HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A 3-year-old child was brought into the emergency room this morning with a sudden onset of 'fast and noisy stick breathing'. According to his parents, he had sneezing and a runny nose last week but seemed to have recovered. The child lives with 2 older, school-age siblings, his parents, and 3 dogs. He was born at 37 weeks' gestation. The parents deny smoking, but his grandmother cares for him in the afternoons and smokes outside when she is at the house. He has no significant medical history. He has received all vaccines except for those due at 3 years. Upon exam, the child is found to have inspiratory stridor and retractions. Will admit to the pediatric floor for treatment. The nurse collects items to replace the peripheral Intravenous line. Which 2 items must the nurse make sure is available before attempting to place the intravenous line?
Correct Answer: C,E
Rationale: A manual resuscitation bag and an advanced airway kit are critical for managing potential airway obstruction or respiratory distress in a child with inspiratory stridor and retractions.
Question 2 of 5
The nurse is admitting a child with a diagnosis of untreated hypoparathyroidism. Which finding indicative of hypocalcaemia should the nurse report to the healthcare provider?
Correct Answer: A
Rationale: A positive Chvostek sign, facial twitching when tapping the facial nerve, indicates hypocalcemia due to nerve irritability from low calcium levels, a critical finding in hypoparathyroidism.
Question 3 of 5
A 4-year-old girl returns to the pediatrician's office for a postoperative visit following hospitalization for minor surgery. When observing the child in the waiting area, which behavior should the nurse consider normal for this age child?
Correct Answer: B
Rationale: Drawing a picture of self with facial features is a normal developmental milestone for a 4-year-old, reflecting fine motor and cognitive growth.
Question 4 of 5
A paediatric home care nurse schedules a visit to the home of a 4-week-old newborn who had a low thyroxine (T4) and a high thyroid stimulating hormone (TSH) at birth, and was diagnosed with congenital hypothyroidism or cretinism. Which instruction is most important for the nurse to provide the parents of this child?
Correct Answer: A
Rationale: Administering supplemental thyroid hormone daily is critical to replace deficient hormone, preventing developmental delays in congenital hypothyroidism.
Extract:
Nurses' Notes
Vital signs
0800
Admitted a 3-year-old child to the paediatric floor.
In a supine position, stridor was noted.
The stridor improved when the head of the bed was lifted.
The child has suprasternal retractions.
Peripheral intravenous (IV) catheter inserted in left hand.
0845
The child was trying to position himself for comfort.
Question 5 of 5
Nurses' Notes Vital signs 0800 Admitted a 3-year-old child to the paediatric floor. In a supine position, stridor was noted. The stridor improved when the head of the bed was lifted. The child has suprasternal retractions. Peripheral intravenous (IV) catheter inserted in left hand. 0845 The child was trying to position himself for comfort. The nurse collects items to replace the peripheral intravenous line. Which 2 items must the nurse make sure is available before attempting to place the intravenous line?
Correct Answer: C,E
Rationale: A manual resuscitation bag and an advanced airway kit are essential for airway management in a child with stridor and retractions, ensuring safety during IV line placement.