Hesi Pediatric (PEDS) Exit Exam (2025) (V1 & V2)New Questions andAnswers TB w/Pics…Grade A, Exams of Nursing

Hesi Pediatric (PEDS) Exit Exam (2025) (V1 & V2)New Questions andAnswers TB w/Pics…Grade A+

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2024/2025

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Hesi Pediatric (PEDS) Exit Exam (2025)
(V1 & V2)New Questions and Answers
TB w/Pics…Grade A+
1. The nurse is reviewing medical prescriptions for newly admitted clients. It would
be a priority for the nurse to follow up with the physician if a client with
(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c)
sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)
2. The nurse should intervene if the nurse notes a staff member
(a) obtaining a clients consent prior to their operative procedure after receiving
Ativan (lorazepam)
(b) placing a client on the affected side following surgical repair of a
retinal detachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a client
3. The community health nurse is caring for the following clients. It would be a
priority for the nurse to initiate a multidisciplinary conference for the client who is
(a) 12 years old with Autism who is starting a new school and recently had
a URI (upper respiratory tract infection)
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a
recent Hemoglobin A1c of 13%
(c) 52 years old, with Myasthenia Gravis, recently prescribed
Mestinon (pyridostigmine) and employed as a mail carrier
(d) 70 years old, has schizophrenia, lives alone and reports hearing non
threatening voices.
4. The nurse from the postpartum unit has been temporarily assigned to the medical
surgical unit. It would be most appropriate to assign this nurse to the client who*
(a) has returned from right total hip replacement surgery four hours ago
(b) is being observed for increased intracranial pressure
(c) had surgery two hours ago to remove the appendix
(d) is two weeks post partum being maintained on a mechanical ventilator for
respiratory failure
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Hesi Pediatric (PEDS) Exit Exam ( 202 5)

(V1 & V2)New Questions andAnswers

TB w/Pics…Grade A+

  1. The nurse is reviewing medical prescriptions for newly admitted clients. It would be a priority for the nurse to follow up with the physician if a client with (a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed (b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c) sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen) (d) sensitivity to Penicillin is prescribed Zithromax (azithromycin)
  2. The nurse should intervene if the nurse notes a staff member (a) obtaining a clients consent prior to their operative procedure after receiving Ativan (lorazepam) (b) placing a client on the affected side following surgical repair of a retinal detachment (c) handling a wet cast with the palms of the hands (d) using a broad base of support while transferring a client
  3. The community health nurse is caring for the following clients. It would be a priority for the nurse to initiate a multidisciplinary conference for the client who is (a) 12 years old with Autism who is starting a new school and recently had a URI (upper respiratory tract infection) (b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a recent Hemoglobin A1c of 13% (c) 52 years old, with Myasthenia Gravis, recently prescribed Mestinon (pyridostigmine) and employed as a mail carrier (d) 70 years old, has schizophrenia, lives alone and reports hearing non threatening voices.
  4. The nurse from the postpartum unit has been temporarily assigned to the medical surgical unit. It would be most appropriate to assign this nurse to the client who* (a) has returned from right total hip replacement surgery four hours ago (b) is being observed for increased intracranial pressure (c) had surgery two hours ago to remove the appendix (d) is two weeks post partum being maintained on a mechanical ventilator for respiratory failure
  1. The nurse in a well baby clinic has assessed several children today. It would be a priority for the nurse to suggest follow up for the child who is (a) 2 months old with a positive babinski refl ex (b) 5 months old and does not hold their own bottle (c) 10 months old who cries around strangers (d) 18 months old who needs support while ambulating
  2. The nurse is caring for a mechanically ventilated client who was declared brain dead. An Advance Directive is not documented on the medical record. It would be most appropriate to obtain consent for organ donation from the (a) client‘s primary care provider (b) client‘s nurse manager (c) closest living family member (d) hospital‘s ethics committee
  3. The nurse has received report on four clients. The nurse should fi rst assess the client who has* (a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading of 90% (b) Parkinson‘s Disease and is demanding to leave the hospital against medical advice (AMA) (c) been admitted with suspected Guillian-Barre´ Syndrome and has begun plasmapheresis therapy (d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+)
  4. It would be appropriate to assign which of these tasks to the CNA? (a) Feeding a client who is experiencing dysphagia (b) One-on-one client observation for safety (c) Removal of an indwelling catheter (d) Performing a simple dressing change
  5. The nurse should intervene if a staff member is observed (a) discussing a client‘s diagnosis with visiting family members (b) collaborating with another nurse to review a prescription for blood transfusion (c) interrupting other staff members discussing a client in the cafeteria (d) reviewing a clients lab values with the nutritionist

