HESI RN
HESI Pediatrics Exam Questions
Extract:
Question 1 of 5
A 9-week-old infant is scheduled for a cleft lip repair. What information is most important for the nurse to convey to the surgeon before transporting the infant to the surgical suite?
Correct Answer: D
Rationale: A low red blood cell count indicates anemia, a surgical risk requiring preoperative attention.
Question 2 of 5
The nurse is caring for an adolescent with type 1 diabetes mellitus who presents with an HbA1c of 11% (97 mmol/mol), thirst, and blurred vision. What action should the nurse take first?
Correct Answer: A
Rationale: Symptoms suggest hyperglycemia; point-of-care glucose testing confirms this and guides treatment.
Question 3 of 5
The parents of a child who is diagnosed with Wilm's tumor ask the nurse why surgery is necessary before a biopsy is performed. What information should the nurse provide?
Correct Answer: D
Rationale: Biopsy risks rupturing the tumor, potentially spreading cancer cells.
Question 4 of 5
A child weighing 18 pounds has been prescribed amoxicillin at a dosage of 25 mg/kg/day. The medication is to be administered orally in two divided doses every 12 hours. The label on the bottle reads, “Amoxicillin for Oral Suspension, USP 400 mg per 5 mL.â€. How many mL should the nurse administer for each dose? (Provide a numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: A
Rationale: The child's weight is 8.16 kg (18 × 0.45).
Total daily dose is 204 mg (8.16 × 25 mg/kg). Each dose is 102 mg (204 ÷ 2). Volume is 1.3 mL (102 ÷ 80 mg/mL, rounded).
Question 5 of 5
The nurse begins collecting the medical history of a child when the child screams and tries to hide behind the parent, dropping a stuffed toy. What intervention should the nurse implement?
Correct Answer: B
Rationale: Using the toy reduces fear, creating a comfortable environment for history collection.