HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A child who weighs 30 kg is experiencing a grand mal seizure. The healthcare provider prescribes diazepam 0.3 mg/kg/dose intravenous (IV) STAT. The medication is available in 5 mg/mL vials. How many mL should the nurse administer?
Correct Answer: A
Rationale: Dose = 30 kg × 0.3 mg/kg = 9 mg. Volume = 9 mg ÷ 5 mg/mL = 1.8 mL, ensuring accurate administration for seizure control.
Question 2 of 5
A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling. Which action should the nurse take?
Correct Answer: B
Rationale: Intense testicular pain with erythema and swelling suggests testicular torsion, a surgical emergency. Immediate reporting to the provider is critical to prevent testicular loss. Urine samples, swabs, or urinals are not priorities.
Question 3 of 5
The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with attention-deficit/hyperactivity disorder (ADHD). Which statement(s) made by the caregiver demonstrates an understanding of the education?
Correct Answer: A,D,F
Rationale: A consistent schedule, organization chart, and designated study area are evidence-based strategies to manage ADHD symptoms. These promote structure and focus, key for children with ADHD. Nonstimulant medications can be effective, medication isn't always the best approach, and specialized education plans require assessment, not automatic enrollment.
Question 4 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: A
Rationale: Projectile vomiting in a 5-week-old suggests pyloric stenosis, often accompanied by a palpable olive-sized mass in the epigastrium due to pyloric muscle hypertrophy. Mucus/blood in stool, rebound tenderness, or burping/poor feeding are less specific.
Extract:
History and Physical
The client has a history of Wilms tumor with left radical nephrectomy diagnosed at age five for which he completed treatment nine months ago. A septic episode, while undergoing treatment for his Wilms tumor, resulted in an acute kidney injury. This injury, along with antibiotic therapy and chemotherapy, has resulted in chronic kidney disease. The client is followed by oncology and nephrology services.
Question 5 of 5
Two days later, the nurse completes an assessment of the client. Which assessment findings indicate that the client has stabilized?
Correct Answer: B,F,G
Rationale: Normal blood pressure (126/76 mm Hg), heart rate (72 beats/minute), oxygen saturation (98%), and temperature (98.9°F) indicate stabilization. Abnormal ECG, crackles, low urine output, and elevated respirations suggest ongoing issues, not stabilization.