HESI Pediatric and Women's Health

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Ace Your Test with HESI Pediatric and Women's Health Actual Questions and Solutions - Full Set

Free HESI Pediatric and Women's Health Questions

1.

A child who weighs 25 kg receives a prescription for isoniazid 10 mg/kg/day by mouth once a day. The bottle is labeled “Isoniazid Oral Solution, USP 50 mg per 5 mL.” How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

  • 10 mL

  • 15 mL

  • 20 mL

  • 25 mL

Explanation

The Correct Answer is:

D. 25 mL

To determine the correct dose, multiply the child’s weight by the prescribed amount per kilogram:

25 kg × 10 mg/kg = 250 mg required.

The medication contains 50 mg per 5 mL, or 10 mg per 1 mL.

250 mg ÷ 10 mg/mL = 25 mL.

The nurse should administer 25 mL of the oral solution once daily.


2.

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?

  • Ensure no weight bearing on the affected extremity

  • Administer topical antibiotic therapy daily

  • Schedule ice pack applications to the infected area

  • Provide passive range of motion exercises

Explanation

The Correct Answer is:

A. Ensure no weight bearing on the affected extremity

Detailed Explanation:

In the initial phase of osteomyelitis, the affected bone and surrounding tissues are inflamed and painful. The primary goal is to limit movement and prevent further spread of infection. The nurse should instruct the family that the child must avoid weight-bearing or physical stress on the affected limb to prevent pathological fractures and worsening inflammation.



Treatment also includes IV antibiotic therapy—not topical antibiotics—to control infection. Ice packs are not recommended, as they may impair circulation to already compromised tissues. Passive range of motion is introduced only after infection control and pain reduction, never during the acute phase when rest is essential for healing.


3.

A client who is in labor states, "I think my water just broke!" The nurse notes that the umbilical cord is on the perineum. Which action should the nurse perform first?

  • Administer oxygen via face mask

  • Place the client in Trendelenburg

  • Notify the operating room team

  • Administer a fluid bolus of 500 mL

Explanation

The Correct Answer is:

B. Place the client in Trendelenburg

The visible umbilical cord indicates a prolapsed umbilical cord, a medical emergency that compromises fetal oxygenation due to cord compression. The nurse’s immediate priority is to relieve pressure on the cord by placing the client in a Trendelenburg or knee-chest position, allowing gravity to shift the fetus off the cord. After positioning, the nurse should manually lift the presenting part if needed, administer oxygen, and prepare for an emergency cesarean delivery.


4.

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).

  • 1.5 mL

  • 1.8 mL

  • 2.0 mL

  • 2.3 mL

Explanation

The Correct Answer is:

B. 1.8 mL

Step-by-Step Calculation:

Determine the total prescribed dose:

0.3 mg × 30 kg = 9 mg

Determine volume to administer:

Available concentration = 5 mg/mL

9 mg ÷ 5 mg/mL = 1.8 mL

Explanation:

The nurse should administer 1.8 mL of diazepam IV. This ensures the prescribed dose of 0.3 mg/kg is delivered safely and accurately for seizure control. Rounding to the nearest tenth confirms the final dose as 1.8 mL.


5.

 A mother brings her 2-month-old to the well-baby clinic.
She mentions that when she kisses her baby, the infant’s skin tastes salty.
What standard diagnostic test should the nurse prepare the mother for to screen for cystic fibrosis (CF)?

  • Fecal-fat test.

  • Sweat-chloride test.

  • Pulmonary-function test.

  • Potassium chloride test.

Explanation

The Correct Answer is:

B. Sweat-chloride test.

Detailed Explanation:

The sweat-chloride test is the gold standard for diagnosing cystic fibrosis. It measures the concentration of chloride in the infant’s sweat. In CF, a defective CFTR gene causes abnormal chloride transport, leading to excessive salt in sweat, thick mucus production, and multisystem complications. A chloride level above 60 mmol/L confirms the diagnosis. The test is noninvasive and typically performed once the infant is at least two weeks old and adequately hydrated.


6.

When educating the caregiver of a school-age child who has recently been diagnosed with attention-deficit hyperactivity disorder (ADHD), which of the caregiver’s statements indicate that they have understood the education? (Select all that apply.)

  • Create an organization chart for tasks.

  • Understand that nonstimulant medications show little benefit in treatment

  • Know that medication is the best approach to treatment.

  • Designate an established area for study

  • Maintain a consistent home schedule.

  • Anticipate being automatically entered into a specialized education plan.

