HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 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 2 of 5
A toddler is hospitalized with Kawasaki's disease. Pharmacological management includes aspirin therapy. What is the primary benefit of the aspirin?
Correct Answer: A
Rationale: Aspirin's primary benefit in Kawasaki's disease is minimizing vascular inflammation, reducing the risk of coronary artery complications.
Question 3 of 5
A child weighing 44 pounds has wrist pain after falling from a skateboard. The healthcare provider prescribes pediatric ibuprofen. After consulting the drug reference material, the nurse knows that the recommended dose range is 5 to 10 mg/kg every 6 to 8 hours for a maximum of 40 mg/kg/day. What is the maximum daily dose for this child? (Enter the numeric value only. If rounding is required, round to the nearest tenth.)
Correct Answer:
Rationale: 44 pounds / 2.2 = 20 kg; Maximum dose = 40 mg/kg/day × 20 kg = 800 mg.
Question 4 of 5
The nurse is caring for a school-age child who has laboratory results that reveal the presence of anti-gliadin and anti-endomysial immunoglobulin G and immunoglobulin A antibodies. The nurse should identify with the parent and child which food to avoid after discharge to home?
Correct Answer: C
Rationale: Anti-gliadin and anti-endomysial antibodies indicate gluten sensitivity, likely celiac disease, so wheat bread, containing gluten, must be avoided.
Question 5 of 5
When screening a 5-year-old for strabismus, which action should the nurse take?
Correct Answer: D
Rationale: Directing the child through the six cardinal positions of gaze tests eye alignment and movement, effectively screening for strabismus.