HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The healthcare provider prescribed amoxicillin 20 mg/kg by mouth (PO) every 8 hours for a toddler with otitis media who weighs 33 pounds (15 kg). The medication is labeled, '125 mg/5mL.' How many mL should the nurse administer?
Correct Answer: A
Rationale: Dose = 15 kg × 20 mg/kg = 300 mg. Volume = 300 mg ÷ (125 mg/5 mL) = 12 mL, ensuring correct antibiotic dosing for otitis media.
Question 2 of 5
The parents of a newborn infant with hypospadias are concerned about when the surgical correction should occur. Which information should the nurse provide?
Correct Answer: B
Rationale: Surgical correction for hypospadias is typically recommended before potty training to improve cosmetic appearance, ensure proper urinary function, and avoid psychosocial issues. Early intervention, usually between 6-18 months, is preferred to minimize complications and psychological distress.
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
Parents of an infant with an inguinal hernia bring their child to the emergency department reporting that the hernia has changed in color to dark purple and child has not had a bowel movement in 24 hours. The nurse obtains a Face, Legs, Activity, Cry, Consolability (FLACC) scale score of 8 on initial assessment. Which action should the nurse prioritize?
Correct Answer: A
Rationale: A dark purple hernia, no bowel movement, and high FLACC score suggest strangulation, a surgical emergency. Reporting to the provider ensures urgent evaluation. Fluid intake, manual reduction, or IV access are secondary to addressing this critical condition.
Question 5 of 5
During a follow-up clinic visit, a mother tells the nurse that her 5-month-old son who had surgical correction for tetralogy of Fallot (TOF) has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Rapid breathing and feeding difficulties post-TOF repair suggest possible cardiac or respiratory issues. Auscultating heart and lungs assesses for abnormalities, guiding further evaluation. FTT evaluation, inducing cyanosis, or ECG are less immediate.