nurse for additional teaching? (a) ―This weekend we are going to a seafood restaurant.‖ (b) ―I can feed my child oatmeal and eggs for breakfast.‖ (c) ―My child loves to eat rice and chicken for dinner.‖ (d) ―Last night we ate fi sh with corn for dinner.‖

  1. The charge nurse is observing a Licensed Practical Nurse (LPN) performing carefor assigned clients. Follow up will be required if the LPN*: (a) assesses a client‘s apical pulse before administering Digoxin (lanoxin) (b) elevates the client‘s stump on a pillow eight hours after amputation (c) dons a clean glove on the dominant hand before tracheal suctioning (d) positions a client on the operative side following a pneumonectomy
  2. The nurse at a health promotion fair has taught a group of parents about car seat and seat belt safety. Which of the following statements, if made by the parent, would indicate a correct understanding of the information given? (a) ―I will place my newborn infant in a rear facing car seat in the middle of the rear seat.‖ (b) ―I will wear a lap seat belt high on my belly since I am 8 months pregnant.‖ (c) ―I can use a front-facing car seat once my baby weighs 15 pounds.‖ (d) ―I can allow my six-year-old to use a seat belt in the front passenger seat.‖
  3. The nurse is caring for a client being treated for Vancomycin Resistant Enterococcus (VRE). The nurse should place the client on (a) contact precautions (b) droplet precautions (c) protective precautions (d) airborne precautions
  4. The nurse is caring for a client with a Vancomycin Resistant Enterococcus (VRE) wound infection. Which of the following actions would be appropriate for the nurse to take? (a) Wear a particulate respirator mask when providing wound care (b) Instruct visitors not to bring fl owers into the client‘s room (c) Place the client in a private room with negative air pressure (d) Wear a disposable gown when changing the client‘s dressing

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  1. The nurse should initiate protective precautions for a client who has a (a) Red Blood Cell Count (RBC) of 3,900/mm 3 (b) Platelet count of 400,000μ/L (c) Hemoglobin (Hgb) 9.0 g/dl (d) White Blood Cell Count (WBC) 2,500/mm 3
  2. The nurse has provided health promotion teaching for a group of clients who were recently diagnosed with the Human immunodefi ciency virus (HIV). Which statement, if made by one of the clients, would require further teaching? (a) ―I am glad that I can still clean my parakeet‘s cage.‖ (b) ―I will not go to the parade this weekend.‖ (c) ―I will increase protein in my diet.‖ (d) ―I will miss not being able to work in my garden.‖
  3. The nurse in the emergency department is caring for clients admitted following a rescue from a burning bus. The nurse should fi rst see the client who (a) has the tibia bone protruding through the skin and is in severe pain (b) has third degree burns of the left foot and is crying (c) is unconscious, pulseless, and has dilated pupils (d) has soot on the face and the nares and is coughing
  4. A nurse is observing a newly-hired nurse provide care for assigned clients. The nurse should follow up if the newly-hired nurse is observed (a) wearing gloves when taking the blood pressure of a client with disseminated varicella zoster (b) cleansing the wound from the outer surface to the inner surface for a client whose wound is infected with a multi-drug resistant organism (c) washing the hands with the fi ngertips pointed downward before providing care for a client on protective precautions (d) removing the gloves before removing the gown when leaving a room of a client who is on contact precautions
  5. The nurse is caring for a client who has been diagnosed with rheumatoid arthritis. The nurse should anticipate that the client will initially be prescribed (a) Disease-modifying rheumatic agents (DMARDs) (b) Nonselective anti-infl ammatory drugs (NSAIDs)

