FREE AND STUDY GAMES ABOUT 346 HESI EXAM

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FREE AND STUDY GAMES ABOUT 346 HESI EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -128 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: What assessment finding should the nurse report to the healthcare provider that is consistent with concealed hemorrhage in an abruptio placenta?

Answer:

Hard, board-like abdomen. **Abruptio placenta causes concealed intrauterine hemorrhage when the placenta separates and its edges do not.Question 2: A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing history, the client indicates that she has delivered premature twins, one full-term baby, and has had no abortions. GTPAL

Answer:

3-1-1-0-3 (twins are ONE pregnancy) Question 3: A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What intervention should the nurse perform first?

Answer:

Bathe the infant with an antimicrobial soap. To reduce direct contact with the human immuno-virus in blood and body fluids

Question 4: An adult client who has been hospitalized for two weeks for chronic paranoia continues to state that someone is trying to steal the client's clothing. Which action should the nurse to take?

Answer:

Encourage the client to actively participate in assigned activities on the unit.

Question 5: Preterm premature rupture of membranes (PPROM)

Answer:

PPROM is PROM that occurs before 36 weeks of gestation. Contractions may or may not be present.PPROM is often associated with PTL, with the greatest risks from preterm birth occurring before completing 34 weeks of gestation.Question 6: A female client with depression attends group and states that she sometimes misses her medication appointments because she feels very anxious about riding the bus.Which statement is the nurse's best response?

Answer:

What are some ways that you can cope with your anxiety? **open-ended questions assists to problem solving Question 7: The infant has spontaneous respirations and the nurse assesses an apical heart rate of 80 beats/minute and respirations of 20 breaths/minute. What action should the nurse perform next?

Answer:

initiate positive pressure ventilation Question 8: A primigravida client who is 5 cm dilated, 90% effaced, and at 0 station is requesting an epidural for pain relief. Which assessment finding is most important for the nurse to report to the healthcare provider?

Answer:

A platelet count of 67,000/mm3. Thrombocytopenia (low platelet count) should be reported to the healthcare provider because it places the client at risk for bleeding when an epidural is administered.

Question 9: attachment/bonding theory

Answer:

tracing infants profile while holding in arms

Question 10: A 38-year-old female client is admitted with a diagnosis of paranoid schizophrenia.When her tray is brought to her, she refuses to eat and tells the nurse, "I know you are trying to poison me with that food." Which response is best for the nurse to make?

Answer:

I'll leave your tray here. I am available if you need anything else. **do not argue with a client who is paranoid nor demand that the client eat, but should be supportive and convey the nurse's availability if needed.Question 11: The nurse is preparing to administer phenelzine sulfate (Nardil) to a client on the psychiatric unit. Which side effect reported by the client is related to administration of this drug?

Answer:

My mouth feels like cotton. **A dry mouth is an anticholinergic response that is an expected side effect of MAO inhibitors

Question 12: COWS

Answer:

COWS is an opioid withdrawal scale that helps the nurse assess for opioid withdrawal symptoms such as joint pain, runny nose, and piloerection. Clinical Opiate Withdrawal Scale.

Question 13: microcephaly

Answer:

small, underdeveloped head of baby.**cephalic- of, in , or relation to head Question 14: A client receiving epidural anesthesia begins to experience nausea and becomes pale and clammy. What intervention should the nurse implement first?

Answer:

Raise the foot of the bed. **suggestive of hypotension which is a side effect of epidural anesthesia.Raising the foot of the bed will increase venous return and provide blood to the vital areas.Question 15: pale, straw-colored fluid with small white particles. After reviewing the fetal monitor strip for fetal distress, what action should the nurse implement?

Answer:

Perform a nitrazine test. **flecks of vernix with an alkaline pH, so should be done to confirm the pH of the fluid.

Question 16: When assisting a client to relieve postpaturm uterine contractions, which nursing intervention would be most helpful for the nurse to take?"

Answer:

Lying client prone with a pillow on the abdomen.Question 17: A client who gave birth to a healthy 8 pound infant 3 hours ago is admitted to the postpartum unit. Which nursing plan is best in assisting this mother to bond with her newborn infant?

Answer:

meet moms needs and demonstrate warmth towards infant-- "taking in phase" care for mom so she can care for babe

Question 18: abruptio placentae

Answer:

dark/red vaginal bleeding, increased uterine irritability, rigid abdomen

Question 19: Using an anticonvulsant for epilepsy.

Answer:

Anticonvulsants may yield false-positive pregnancy test results Question 20: An anxious client expressing a fear of people and open places is admitted to the psychiatric unit. What is the most effective way for the nurse to assist this client?

Answer:

Accompany the client outside for an increasing amount of time each day. **The process of gradual desensitization by controlled exposure to the situation which is feared, is the treatment of choice in phobic reactions Question 21: A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. What action should the nurse implement next?

Answer:

Determine the firmness of the fundus.Question 22: What action should the nurse implement with the family when an infant is born with anencephaly?

Answer:

Prepare the family to explore ways to cope with the imminent death of the infant. **Anencephaly, a neural tube congenital malformation, is the incomplete embryological formation of both cerebral hemispheres, which often results in death.