Ob_Peds Hesi Exam025

OB/Peds HESI EXAM 2025
Study online at https://quizlet.com/_hm0jgg

3. tachycardia

RATIONALE:
The RN is monitoring an infant with CHD
HF is the inability of the heart to pump
closely for SSx of HF. The RN should
a sufficient amt of blood to meet the
assess the infant for which early sign of
O2 and metabolic needs of the body.
HF?
The early SSx of HF include tachycar-
dia, tachypnea, profuse scalp sweating,
1.Pallor
fatigue & irritability, sudden weight gain,
2.Cough
and resp distress. A cough may occur
3.Tachycardia
in HF as a result of mucosal swelling &
4.Slow and shallow breathing
irritation, but is not an early sign. Pallor
may be noted in an infant w/ HF, but is
not an early sign.
4. anti-streptolysin O titer

The nurse reviews the laboratory results RATIONALE:
for a child with a suspected diagnosis of Rheumatic fever is an inflammatory au-
rheumatic fever, knowing that which lab- toimmune disease that affects the CT
oratory study would assist in confirming of the heart, joints, skin (SQ tissues),
the diagnosis? 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
3.White blood cell count addition, evidence of a recent strep infec-
4.Anti-streptolysin O titer tion is confirmed by a + anti-streptolysin
O titer, streptozyme assay, or anti-DNase
B assay.
3. conjunctival hyperemia
On assessment of a child admitted with
RATIONALE:
a diagnosis of acute-stage Kawasaki dis-
Kawasaki disease, aka mucocutaneous
ease, the nurse expects to note which
lymph node syndrome, is an acute sys-
clinical manifestation of the acute stage
temic inflammatory illness. In the acute
of the disease?
stage, the child has a fever, conjuncti-
val hyperemia, red throat, swollen hands,
1.Cracked lips
rash, and enlargement of the cervical
lymph nodes. In the subacute stage,


, OB/Peds HESI EXAM 2025
Study online at https://quizlet.com/_hm0jgg
cracking lips and fissures, desquamation
of the skin on the tips of the fingers and
2.Normal appearance
toes, joint pain, cardiac manifestations,
3.Conjunctival hyperemia
and thromobocytosis occur. In the conva-
4.Desquamation of the skin
lescent stage, the child appears normal,
but SSx of inflammation may be present
The mother of a child being discharged
after heart surgery asks the nurse when
the child will be able to return to school.
Which is the most appropriate response 4. "The child may return to school in 3
to the mother? weeks but needs to go half-days for the
1st few days"
1."The child may return to school in 1
week." RATIONALE:
2."The child will not be able to return to After heart surgery, the child may be able
school during this academic year." to return to school in 3 weeks but needs
3."The child may return to school in 1 to go half-days for the 1st few days. The
week but needs to go half-days for the mother also should be told that the child
first 2 weeks." cannot participate in PE for 2 months.
4."The child may return to school in 3
weeks but needs to go half-days for the
first few days."
Prostaglandin E1 is prescribed for a
child with transposition of the great ar-
teries. The mother of the child is a regis-
2. maintains adequate CO
tered nurse and asks the nurse why the
child needs the medication. What is the
RATIONALE:
most appropriate response to the mother
A child with transposition of the great
about the action of the medication?
arteries may receive prostaglandin E1
temporarily to increased blood mixing if
1.Prevents blue (tet) spells
systemic and pulmonary mixing is inad-
2.Maintains adequate cardiac output
equate to maintain adequate CO.
3.Maintains an adequate hormonal level
4.Maintains the position of the great ar-
teries
The nurse is assessing a newborn with
heart failure before administering the
prescribed digoxin. In reviewing the lab-


, OB/Peds HESI EXAM 2025
Study online at https://quizlet.com/_hm0jgg
oratory data, the nurse notes that the
newborn has a digoxin blood level of
1.6 ng/mL (2.05 mmol/L) and an apical 4. withhold the med and notify HCP
heart rate of 90 beats/min. The mother
also tells the nurse that the newborn just RATIONALE:
vomited her formula. Which intervention The apical pulse rate for a newborn is
should the nurse take? 120-160 bpm. The therapeutic dig level
is 0.5-0.8. Bc the apical rate is low and
1.Retake the apical pulse. the dig blood level is elevated, indicating
2.Administer the medication. toxicity, the RN would withhold the med
3.Withhold the medication for 1 hour. and notify the HCP
4.Withhold the medication and notify the
health care provider.
1. withhold the med
The nurse is preparing to administer
digoxin to an infant with heart failure.
RATIONALE:
Before administering the medication, the
Dig is a cardiac glycoside that is used
nurse double-checks the dose, counts
to treat HF. A primary concern is dig
the apical heart rate for 1 full minute, and
toxicity, and the RN needs to monitor
obtains a rate of 80 beats/minute. Based
closely for SSx of toxicity and monitor dig
on this finding, which is the appropriate
blood levels. The med is effective within
nursing action?
a narrow therapeutic dig range (0.5-0.8).
Safety in administration is achieved by
1.Withhold the medication.
double checking the dose and counting
2.Administer the medication.
the apical HR for 1 full minute. The apical
3.Check the blood pressure and then ad-
HR for an infant is 90-130 bpm. If the HR
minister the medication.
is less than 90 bpm in an infant, the RN
4.Check the respiratory rate and then
would withhold the dose and contact the
administer the medication.
HCP.

The nurse is creating a plan of care
for a child admitted with a diagnosis of
Kawasaki disease. In developing the ini- 2. HF
tial plan of care, the nurse should include
monitoring the child for signs of which RATIONALE:
condition? Nursing care initially centers on observ-
ing for SSx of HF. The RN monitors for
1.
Bleeding