Explanation

Correct Answers:

A. Create an organization chart for tasks.

D. Designate an established area for study.

E. Maintain a consistent home schedule.


A. Create an organization chart for tasks.

Children with ADHD thrive in structured environments. Creating an organization chart provides visual structure, helping the child understand what is expected and when. It enhances time management and encourages independence while reducing frustration and confusion. This tool supports consistent routines, which are key to improving focus and behavior in children with ADHD.

D. Designate an established area for study.

Having a specific, distraction-free space helps the child focus better on tasks and assignments. A consistent study area reinforces routine and concentration. Minimizing noise, clutter, and visual distractions is essential for children with ADHD, who are easily diverted by their surroundings. This promotes better academic performance and task completion.

E. Maintain a consistent home schedule.

A predictable daily routine supports emotional stability and reduces impulsivity. Consistency helps the child know what to expect throughout the day, decreasing anxiety and improving compliance with tasks and rules. Structured schedules also make transitions smoother, which is often challenging for children with ADHD.


7.

While checking the vital signs of a 10-year-old child who underwent a tonsillectomy earlier in the day, the nurse notices the child swallowing every 2 to 3 minutes. What action should the nurse take next?

  • Check for signs of teeth clenching or grinding

  • Inspect the back of the throat

  • Stimulate the gag reflex by touching the tonsillar pillars

  • Ask the child to speak to assess for any changes in voice tone

Explanation

The Correct Answer is:

B. Inspect the back of the throat

Detailed Explanation:

Frequent swallowing following a tonsillectomy is a classic early sign of postoperative bleeding. The child may be swallowing blood that trickles down the throat instead of spitting it out. The nurse should immediately inspect the back of the throat using a flashlight to check for fresh bleeding, oozing, or bright red secretions. If bleeding is observed, it is a medical emergency, and the healthcare provider must be notified at once.


8.

A client at 28-weeks gestation whose hemoglobin level is 10.7 g/dL (107 g/L) and hematocrit is 32% (0.32 volume fraction), tells
the nurse that she eats plenty of green vegetables. When the client asks the nurse how the low level value might affect her
pregnancy, which information should the nurse provide?
Reference range:
Hemoglobin 12 to 16 g/dl (120 to 160 g/L): pregnant greater than 11 g/dl (110 g/L)
Hematocrit 37% to 47% (0.37 to 0.47 volume fraction): pregnant greater than 33% (0.33 volume fraction)

  • It might be necessary to take an iron supplement twice daily

  • Plasma volume increases, making the blood count appear low.

  • Increasing intake of protein might improve these values.

  • Almost all women at 28-weeks gestation have anemia.

Explanation

The Correct Answer is:

B. Plasma volume increases, making the blood count appear low

During pregnancy, plasma volume expands more than red blood cell mass, causing hemodilution known as physiologic anemia of pregnancy. This leads to slightly lower hemoglobin and hematocrit values, which are normal and not harmful when mild. The client’s levels (Hgb 10.7 g/dL, Hct 32%) reflect this physiologic change. Iron supplementation may still be prescribed, but this finding primarily results from normal plasma volume expansion, not true iron-deficiency anemia.


9.

Upon completion of a 14-day antibiotic treatment for bacterial meningitis in an infant, the nurse prepares the family for discharge. Which information should the nurse include?

  • Have the antibiotic trough level drawn within 3 days

  • Continue strict monitoring of daily wet diapers for 1 week

  • Administer antipyretic medication on a continuous basis

  • Monitor the infant for response to auditory stimuli

Explanation

The Correct Answer is:

D. Monitor the infant for response to auditory stimuli

Bacterial meningitis can cause sensorineural hearing loss, one of the most common long-term complications of the disease. After discharge, parents should observe the infant’s response to sounds such as voices, toys, or household noises and report any lack of reaction. A formal hearing evaluation is typically scheduled after recovery to assess for potential auditory damage. The other options are unnecessary unless specific complications arise.


10.

A six-year-old girl is being admitted to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?

  • List of achievement timeline for developmental milestones.

  • Mother’s use of alcohol, drugs, or cigarettes during pregnancy.

  • Reactions to any previous hospitalizations.

  • A history of rubella, rubeola, or chicken pox.

Explanation

The Correct Answer is:

C. Reactions to any previous hospitalizations.

Detailed Explanation:

Understanding the child’s reactions to any previous hospitalizations helps the nurse anticipate fears, anxiety, or behavioral responses to surgery and hospitalization. At age six, children have vivid imaginations and may associate hospitals with pain or separation. Knowing past coping behaviors allows the nurse to tailor care—using play therapy, parental presence, or simple explanations—to reduce fear and promote cooperation. This individualized approach supports emotional security and a smoother perioperative experience.


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