HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 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.
Question 2 of 5
A 4-year-old girl returns to the pediatrician's office for a postoperative visit following hospitalization for minor surgery. When observing the child in the waiting area, which behavior should the nurse consider normal for this age child?
Correct Answer: B
Rationale: Drawing a picture of self with facial features is a normal developmental milestone for a 4-year-old, reflecting fine motor and cognitive growth.
Question 3 of 5
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.)
Correct Answer:
Rationale: Volume = 0.61 mg / 1 mg/mL = 0.61 mL.
Question 4 of 5
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.
Correct Answer: C,D
Rationale: Albuterol and racemic epinephrine are expected for managing respiratory distress and stridor in croup, as they relieve bronchoconstriction and reduce airway edema.
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.