2022 RN HESI EXIT EXAM - Version 1 (V1) All 160 Qs

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(c) regularly offer the infant a pacifi er to enhance the sucking refl ex (d) elevate the child‘s head forty fi ve degrees during feeding

29. The nurse is assessing a 3-year-old during a well-child visit. During the visit the boy says to his mother, ―Mommy, I love you. I‘m going to marry you.‖ Thenurse should (a) suggest to the mother not to encourage these types of statements (b) explain to the child that he will not be able to marry his mother even though he loves her (c) tell the mother that this statement is appropriate for his stage of development (d) recommend that the mother provide more opportunities for her son to play with other 3-year-old boys

  1. The nurse is assessing a child with coarctation of the aorta. Which of the following would be an expected fi nding? (a) diminished blood pressure in the upper extremities (b) excessive weight gain (c) high pitched murmur (d) absence of femoral pulses 31. The nurse is caring for a child with an acyanotic heart defect. Which of the following would be an expected fi nding. Select all that apply. (a) poor suck refl ex (b) tachycardia (c) increased respiratory rate (d) bradycardia (e) fainting spells (f) delayed growth and development
  2. The nurse is teaching a new mother about immunizations. Which of the following should the nurse include in the teaching? (a) ―Your baby should wait six months to receive any immunizations since the baby was born preterm.‖ (b) ―Your baby will receive the fi rst hepatitis B vaccine after one year of age.‖ (c) ―Acellular Pertussis vaccine has less side effects than whole-cell pertussis vaccine.‖

(d) The Haemophilus Infl uenza Type b (HIB) is given annually to protect against the fl u.‖

  1. The mother of an infant tells the nurse that the baby has not been tolerating feedings lately and she noticed an olive-shaped mass in the infant‘s abdomen. The nurse recognizes that this could be an expected fi nding if the infant has (a) intussusception (b) Hirschsprung‘s disease (c) umbilical hernia (d) pyloric stenosis 34. The nurse is teaching a group of parents about the expected growth and development of three-year-old children. The nurse should include that a three-year-old should (a) discriminate between fantasy and reality (b) ride a tricycle independently (c) have a vocabulary of 7,000 words (d) play in a group of two or three with one being the leader 35. The nurse and the nursing assistant are caring for a group of clients. Which of the following client care activities should the nurse assign to the nursing assistant? Select all that apply. (a) reinforcing the dressing of a client who has a decubitus ulcer (b) monitoring the vital signs of a client who had a myocardial infarction 12 hours ago and is being transferred from the coronary care unit (c) administering a prescribed Fleet‘s enema to a client who will undergo a colonoscopy in two hours (d) placing a client who had an above the knee amputation 24 hours ago in a prone position (e) assisting a client who had a colon resection 36 hours ago to ambulate (f) showing a client who had a vaginal hysterectomy 36 hours ago how to perform perineal care
  2. The nurse is caring for a client with Acquired immunodefi ciency syndrome (AIDS) who was started on Zidovidine (AZT). It would be important for the nurse toassess
  1. The primary health care provider has prescribed Heparin 5000 units SC. The drug available is heparin sodium 7500units/ml. Choose all of the correct answers for nursing considerations for the administration of heparin sodium. (a) administer the heparin in the abdomen (b) administer 0.5ml of heparin sodium (c) aspirate after inserting the needle (d) use a 1 inch 21 gauge needle (e) refrain from massaging the site after administer heparin (f) remember that protamine sulfate is the antidote for heparin
  2. The nurse has attended a staff development conference on cultural considerations for clients receiving hospice care. Which of the following statements if made by the nurse would require follow-up? (a) The family of a client of the Buddhist faith may ask for a priest to be present at the time of death (b) The family of a client of the Jewish faith may request to have mirrors covered after the death of the client (c) The family of a client of the Muslim faith may request that the body of the client be turned to face the East at the time of the client‘s death (d) The family of a client of the Hindu faith may request that the client body be bathed after the client‘s death
  3. The nurse is caring for a client with bipolar disorder who has Lithium (Lithotabs) prescribed. The nurse should suggest that the client have which of the following snacks? (a) A fresh fruit cup (b) Coffee and oatmeal cookies (c) Tuna fi sh salad on saltine crackers (d) Raw vegetables
  4. The nurse has provided discharge instructions for a client who has been prescribed Digoxin (Lanoxin). It would require follow up by the nurse if the client says (a) ―I will consult my primary health care provider before taking medications that contain aspirin.‖ (b) ―I will not take any antacids within two hours of taking the digoxin.‖ (c) ―I will avoid fruits such as avocados, grapefruit and cantaloupe.‖

