HESI EXAM zm
Exam Solution zm
Pediatric Hesi Case Study Fluid and Electrolytes 2026 zm zm zm zm zm zm zm zm
A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERI
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FIED ANSWERS (9D352) zm zm
QUESTION 1 zm
Section 1 zm
ANSWER
The parents of a term newborn express concern because their own parents live in another city and
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they are not available to help with their newborn. The infant's family chooses to formula feed and i
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s given a 2-
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week supply of formula when discharged from the Newborn Nursery. The nurse provides client educ
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ation related to the nutrition and fluid needs of infants.
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QUESTION 2 zm
The infant now weighs 3.4 kg. Referencing the fluid composition chart, what is the inf
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ant's daily maintenance fluid requirement? (Enter numerical value only. If rounding is
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necessary, round to the nearest whole number.) Body Weight 1 to 10 kg 11 to 20 kg
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>20kg Amount of Fluid Per Day 100 mL/kg 1000mL plus 50mL/kg for each kg>10kg 1
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500 mL plus 20mL/kg for each kg >20kg
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ANSWER
340 3.4 kg x 100 mL/kg = 340 mL. After the neonatal period, infants weighing 1 to 10 kg require 1
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00 mL/kg of maintenance fluids per day. Fluid losses such as vomiting, diarrhea, or fever are added
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to this calculation.
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QUESTION 3 zm
Section 2 zm
ANSWER
Safe and Effective Care: Management of CareAt 3-
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weeks of age, the caregiver brings their infant to the clinic with signs of "increased sleepiness and d
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, ecreased interaction." A detailed history reveals the family is diluting the formula every day in an at
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tempt to make the formula last longer, due to limited financial resources. The family is also supplem
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enting feedings with plain water.
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QUESTION 4 zm
The nurse suspects the infant may be experiencing water intoxication. Which findings
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confirm this assessment? (Select all that apply. One, some, or all options may be corre
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ct.)
A. Weak, slow pulse
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B. Irritability
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C. Specific gravity of 1.005.
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D. Moist rales bilaterally
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E. Sodium level of 140 mEq/L (140 mmol/L)
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ANSWER
Irritability (Lethargy or irritability characterize water intoxication.) Specific Gravity of 1.005 (Low sp
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ecific gravity indicates diulte urine and is associated with water intoxication.) Moist Rales Bilaterally
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m(Moist rales will be heard due to fluid excess.)
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QUESTION 5 zm
The infant is admitted to the NICU and the healthcare provider (HCP) prescribes diure
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tics. Which is a priority nursing intervention?
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A. Monitor vital signs every 4 hours.
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B. Implement seizure precautions.
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C. Insert a urinary catheter for accurate measurement of intake & output.
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D. Postpone neurologic assessments until admission is complete.
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ANSWER
implement seizures precautions (Fluid and electrolyte imbalances can cause seizures.)
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QUESTION 6 zm
The healthcare provider (HCP) prescribes Furosemide 2 mg/kg PO as a one time dose.
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Medication available: FUROSEMIDE ORAL SOLUTION USP, 10 mg/mL. Based on the ne
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onate's weight of 3.4 kg, what is the correct amount of medication to be administered
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? (Enter numerical value only. If rounding is necessary, round to the nearest hundredt
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h.)
ANSWER
0.68 3.4kg *2mg/kg = 6.8mg. Dose ordered [6.8mg] divided by dose on hand [10mg] times 1mL is 0
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.68mL to be administered.)
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Exam Solution zm
Pediatric Hesi Case Study Fluid and Electrolytes 2026 zm zm zm zm zm zm zm zm
A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERI
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FIED ANSWERS (9D352) zm zm
QUESTION 1 zm
Section 1 zm
ANSWER
The parents of a term newborn express concern because their own parents live in another city and
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they are not available to help with their newborn. The infant's family chooses to formula feed and i
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s given a 2-
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week supply of formula when discharged from the Newborn Nursery. The nurse provides client educ
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ation related to the nutrition and fluid needs of infants.
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QUESTION 2 zm
The infant now weighs 3.4 kg. Referencing the fluid composition chart, what is the inf
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ant's daily maintenance fluid requirement? (Enter numerical value only. If rounding is
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necessary, round to the nearest whole number.) Body Weight 1 to 10 kg 11 to 20 kg
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>20kg Amount of Fluid Per Day 100 mL/kg 1000mL plus 50mL/kg for each kg>10kg 1
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500 mL plus 20mL/kg for each kg >20kg
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ANSWER
340 3.4 kg x 100 mL/kg = 340 mL. After the neonatal period, infants weighing 1 to 10 kg require 1
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00 mL/kg of maintenance fluids per day. Fluid losses such as vomiting, diarrhea, or fever are added
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to this calculation.
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QUESTION 3 zm
Section 2 zm
ANSWER
Safe and Effective Care: Management of CareAt 3-
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weeks of age, the caregiver brings their infant to the clinic with signs of "increased sleepiness and d
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, ecreased interaction." A detailed history reveals the family is diluting the formula every day in an at
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tempt to make the formula last longer, due to limited financial resources. The family is also supplem
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enting feedings with plain water.
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QUESTION 4 zm
The nurse suspects the infant may be experiencing water intoxication. Which findings
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confirm this assessment? (Select all that apply. One, some, or all options may be corre
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ct.)
A. Weak, slow pulse
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B. Irritability
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C. Specific gravity of 1.005.
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D. Moist rales bilaterally
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E. Sodium level of 140 mEq/L (140 mmol/L)
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ANSWER
Irritability (Lethargy or irritability characterize water intoxication.) Specific Gravity of 1.005 (Low sp
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ecific gravity indicates diulte urine and is associated with water intoxication.) Moist Rales Bilaterally
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m(Moist rales will be heard due to fluid excess.)
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QUESTION 5 zm
The infant is admitted to the NICU and the healthcare provider (HCP) prescribes diure
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tics. Which is a priority nursing intervention?
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A. Monitor vital signs every 4 hours.
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B. Implement seizure precautions.
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C. Insert a urinary catheter for accurate measurement of intake & output.
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D. Postpone neurologic assessments until admission is complete.
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ANSWER
implement seizures precautions (Fluid and electrolyte imbalances can cause seizures.)
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QUESTION 6 zm
The healthcare provider (HCP) prescribes Furosemide 2 mg/kg PO as a one time dose.
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Medication available: FUROSEMIDE ORAL SOLUTION USP, 10 mg/mL. Based on the ne
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onate's weight of 3.4 kg, what is the correct amount of medication to be administered
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? (Enter numerical value only. If rounding is necessary, round to the nearest hundredt
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h.)
ANSWER
0.68 3.4kg *2mg/kg = 6.8mg. Dose ordered [6.8mg] divided by dose on hand [10mg] times 1mL is 0
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.68mL to be administered.)
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