HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 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 2 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 3 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 4 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.
Question 5 of 5
A paediatric home care nurse schedules a visit to the home of a 4-week-old newborn who had a low thyroxine (T4) and a high thyroid stimulating hormone (TSH) at birth, and was diagnosed with congenital hypothyroidism or cretinism. Which instruction is most important for the nurse to provide the parents of this child?
Correct Answer: A
Rationale: Administering supplemental thyroid hormone daily is critical to replace deficient hormone, preventing developmental delays in congenital hypothyroidism.