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(d) ―I will remember that any visual disturbance can be a sign of digitalis toxicity.‖

  1. The nurse is caring for a client who has bumetanide (Bumex) prescribed. The nurse should suggest that the client include which of the following foods in the diet? (a) Apricots (b) Organ meats (c) Sardines (d) Apples
  2. The nurse is providing teaching for a client with ulcerative colitis_._ Select all of the following that the nurse should include in the teaching (a) steatorrhea commonly occurs or excessive secretion of fecal lipids is common (b) ulcerative colitis occurs most frequently in Jewish males 30-50 years of age (c) a diet high in residue and low in complex carbohydrates is helpful in controlling symptoms (d) Corticosteroids may be prescribed during an exacerbation (e) metronidazole (Flagyl) and ciprofl oxacin (Cipro) are antibiotics commonly used during acute exacerbations (f) eating small frequent meals and lying down after eating promotes absorption of nutrients
  3. The nurse is precepting a newly-hired nurse who is caring for a client receiving a prescribed continuous nasogastric feeding. The nurse should intervene immediately if the newly-hired nurse (a) instills 30cc of normal saline into the feeding tube while auscultating over the stomach for bowel sounds (b) checks the pH of the 60ml gastric aspirate removed from the feeding tube (c) maintains the client with the head of the bed elevated at 45 degrees (d) hangs four hours worth of prescribed feeding formula in an open delivery system
  4. The nurse is observing a staff member caring for clients. It would require immediate intervention if the nurse observes the staff member (a) placing a client who had an above-the-knee amputation (AKA) 24 hours ago in a prone position

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(c) regional enteritis (Crohn‘s disease) who has an elevated temperature and is vomiting (d) a gastrostomy tube who will begin self-feeding for the fi rst time

  1. A student nurse is administering magnesium hydroxide/aluminum hydrate (Maalox) prescribed as an antacid to a client. The nursing instructor should intervene if the student plans to administer the antacid (a) two hours after the client has eaten a meal (b) at the same time as a prescribed iron preparation (c) after briskly shaking the bottle of Maalox (d) when assessing the client for the presence of gastric pain
  2. The nurse has attended a staff development conference on vitamins and minerals. Which of the following statements if made by the nurse would require follow-up? (a) ―Vitamin B12 (cobalamin) supplement may be needed if a client has a gastrectomy.‖ (b) ―Vitamin D (calciferol) is necessary for proper utilization of calcium and phosphorous.‖ (c) ―Vitamin A can be found in squash, pumpkin, and carrots.‖ (d) ―Vitamin B6 (pyridoxine) supplements are given to help prevent macular degeneration.‖
  3. A nurse is caring for a two-month-old infant being evaluated for congenital hypothyroidism. The nurse should recognize which of the following fi ndings as being consistent with congenital hypothyroidism? (a) The infant sleeps for 6 hours at a time (b) The infant has a high-pitched cry (c) The infant has been having frequent loose stools (d) The infant has 3 + refl exes
  4. The nurse in the emergency department is assessing a toddler who has swallowed some bleach. The toddler is crying. It would be a priority for the nurse to follow up if the parent says (a) ―I brought the container of bleach with me.‖ (b) ―I could not get my toddler to vomit.‖ (c) ―I gave my toddler a tablespoonful of ipecac syrup.‖

(d) ―I attempted to perform CPR to prevent my toddler from becoming unresponsive.‖

