HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse knows that a shunt procedure is the therapy of choice in almost all cases of hydrocephalus. Which is the most common reason for revision of a child's ventriculoperitoneal shunt?
Correct Answer: C
Rationale: Malfunction of the valves is the most common reason for ventriculoperitoneal shunt revision, as valves can become blocked or stuck, leading to inadequate or excessive cerebrospinal fluid drainage.
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%.
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 3 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 4 of 5
A 4-month-old girl is brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke up this morning with a barking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress?
Correct Answer: D
Rationale: Flaring of the nares indicates increased respiratory effort and accessory muscle use, a clear sign of acute respiratory distress in infants.
Question 5 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.