HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parenteral nutrition and continuous enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in plan of care?
Correct Answer: C
Rationale: Non-nutritive sucking via a pacifier supports oral-motor development and soothes the infant, crucial for those on parenteral/enteral nutrition to prepare for oral feeding. Tube placement verification is routine safety, physical therapy isn't standard, and sterile technique isn't required for enteral feedings unless specified.
Question 2 of 5
The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease. Which foods should the nurse include in the list of allowed foods for this child?
Correct Answer: A
Rationale: Rice is naturally gluten-free and safe for celiac disease. Oats must be certified gluten-free due to cross-contamination risks, and rye and barley contain gluten, making them unsafe.
Question 3 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 4 of 5
An infant who has a Wilms' tumor is admitted for surgery. Which intervention should the nurse implement during the preoperative period?
Correct Answer: C
Rationale: Avoiding abdominal manipulation prevents tumor disruption or discomfort in Wilms' tumor. Pain medication, prone positioning, and antiemetics are less critical preoperatively unless specifically indicated.
Question 5 of 5
The nurse is giving an intramuscular injection of an antibiotic to a 16-month-old toddler with pneumonia. The toddler does not have any known allergies and has been walking without assistance for one month. Which technique should the nurse select for administration?
Correct Answer: D
Rationale: The vastus lateralis (middle of the lateral thigh) is the preferred site for IM injections in toddlers due to adequate muscle mass and minimal risk to nerves or vessels. Arm injections are for older children/adults, 1/2-inch needles may not reach muscle, and gluteal injections risk sciatic nerve injury in young children.