Pediatric Hesi Case Study Fluid and
Electrolytes Exam Questions with
correct Answers 2026/2027
What are the principles of fluid balance? - ANS -Infants have a greater percent of fluid in
the extracellular compartment compared to adults; therefore, they have greater and more
rapid fluid losses
Ricky weighs 3.4 kg. Referencing the fluid composition chart, what are Ricky's daily
maintenance fluid requirements? - ANS -340
The nurse suspects that Ricky has an excess of fluid and that he may be experiencing
water intoxication. Which findings confirm the assessment? - ANS -Irritability
Specific Gravity of 1.005
Moist Rales Bilaterally
Ricky is admitted and prescribed a diuretic. What is a priority intervention? - ANS
-implement seizures precautions
Based on Ricky's weight, what is the correct amount of medication to administer? - ANS
-0.68
Which nutrition option is best suited for 3-week old Ricky, given that his mother has
chosen formula feedings? - ANS -undiluted commercial iron-fortified formula for the first
6 months not to exceed 32 oz
Based on weight loss, what degree of dehydration does Ricky exhibit? - ANS -Moderate
The nurse completes a head-to-toe assessment of Ricky. What additional findings
support the assessment of moderate dehydration? - ANS -Slightly rapid respiration
irritability
moderate thirst
Oliguria
Ricky's temp is 38.5 C. What impact does this have on his fluid needs? - ANS -Increases
fluid by 12%
Electrolytes Exam Questions with
correct Answers 2026/2027
What are the principles of fluid balance? - ANS -Infants have a greater percent of fluid in
the extracellular compartment compared to adults; therefore, they have greater and more
rapid fluid losses
Ricky weighs 3.4 kg. Referencing the fluid composition chart, what are Ricky's daily
maintenance fluid requirements? - ANS -340
The nurse suspects that Ricky has an excess of fluid and that he may be experiencing
water intoxication. Which findings confirm the assessment? - ANS -Irritability
Specific Gravity of 1.005
Moist Rales Bilaterally
Ricky is admitted and prescribed a diuretic. What is a priority intervention? - ANS
-implement seizures precautions
Based on Ricky's weight, what is the correct amount of medication to administer? - ANS
-0.68
Which nutrition option is best suited for 3-week old Ricky, given that his mother has
chosen formula feedings? - ANS -undiluted commercial iron-fortified formula for the first
6 months not to exceed 32 oz
Based on weight loss, what degree of dehydration does Ricky exhibit? - ANS -Moderate
The nurse completes a head-to-toe assessment of Ricky. What additional findings
support the assessment of moderate dehydration? - ANS -Slightly rapid respiration
irritability
moderate thirst
Oliguria
Ricky's temp is 38.5 C. What impact does this have on his fluid needs? - ANS -Increases
fluid by 12%
