HESI RN
HESI Pediatric N158 Questions
Extract:
Question 1 of 5
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?
Correct Answer: C
Rationale: Acute rheumatic fever is often preceded by a streptococcal infection, commonly presenting as a sore throat.
Question 2 of 5
The parents of a newborn infant with hypospadias are concerned about when the surgical correction should occur. Which information should the nurse provide?
Correct Answer: A
Rationale: Repair before potty-training (6-12 months) prevents urinary dysfunction and psychosocial issues.
Question 3 of 5
The nurse is caring for a 5-week-old infant presenting with a history of projectile vomiting after feedings. Which additional finding should the nurse expect to assess?
Correct Answer: C
Rationale: An olive-size mass in the epigastric area is characteristic of pyloric stenosis, associated with projectile vomiting.
Question 4 of 5
A child who weighs 18 pounds receives a prescription for amoxicillin 25 mg/kg/day by mouth in divided doses every 12 hours. The bottle is labelled, 'Amoxicillin for Oral Suspension, USP 400 mg per 5 mL.' How many mL should the nurse administer with each dose?
Correct Answer: A
Rationale: The dose is calculated as 18 lbs ÷ 2.2 = 8.18 kg, 25 mg/kg/day x 8.18 kg = 204.5 mg/day, divided into 102.25 mg/dose.
Then, 102.25 mg ÷ (400 mg/5 mL) = 1.3 mL.
Question 5 of 5
While obtaining the vital signs of a 10-year-old child who had a tonsillectomy this morning, the nurse observes the child swallowing every 2 to 3 minutes. Which assessment should the nurse implement?
Correct Answer: A
Rationale: Frequent swallowing may indicate postoperative bleeding, so inspecting the oropharynx is critical.