  1. The nurse is caring for a client who is ventilator dependent. The nurse is aware thatthe high pressure alarm can be sounded for various reasons. Select all reasons that could apply. (a) increased bronchial secretions (b) the presence of an air leak (c) the presence of a kink in the tubing (d) the client stops breathing spontaneously (e) acute bronchospasm (f) the client is biting the tube (g) the ventilator tubing is disconnected 58. The nurse is caring for a client who has a new colostomy. The colostomy stoma isred, moist and slightly raised. The nurse should (a) determine if the client is allergic to the skin barrier (b) apply petroleum jelly gauze around the stoma (c) document the condition of the stoma (d) assess the client‘s temperature
  2. The nurse has attended a staff development conference on medical treatments for various neurological disorders. Which of the following statements if made by the nurse would require follow-up? (a) ―Clients with Guillain-Barre´ syndrome (GBS) often have plasmapheresis prescribed.‖ (b) ―Myasthemia Gravis can be treated with short-acting anticholinesterase drugs.‖ (c) ―Parkinson‘s disease may have catechol O-methyltransferase (COMT) inhibitors prescribed along with levodopoa-carbidopa (Sinemet).‖ (d) ―Clients with Multiple Sclerosis often receive Intravenous immunoglobulin G (IV IgG).‖
  3. The nurse has attended a staff development conference on Meniere‘s Disease. Which of the following statements, if made by the nurse would require follow-up? (a) ―Meniere‘s Disease symptoms result from excess endolymphatic fl uid in the inner ear.‖ (b) ―Clients with Meniere‘s Disease are encouraged to have a low salt diet.‖

(d) who had retinal detachment repaired using a gas bubble four hours ago is lying on the operative side postoperatively

65. The nurse is caring for a client who has oxalate kidney stones. The nurse should teach the client to avoid (a) Spinach and rhubarb (b) Mushrooms and rice (c) Shell fi sh and aged cheese (d) Organ meats and wine

  1. A client with end stage renal disease (ESRD) is scheduled for hemodialysis in one hour. The nurse should notify the primary health care provider that the client has a (a) BUN of 60 mg/dl (b) Creatinine 3.5 mg/dl (c) Sodium 145 mEq/L (d) Potassium 6.8 mEq/L
  2. The nurse is caring for a 49 year old female client who reports having frequent vaginal yeast infections. The client is 35% over her ideal body weight. The client has had several diagnostic blood tests prescribed. It would be a priority for the nurse to review the results for an elevated (a) fasting blood glucose (b) white blood count (c) hemoglobin (d) blood urea nitrogen
  3. The nurse at a health clinic is screening male clients for testicular cancer. It wouldbe a priority for the nurse to teach testicular self examination to (a) a 17 - year-old college football player (b) a 39 - year-old who smokes a pack of cigarettes day (c) a 55 - year-old with benign prostatic hypertrophy (d) a 69 - year-old with a family history of testicular cancer
  4. The nurse is caring for a 72-year-old client who was recently diagnosed with metastatic breast cancer. The client is expressing feelings of depression and is asking

2022 RN HESI EXIT EXAM - Version 1 (V1) All 160 Qs

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the nurse, ―Why me?‖ According to Erikson, which developmental stage is the client experiencing? (a) Industry vs. inferiority (b) Ego integrity vs. despair (c) Generativity vs. stagnation (d) Intimacy vs. isolation

  1. The nurse is caring for several clients who have been prescribed diuretics. The nurse should teach about increasing the consumption of citrus fruits and bananas to the client who has been prescribed (a) amiloride (Midamor ) (b) spironolactone (Aldactone) (c) torsemide (Demadex) (d) triamterene (Dyrenium )
  2. The nurse in a health clinic is reviewing prescribed medications with several clients. It would be a priority for the nurse to follow up with the client who states (a) I am taking losartan (Cozaar) to lower my blood pressure.‖ (b) ―I crush my verapamil (Calan SR) to make it easier to swallow.‖ (c) ―I try to avoid sudden position changes since I am taking hydralazine (Apresoline).‖ (d) ―I will not use any salt substitutes since I am taking captopril (Capoten).‖
  3. The nurse is developing a plan of care for a client diagnosed with fi bromyalgia. Which nursing diagnosis should the nurse include? (a) Sleep pattern disturbance (b) Risk for infection (c) Fluid volume defi cit (d) Urge urinary incontinence
  4. The nurse has attended a staff development conference on sexually transmitted diseases. Which of the following statements, if made by the nurse would require follow-up? (a) ―During the primary stage of syphilis a lesion occurs at the site of infection called a chancre.‖ (b) ―A client with HIV who has a reading of 5 or more on the mantoux test is considered to have a positive fi nding for pulmonary tuberculosis.‖

