HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse is caring for a school-age child presenting to the emergency department with frequent productive coughing, chest tightness, and shortness of breath. Significant inspiratory and expiratory wheezing is auscultated bilaterally. Which finding should the nurse expect after administering a prescribed dose of albuterol?
Correct Answer: D
Rationale: Albuterol, a bronchodilator, reduces airway constriction, so slight expiratory wheezing is expected as it indicates improved airflow compared to significant wheezing.
Question 2 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 3 of 5
To maintain patency of the ductus arteriosus, the nurse administers a prescribed dose of prostaglandin intravenously (IV) to a week-old infant diagnosed with transposition of the great vessels. Based on which finding should the nurse stop the medication administration immediately?
Correct Answer: A
Rationale: A heart rate of 50 beats/minute indicates bradycardia, a serious adverse effect of prostaglandin, requiring immediate cessation of the medication.
Question 4 of 5
A healthy 2-day-old newborn received the first dose of hepatitis B prior to being discharge home with the parents. The nurse should instruct the parents to return to the clinic for the infant's next dose of hepatitis B in how many months?
Correct Answer: D
Rationale: The hepatitis B vaccine schedule for infants involves three doses, with the second dose administered 1 to 2 months after the first, ensuring timely immunity development. The 2-month interval is appropriate for the next dose.
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 5 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.