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HESI RN · HESI Obstetrics and Pediatrics · Pediatric HESI

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 6-month-old female is scheduled to receive diphtheria, tetanus toxoid, and acellular pertussis vaccine (DTaP) and IPV (inactivated poliovirus vaccine) immunizations. She is recovering from a cold but is otherwise healthy and afebrile. Her 5-year-old sister is receiving chemotherapy. Which considerations should the nurse make for this situation?

A. DTaP and IPV can be safely given to the infant at the scheduled time.

B. DTaP and IPV are contraindicated because the infant has a cold.

C. IPV is contraindicated because her sister is immunocompromised.

D. DTaP is contraindicated because her sister is immunocompromised.

Expert Explanatory Rationale

Correct Answer: DTaP and IPV can be safely given to the infant at the scheduled time.

Question 2 of 5

The parents of a 2-year-old child with a history of febrile seizures are being taught by the healthcare provider. Which statement by the parents indicates a need for further teaching?

A. We should give our child acetaminophen when they have a fever.

B. We should place our child in a cool bath during a seizure.

C. We should call 911 if the seizure lasts longer than 5 minutes.

D. We should try to keep our child's fever under control.

Expert Explanatory Rationale

Correct Answer: We should place our child in a cool bath during a seizure.

Question 3 of 5

A two-year-old child with heart failure 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 3-year-old with a congenital heart defect has had a steady decrease in heart rate, now at 76 bpm from 110 bpm four hours ago. Which additional finding should be reported immediately to a healthcare provider?

A. Oxygen saturation of 94%.

B. Respiratory rate of 25 breaths/minute.

C. Urine output of 20 mL/hr.

D. Blood pressure of 70/40.

Expert Explanatory Rationale

Correct Answer: Blood pressure of 70/40.

Question 5 of 5

When assessing a 10-year-old newly diagnosed with osteomyelitis, which information is most important for the nurse to obtain?

A. Recent history of infection recurrences.

B. Cultural heritage and beliefs.

C. Family history of bone disorders.

D. Increased fluid intake occurrences.

Expert Explanatory Rationale

Correct Answer: Recent history of infection recurrences.

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