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  1. The nurse has become aware of the following client situations. It would bea priority for the nurse to follow-up if a client who (a) had a total knee replacement 24 hours ago is using continuous passive motion (CPM) exerciser while in a supine position (b) is scheduled for a myelogram in 4 hours and states ―I can not drink any liquids until after the procedure is fi nished.‖ (c) had a total knee replacement 24 hours ago and is sitting in a fowlers position to eat a meal (d) had a pin inserted 4 hours ago for a fractured femur has a small amount of bright red bleeding at the pin site
  2. The nurse is teaching a client about crutch walking. Which of the following statements if made by the client indicates a need for further teaching? (a) ―My elbows should be fl exed 20 - 30 degrees, while walking.‖ (b) ―When I climb stairs I advance my affected leg fi rst, with my crutches.‖ (c) ―I do not apply pressure under my arm when I use my crutches.‖ (d) ―W hen I am going to sit in a chair I put both crutches in the hand on my unaffected side.‖
  3. The nurse on an orthopedic unit has become aware of the following client situations. It would be a priority for the nurse to follow-up if a client who (a) had a total hip replacement 8 hours ago has had 100 ml of bloody drainage in the closed wound suction device (b) has an external fi xation device after a repair of a fractured femur is requesting pain medication (c) had an open reduction and internal fi xation (ORIF) of a fractured femur 12 hours ago has developed a small rash on the chest and neck (d) had a total hip replacement three hours ago has a temperature of 37.8° C (100.2° F)
  4. The nurse is caring for a client with a soft tissue injury. The client reports using a herbal remedy for 3 weeks prior to seeking health care but can not remember what was taken. The nurse should recognize that which of the following herbal remedies can be utilized effectively for soft tissue injuries? (a) Saint John‘s Wort (b) Kava Kava

(c) Dong–Quai (d) Aloe Vera

  1. A client with left-sided weakness following a cerebral vascular accident (CVA) is learning to ambulate with a cane. The nurse should teach the client to (a) hold the cane on the left side and move the cane with the right leg (b) hold the cane on the right side and move the cane with the left leg (c) hold the cane on the left side and move the cane with the left leg (d) hold the cane on the right side and move the cane with the right leg
  2. The nurse has become aware of the following client situations. It would be a priority for the nurse to intervene if a client (a) scheduled for an EEG is washing the hair (b) is being transported to have a magnetic resonance image (MRI) test and is attached to a pulse oximeter (c) is being taught to hold the breath at intervals during a computerized tomography (CT Scan) (d) on protective precautions is eating soup brought in by a visitor 84. The nurse is reviewing laboratory data of the following clients. It would be a priority for the nurse to follow-up with the primary health care provider if a client with (a) coronary artery disease has a low density lipoprotein (LDL) level of 129mg/dl (b) primary hypertension has a sodium level of 144mEq/L (c) rhinosinusitis has a white blood count (WBC) of 11,500/ul (d) diabetes mellitus type 1 has a glycosylated hemoglobin (HbA1c) level of 12%
  3. The nurse working on a maternity unit has become aware of the following client situations. It would be a priority for the nurse to intervene if a client states (a) ―I will not take my terbutaline (Brethine) if my pulse is greater than 110 beats per minute.‖ (b) ―It is normal for my 10 hour old baby to have blue feet and hands.‖ (c) ―I cannot breast feed because my nipples are cracked and sore.‖ (d) ―I have changed my perineal pad every two hours since I delivered my baby 12 hours ago.‖