Hesi Rn Exam 2024-2025 Questions And Answers

HESI RN EXAM 2024-2025 QUESTIONS and ANSWERS An infant with hyperbilirubinaemia is receiving phototherapy. What intervention should the nurse implement? -maintain NPO -monitor temp -apply skin lotion as prescribed -change t-shirt every 3 hours - ANSWER>>B. Monitor temperature The nurse notes an irregular bluish hue on the sacral area of a 1 day old Hispanic infant. How should the nurse document this finding? -acrocyanosis -mongolian spots -erythema toxicum -harlequin sign - ANSWER>>B. Mongolian spots A neonate who is receiving an exchange transfusion for hemolytic disease develops respiratory distress, tahcycardia, and a cutaneous rash. What nursing intervention should be implemented first? -inform HCP -stop the transfusion -administer calcium gluconate -monitor VS electronically - ANSWER>>B. Stop the transfusion The nurse assesses a high risk neonate under a radiant warmer who has an umbilical catheter and identifies that the neonate's feet are blanched. What nursing action should be implemented? -place socks on infant -elevate feet 15 degrees -wrap feet loosely in prewired blanket -report findings to HCP - ANSWER>>D. Report findings to the healthcare providerWhat nursing action should be implemented when intermittently gavage-feeding a preterm infant? -allow formula to flow by gravity -avoid letting infant suck on tube -insert feeding tube through nares