HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
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.
Question 1 of 5
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?
Correct Answer: C,E
Rationale: A manual resuscitation bag and an advanced airway kit are essential for airway management in a child with stridor and retractions, ensuring safety during IV line placement.
Extract:
Question 2 of 5
A female infant recently admitted with vomiting and diarrhea now weighs 10 kg. Her weight at a previous well-baby visit was 11 kg. Which percentage of body weight loss for this infant should the nurse document in the electronic medical record?
Correct Answer:
Rationale: Weight loss percentage = (11 kg - 10 kg) / 11 kg × 100 = 9.09%.
Question 3 of 5
One week after removing a tick that bit him, a student arrives at the school nurse's office with reports of flu-like symptoms. Which intervention should the school nurse implement first?
Correct Answer: B
Rationale: Observing for a rash around the tick bite site is the first intervention because a 'bull's-eye' rash is indicative of Lyme disease, a potential tick-borne illness. This guides further actions, prioritizing specific symptoms over general ones like fever, which is common to many illnesses.
Question 4 of 5
A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her respiratory rate and heart rate have increased during the last hour. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Notifying the healthcare provider is critical as increased respiratory and heart rates in a postoperative neonate may indicate complications like respiratory distress, requiring prompt assessment.
Question 5 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.