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 male child is being prepared for a computed tomography (CT) scan when he begins to have a tonic clonic seizure. His mother is hysterical and is trying to hold the child down. Which action(s) should the nurse take? (Select all that apply.)

Correct Answer: B,C,E

Rationale: Asking the mother to release the child prevents harm, monitoring the airway ensures safety, and placing pillows protects against injury during the seizure.

Question 2 of 5

An infant diagnosed with respiratory syncytial virus is being discharged. Which instruction should the nurse include in caregiver education?

Correct Answer: D

Rationale: Performing bulb syringe suction with nasal saline drops helps clear mucus from the infant's nasal passages, easing breathing and feeding, which is critical for RSV management. Prone sleeping increases SIDS risk, and albuterol is not typically indicated.

Question 3 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 4 of 5

The nurse is caring for a school-age child who has laboratory results that reveal the presence of anti-gliadin and anti-endomysial immunoglobulin G and immunoglobulin A antibodies. The nurse should identify with the parent and child which food to avoid after discharge to home?

Correct Answer: C

Rationale: Anti-gliadin and anti-endomysial antibodies indicate gluten sensitivity, likely celiac disease, so wheat bread, containing gluten, must be avoided.

Question 5 of 5

A mother brings her male pre-schooler to the clinic because he has had diarrhea, vomiting, and high fevers for the past three days. The child begins to cry and cling to his mother when the nurse enters the examination room. Which action should the nurse implement to get the child to cooperate?

Correct Answer: C

Rationale: Talking to the mother and focusing on the child's toy builds trust and creates a calming environment, increasing cooperation by reducing anxiety.

Similar Questions

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?
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.)
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.
A three-year old child with neuroblastoma begins experiencing epistaxis episodes and bruising to the extremities over the past month. Which finding in the medical record should the nurse expect?
A child weighing 67 pounds (30.5 kg) receives a prescription for benztropine 0.61 mg intravenous (IV) every 12 hours. This medication is available as 1 mg/mL ampules. How many mL should the nurse administer? (Enter the numeric value only. If rounding is required, round to the nearest hundredth.)

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