HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse is caring for a school-age child who has laboratory results that reveal the presence of anti-gliadin and anti-endomysial immunoglobulin G and immunoglobulin A antibodies. The nurse should identify with the parent and child which food to avoid after discharge to home?
Correct Answer: C
Rationale: Anti-gliadin and anti-endomysial antibodies indicate gluten sensitivity, likely celiac disease, so wheat bread, containing gluten, must be avoided.
Extract:
A patient's flow chart is as below.
0800
Patient's vitals: temperature-98.2 degrees Fahrenheit, respiratory rate-47 cycles/min, SpO2-89%.
Admit to the paediatric floor
Monitor heart rate and oxygen saturation continuously
Give oxygen starting at 5 L via face mask, titrate to maintain oxygen saturation at 94%
0845
The nurse is reviewing the assessment.
Question 2 of 5
A patient's flow chart is as below. 0800 Patient's vitals: temperature-98.2 degrees Fahrenheit, respiratory rate-47 cycles/min, SpO2-89%. Admit to the paediatric floor Monitor heart rate and oxygen saturation continuously Give oxygen starting at 5 L via face mask, titrate to maintain oxygen saturation at 94% 0845 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 appropriate for treating stridor and respiratory distress in croup, addressing bronchospasm and airway swelling.
Extract:
Question 3 of 5
The nurse is caring for a school-age child with cystic fibrosis and reviews the admission medication prescriptions. Which medication should the nurse obtain a prescription for to be administered with every meal?
Correct Answer: C
Rationale: Pancreatic enzymes are essential for children with cystic fibrosis to aid digestion due to pancreatic insufficiency, and they must be taken with every meal.
Question 4 of 5
A 15-year-old girl asks the clinic nurse for information about oral contraceptives because she is planning to have sexual relations with her 17-year-old boyfriend but does not want her parents to know. Which action should the nurse take?
Correct Answer: A
Rationale: Counseling about the risks and benefits of oral contraceptives prioritizes the adolescent's health, providing informed decision-making support while respecting confidentiality.
Question 5 of 5
When screening a 5-year-old for strabismus, which action should the nurse take?
Correct Answer: D
Rationale: Directing the child through the six cardinal positions of gaze tests eye alignment and movement, effectively screening for strabismus.