RN HESI Obstetrics and Pediatrics Exam 2 | Nurselytic

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RN HESI Obstetrics and Pediatrics Exam 2 Questions

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Question 1 of 5

A clinic nurse is assessing infants and toddlers for fine and gross motor development. Which child should the nurse refer to a healthcare provider for further evaluation?

Correct Answer: A

Rationale: A 3-year-old preferring to walk on tiptoes may indicate a neurological or musculoskeletal issue, warranting further evaluation, as this is not a typical gait for this age.

Question 2 of 5

The healthcare provider prescribes amoxicillin-clavulanic acid suspension 300 mg by mouth (PO) three times daily (TID) for a child with a lower respiratory infection. The bottle is labelled, 250 mg/5 mL. How many mL should the nurse administer in a single dose? (Enter numeric value only.)

Correct Answer:

Rationale:
To calculate the volume: 300 mg / (250 mg/5 mL) = 300 mg / 50 mg/mL = 6 mL per dose.

Question 3 of 5

The nurse is planning care for a 4-year-old girl who is diagnosed as having a developmental disability. What should be thetotle primary focus of treatment for this child?

Correct Answer: D

Rationale: Helping the child achieve her maximum potential focuses on individualized care to optimize development and well-being, addressing her unique abilities and needs.

Question 4 of 5

A 12-year-old boy with hemophilia is hospitalized for hemarthrosis of his right knee. He is complaining of severe knee pain. Which intervention should the nurse implement?

Correct Answer: A

Rationale: Elevating and immobilizing the knee in a flexed position minimizes movement, reducing pain and further bleeding in hemarthrosis.

Question 5 of 5

A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy. The client begins to experience a tonic-clonic seizure. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Correct Answer: A,B,D,C

Rationale: The sequence is: Remain with the client and call for help , place the client in the lateral position , check for injuries , then reorient and reassure the client to ensure safety and recovery.

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Nurses' Notes Vital signs 0800 Admitted a 3-year-old child to the paediatric floor. In a supine position, stridor was noted. The stridor improved when the head of the bed was lifted. The child has suprasternal retractions. Peripheral intravenous (IV) catheter inserted in left hand. 0845 The child was trying to position himself for comfort. The nurse collects items to replace the peripheral intravenous line. Which 2 items must the nurse make sure is available before attempting to place the intravenous line?
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?
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.

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