HESIPN COMPREHENSIVE
EXAM2 2023REAL EXAM
LATEST
UPDATE APRIL2023\2024
A newborn with apnea is being discharged from the hospital with home
... [Show More] monitoring.
What information concerning the infant's care should the practical nurse review with the
parents?
A. Cardiopulmonary resuscitation (CPR).
B. Administration of intravenous antibiotics.
C. Reassurance that the infant cannot be electrocuted during monitoring.
D. Advise that the infant not be left with caretakers, such as babysitters. - Answer -=A.
Cardiopulmonary resuscitation (CPR).
Rationale: Apnea of infancy (AOI) engenders great anxiety in parents, and the initiation
of home monitoring presents additional emotional stress. When home monitoring is
required the parents should receive instructions that include cardiopulmonary
resuscitation(A). (B) does not indicate Apnea
Which protocol regarding standard policies about prescriptions should the practical
nurse (PN) question?
A. All drug prescriptions should have the date, time, and prescriber's signature.
B.Verbal orders are accepted from prescribers and should include signatures.
C. Prescribers may write specific times at which the medications are to be given.
D. Preoperative prescriptions should be resumed after a client returns from surgery -
Answer -=D. Preoperative prescriptions should be resumed after a client returns from
surgery.
Rationale: A standard policy about preoperative medications that preoperative
prescriptions are automatically canceled for surgery and should be rewritten, if indicated
, in the postoperatively so the (PN) should question (D). (A,B,C) are correct statements.
When reviewing the safety precautions regarding newborns, what information should
the practical nurse communicate to the parents?
A. Position the infant to sleep on the baby's back.
B. Use a crib with slats no more than 4 inches apart.
C. Propping a bottle can be done when the infant gets older.
D. Place the infant a front-facing car seat in the automobile. - Answer -=A. Position the
infant to sleep on the baby's back.
Rationale: The incident of sudden infant death syndrome (SIDS) decline when infants
are positioned on their backs (A), instead of prone for sleeping. Crib slats (B) 2.375
inches apart to prevent the baby from slipping. (C) Never prop a babies bottle. (D)Infant
who weighs less than 30lbs should be placed in a rear facing car seat.
When monitoring a newborn, which observation should the practical nurse report to the
healthcare provider?
A. Rectal temperature of 37.6° C.
B. Axillary temperature of 37.1° C.
C. Heart rate of 110 beats per minute. Correct
D. Respiration rate of 40 breaths per minute. - Answer -=C. Heart rate of 110 beats per
minute
Rationale: The normal range for a heart beat for an infant is 120-160 so a heart rate of
110 should be reported to the healthcare provider. Newborn temperature ranges from
97.7,99.4,36.5,37.5 and normal respiratory rate is 30-60 [Show Less]