HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A healthy 2-day-old newborn received the first dose of hepatitis B prior to being discharge home with the parents. The nurse should instruct the parents to return to the clinic for the infant's next dose of hepatitis B in how many months?
Correct Answer: D
Rationale: The hepatitis B vaccine schedule for infants involves three doses, with the second dose administered 1 to 2 months after the first, ensuring timely immunity development. The 2-month interval is appropriate for the next dose.
Question 2 of 5
When screening a 5-year-old for strabismus, which action should the nurse take?
Correct Answer: D
Rationale: Directing the child through the six cardinal positions of gaze tests eye alignment and movement, effectively screening for strabismus.
Question 3 of 5
A 3-year-old child was brought into the emergency room this morning with a sudden onset of 'fast and noisy stick 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. Will admit to the pediatric floor for treatment. 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?
| Elbow restraints |
| The child's favorite toy |
| Manual resuscitation bag |
| A dose of subcutaneous epinephrine |
| An advanced airway kit |
| Nebulised albuterol |
Correct Answer: C,E
Rationale: A manual resuscitation bag and an advanced airway kit are critical for managing potential airway obstruction or respiratory distress in a child with inspiratory stridor and retractions.
Question 4 of 5
A 16-year-old adolescent with acute myelocytic leukemia is receiving chemotherapy via an implanted medication port at the outpatient oncology clinic. Which action should the nurse implement when the infusion is complete?
Correct Answer: C
Rationale: Flushing the mediport with saline and heparin prevents clot formation, maintaining patency for future use, which is a standard post-infusion procedure.
Question 5 of 5
The school nurse is planning a class for a group of adolescents about achieving and maintaining a healthy weight. Which intervention should the nurse recommend as the best way to lose weight and build lean body mass when eating a healthy diet?
Correct Answer: A
Rationale: Consuming high-protein foods supports muscle growth and repair, aiding weight loss while preserving lean body mass, which is critical for healthy weight management.