HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Question 1 of 5
A healthy 2-day-old newborn received the first dose of hepatitis B prior to being discharge home with the parents. The nurse should instruct the parents to return to the clinic for the infant's next dose of hepatitis B in how many months?
Correct Answer: D
Rationale: The hepatitis B vaccine schedule for infants involves three doses, with the second dose administered 1 to 2 months after the first, ensuring timely immunity development. The 2-month interval is appropriate for the next dose.
Question 2 of 5
The nurse is caring for a school-age child presenting to the emergency department with frequent productive coughing, chest tightness, and shortness of breath. Significant inspiratory and expiratory wheezing is auscultated bilaterally. Which finding should the nurse expect after administering a prescribed dose of albuterol?
Correct Answer: D
Rationale: Albuterol, a bronchodilator, reduces airway constriction, so slight expiratory wheezing is expected as it indicates improved airflow compared to significant wheezing.
Question 3 of 5
A female infant recently admitted with vomiting and diarrhea now weighs 10 kg. Her weight at a previous well-baby visit was 11 kg. Which percentage of body weight loss for this infant should the nurse document in the electronic medical record?
Correct Answer:
Rationale: Weight loss percentage = (11 kg - 10 kg) / 11 kg × 100 = 9.09%.
Question 4 of 5
A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her respiratory rate and heart rate have increased during the last hour. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Notifying the healthcare provider is critical as increased respiratory and heart rates in a postoperative neonate may indicate complications like respiratory distress, requiring prompt assessment.
Question 5 of 5
When administering indomethacin to a premature infant who has patent ductus arteriosus, the nurse should anticipate which outcome?
Correct Answer: C
Rationale: Indomethacin promotes closure of the patent ductus arteriosus, reducing the cardiac murmur associated with the abnormal blood flow.