Pediatrics HESI PN Review, Maternity

Med Surg V2 PN HESI, OB HESI, Pediatrics HESI PN Review, Maternity

NCLEX PN

• A primigravid client at 26 weeks' gestation asks the nurse what causes

heartburn during pregnancy. The nurse should explain to the client that heartburn during pregnancy is usually caused by which of the following?

• Increased peristaltic action during pregnancy.
• Displacement of the stomach by the diaphragm.
• Decreased secretion of hydrochloric acid.
• Backflow of stomach contents into the esophagus. - ANSWER
• Backflow of stomach contents into the esophagus.
• A client at a follow-up appointment after having a miscarriage 2

weeks previously yells at the nurse, "How could God do this to me? I've never done anything wrong." Which of the following responses by the nurse would be most appropriate at this time?

• "God can handle your anger. It's okay." 1 / 4

• "I know you are angry. It's so hard to lose your baby."
• "It isn't God's fault. It was an accident."
• "You're a strong person. You will get through this." - ANSWER
• "I know you are angry. It's so hard to lose your baby."
• A client who has been prescribed chemotherapy is worried and wants

to take herbal treatments instead. The nurse's best response to the client is which of the following?

• "You are making a mistake and placing your life in jeopardy."
• "Herbal treatments are not approved by the government's regulatory

agency."

• "Herbal treatments have not been researched with cancer."
• "Tell me about your concerns with chemotherapy." - ANSWER
• "Tell me about your concerns with chemotherapy."
• A 4-year-old child is admitted for a cardiac catheterization. Which of

the following is most important to include as the nurse teaches this child about the cardiac catheterization?

• A plastic model of the heart.
• A catheter that will be inserted into the artery.
• The parents.
• Other children undergoing a catheterization. - ANSWER
• The parents. 2 / 4

• A client has a reddened area over a bony prominence. The nurse finds

a nursing

assistant massaging this area. The nurse should:

• Reinforce the nursing assistant's use of this intervention over the bony

prominence.

• Explain to the nursing assistant that massage is effective because it

improves blood flow to the area.

• Inform the nursing assistant that massage is even more effective when

combined with the use of lotion.

• Instruct the nursing assistant that massage is contraindicated because

it decreases blood flow to the area. - ANSWER 4. Instruct the nursing assistant that massage is contraindicated because it decreases blood flow to the area.

• A worried mother confides in the nurse that she wants to change

primary care providers because her infant is not getting better. The best response by the nurse is which of the following?

• "This doctor has been on our staff for 20 years."
• "I know you are worried, but the doctor has an excellent reputation."
• "You always have an option to change. Tell me about your concerns." 3 / 4

• "I take my own children to this doctor." - ANSWER
• "You always have an option to change. Tell me about your concerns."
• A mother who is breast-feeding and has known food sensitivities is

asking the nurse what foods she should avoid in her diet. The nurse should advise her to avoid which foods? Select all that apply.

• Shellfish.
• Eggs.
• Peanuts.
• Beef.
• Lamb. - ANSWER 1. Shellfish.
• Eggs.
• Peanuts.
• A widowed client who is receiving chemotherapy tells the nurse that

he does not

like to cook for himself. A community resource for this client is:

• Hospice/palliative care association.
• Home care/visiting nurses group.
• Meals on Wheels.
• Association for Retirees. - ANSWER 3. Meals on

Wheels.

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