bathroom
D) Have the child drink fluids
Answer: C
EXPLANATION: High humidity helps reduce laryngeal inflammation and stridor.
8.
Which finding confirms intussusception in an infant?
A) Red currant jelly stools
B) Clay-colored stools
C) Constant abdominal pain
D) Projectile vomiting
Answer: A
EXPLANATION: Blood and mucus in stools is characteristic of intussusception.
9.
Which activity reflects normal 2-year-old cognitive development?
A) 1000-word vocabulary
B) Uses short sentences
C) Initiates group play
D) Understands right and wrong
