HESI RN
HESI Pediatrics Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is providing care for a toddler diagnosed with autism spectrum disorder and failure to thrive. What strategy should the nurse employ?
Correct Answer: C
Rationale: Regular meal times provide structure, aiding nutrition in autism spectrum disorder.
Question 3 of 5
When caring for a child in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement?
Correct Answer: A
Rationale: Monitoring pulses and sensation is critical to detect vascular or nerve complications from traction.
Question 4 of 5
A six-year-old girl is being admitted to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?
Correct Answer: C
Rationale: Previous hospitalization reactions inform emotional and developmental care planning.
Question 5 of 5
The nurse is getting ready to give medications to an eight-month-old infant diagnosed with heart failure. The infant's vital signs are as follows: blood pressure 114/66 mm Hg, apical pulse 88 beats/minute, and respirations 30 breaths/minute. Which medication should the nurse hold and inform the health care provider?
Correct Answer: B
Rationale: The infant's apical pulse of 88 beats/minute is below the normal range (100-160 beats/minute) for an eight-month-old, indicating a need to hold Digoxin and notify the provider.