Exam (elaborations)
HESI RN PEDS EXAM 2024/2025 Q&A With Rationale
- Course
- HESI RN PEDS
- Institution
- Rasmussen College
HESI RN PEDS EXAM 2024/2025 Q&A With Rationale
[Show more]
Content preview
2024 HESI RN PEDS V2 EXAM 2024-2025 QUESTIONS ANDANSWERS 100 % PASS SOLUTION A+ GRADE
A 3-month-old infant weighing 10 lb 15 oz has an axillary temperature of 98.9° F. What caloric amount does
this child need?
A. 400 calories/day
B. 500 calories/day
C.600 calories/day
D. 700 calories/day - ANS **C.
Rationale:
An infant requires 108 calories/kg/day. The first step is to change 10 lb 15 oz to 10.9 lb. Then convert
pounds to kilograms by dividing pounds by 2.2, which is 10.9/2.2 = 4.954 kg, roundedto 5 kg. The second
step is to multiply 108 calories/kg/day (108 × 5 = 540 calories/day).
However, this infant requires 10%
more calories because of the 1° F temperature elevation. Ten percent of 540 (calories/day) is54, and 540
+ 54 :594. This infant will require approximately 600 calories/day. Options A, B, and D are incorrect.
The nurse should teach the parents of a child with a cyanotic heart defect to perform whichaction when a
hypercyanotic spell occurs?
1
,A. Place the child's head flat, with the knees on pillows above the levelof the heart.
B. Have the child lie on the right side, with the head elevated on onepillow.
2
,C. Allow the child to assume a knee-chest position, with the head and
chest slightly elevated.
D. Encourage the child to sit up at a 45-degree angle, drink cold water,and take
deep breaths. - ANS **C
Rationale:
Assuming a knee-chest position with the head and chest slightly elevated will help restore hemodynamic
equilibrium. Options A and B are incorrect positions and may hinder the child'scondition. Option D may
cause chest pain or a vasovagal response, with resulting hypotension.
A 2-year-old child with trisomy 21 (Down syndrome) is brought to the clinic for a routine evaluation.
Which
assessment finding suggests the presence of a common complication often experienced bythose with Down
syndrome?
A. Presence of a systolic murmur
B. New onset of patchy alopecia
C. Complaints of long bone pain
D. Recent projectile vomiting - ANS **Correct Answer: A
Rationale:
Congenital heart disease occurs in 40% to 50% of children with trisomy 21 (Down syndrome). Defects of
the atrial or ventricular septum that create systolic murmurs are the most common heart defects
associated with this congenital anomaly. Options B, C, and D are not recognized as common complications
of trisomy 21.
3
, The nurse is teaching an adolescent girl with scoliosis about a Milwaukee brace that her health care provider
has prescribed. Which instruction should the nurse provide to this client?
A. Remove the brace 1 hour each day for bathing only.
B. Remove the brace only for back range-of-motion exercises
C. Wear the brace against the bare skin to ensure a good fit
D. Wearing the brace will cure the spinal curvature. - ANS **ARationale:
The Milwaukee brace is designed to slow the progression in spinal curvature while the adolescent is
growing. The brace should be worn 23 hours a day and removed a total of 1 houra day for hygiene. There
are no specific exercises for increasing the range of motion in the back that should be performed. A T
shirt should be worn next to the body and the brace put on over the T shirt to protect the skin. The brace
will not cure the spinal curvature but should slow the progression of the scoliosis.
Prophylactic antibiotics are prescribed for a child who has mitral valve damage. The nurse should advise
the parents to give the antibiotics prior to which occurrence?
A. Adjustment of orthodontic appliances or braces
B. Loss of deciduous teeth (baby teeth)
C. Urinary catheterization
D. Insect bites - ANS **C.
Rationale:
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Bettergrade. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
64438 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now