HESI RN Pediatrics Proctored Exam Practice Questions

A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit.

The infant is receiving parenteral nutrition and continuous enteral feedings.

To maintain normal growth and development of the infant, which action should the nurse include in the plan of care?

A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?

A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?

A child who weighs 30 kg is experiencing a grand mal seizure.

The healthcare provider prescribes diazepam 0.3 mg/kg/dose intravenous (IV) STAT. The medication is available in 5 mg/mL vials.

How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth).

The nurse is planning care for a 16-year-old, who has juvenile idiopathic arthritis (JIA). The nurse includes activities to strengthen and mobilize the joints and surrounding muscle. Which physical therapy regimen should the nurse encourage the adolescent to implement?

The nurse is getting ready to give medications to an eight-month-old infant diagnosed with heart failure.

The infant’s vital signs are as follows: blood pressure 114/66 mm Hg, apical pulse 88 beats/minute, and respirations 30 breaths/minute.

Which medication should the nurse hold and inform the health care provider?

A male adolescent comes to the clinic reporting severe testicular pain that started during a high school football practice. The nurse notes significant redness and swelling of the scrotum. What should the nurse do next?

A newborn, who has had gastroschisis repair, is transferred to the pediatric unit after spending several days in the pediatric intensive care unit.

The infant is on parenteral nutrition and continuous enteral feedings.

What action should the nurse include in the plan of care to promote the infant’s normal growth and development?

The nurse is teaching a school-age child with left femoral osteomyelitis and the child’s parent before discharge. What instruction should the nurse give related to the initial phase of treatment?

The nurse is assessing an infant with aortic stenosis and identifies bilateral fine crackles in both lung fields. What additional finding should the nurse expect to observe?

A child weighing 18 pounds has been prescribed amoxicillin at a dosage of 25 mg/kg/day. The medication is to be administered orally in two divided doses every 12 hours.

The label on the bottle reads, “Amoxicillin for Oral Suspension, USP 400 mg per 5 mL.”. How many mL should the nurse administer for each dose? (Provide a numerical value only.

If rounding is required, round to the nearest tenth.)