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HESI RN · HESI Obstetrics and Pediatrics · Pediatric HESI Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A mother brings her 8-month-old baby boy to the clinic because he has been vomiting and having diarrhea for the last 3 days. Which assessment is most important for the nurse to make?

A. Assess the infant's abdomen for tenderness

B. Determine if the infant has been exposed to a virus

C. Measure the infant's pulse

D. Evaluate the infant's cry

Expert Explanatory Rationale

Correct Answer: Measure the infant's pulse

Question 2 of 5

A 13-year-old client with type 1 diabetes is admitted to the hospital with a blood glucose level of 450 mg/dL. The client is lethargic and has fruity-smelling breath. What is the nurse's priority action?

A. Administer insulin as prescribed

B. Start an IV infusion of normal saline

C. Check the client's urine for ketones

D. Monitor the client's vital signs

Expert Explanatory Rationale

Correct Answer: Start an IV infusion of normal saline

Question 3 of 5

A 2-year-old child with heart failure (HF) is admitted for replacement of a graft for coarctation of the aorta. Prior to administering the next dose of digoxin (Lanoxin), the nurse obtains an apical heart rate of 128 bpm. What action should the nurse take?

A. Determine the pulse deficit.

B. Administer the scheduled dose.

C. Calculate the safe dose range.

D. Review the serum digoxin level.

Expert Explanatory Rationale

Correct Answer: Administer the scheduled dose.

Question 4 of 5

A school-age child with a history of type 1 diabetes mellitus is brought to the emergency department with confusion and rapid breathing. The practical nurse (PN) suspects diabetic ketoacidosis (DKA). Which initial intervention should the PN anticipate?

A. Administer subcutaneous insulin.

B. Give oral glucose tablets.

C. Start intravenous fluids.

D. Administer oxygen therapy.

Expert Explanatory Rationale

Correct Answer: Start intravenous fluids.

Question 5 of 5

What recommendation should the PN provide to help a 5-year-old girl who has started wetting the bed again after being dry at night for several months?

A. Explain that bedwetting is normal in children and will pass with time.

B. Advise limiting fluids in the evening and before bedtime.

C. Suggest punishing the child for wetting the bed to prevent recurrence.

D. Encourage the child to use the bathroom immediately before bed.

Expert Explanatory Rationale

Correct Answer: Encourage the child to use the bathroom immediately before bed.

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