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 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. He had a temperature of 97.7 degrees fahrenheit, a respiratory rate of 56 cycles/min and anSpO2 of 92% on room air. Will admit to the paediatric floor for treatment. The nurse is reviewing the assessment. Based on the child's condition and vital signs following the peripheral intravenous line placement, what medications should the nurse expect the physician to order? Select all that apply.
Correct Answer: C,D
Rationale: Albuterol and racemic epinephrine are expected for managing respiratory distress and stridor in croup, as they relieve bronchoconstriction and reduce airway edema.
Question 2 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 3 of 5
An adolescent hospitalized with sickle cell anaemia reports to the nurse of experiencing a pain level of 10 on a 0 to 10 numerical scale. The nurse observes the adolescent on a phone call laughing. Which action should the nurse take?
Correct Answer: C
Rationale: Documenting the incongruence between the reported pain level and observed behavior ensures accurate assessment and communication for further evaluation.
Question 4 of 5
Which nursing problem has the highest priority when providing preoperative care for an infant born with bladder exstrophy?
Correct Answer: D
Rationale: Risk for infection is the highest priority due to the exposed bladder in bladder exstrophy, which increases the risk of serious infections requiring immediate attention.
Question 5 of 5
A 4-month-old girl is brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke up this morning with a barking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress?
Correct Answer: D
Rationale: Flaring of the nares indicates increased respiratory effort and accessory muscle use, a clear sign of acute respiratory distress in infants.