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PEDIATRIC HESI CASE STUDY FLUID
AND ELECTROLYTES QUESTIONS AND
ANSWERS 2025
What are the principles of fluid balance? - correct answer-
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 is Ricky's daily maintenance fluid requirements? - correct
answer- 340
The nurse suspects that Ricky has an excess of fluid and that
he may be experiencing water intoxication. Which findings
confirms assessment? - correct answer- Irritability
Specific Gravity of 1.005
Moist Rales Bilaterally
Ricky is admitted and prescribed a diuretic. What is a priority
intervention? - correct answer- implement seizures precautions
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Based on Ricky's weight, what is the correct amount of
medication to administer? - correct answer- 0.68
Which nutrition option is best suited for 3-week old Ricky, given
that his mother has chosen formula feedings? - correct answer-
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? - correct answer- Moderate
The nurse completes a head-to-toe assessment of Ricky. What
additional findings support the assessment of moderate
dehydration? - correct answer- Slightly rapid respiration
irritability
moderate thirst
Oliguria
Ricky's temp is 38.5 C. What impact does this have on his fluid
needs? - correct answer- Increases fluid by 12%
PEDIATRIC HESI CASE STUDY FLUID
AND ELECTROLYTES QUESTIONS AND
ANSWERS 2025
What are the principles of fluid balance? - correct answer-
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 is Ricky's daily maintenance fluid requirements? - correct
answer- 340
The nurse suspects that Ricky has an excess of fluid and that
he may be experiencing water intoxication. Which findings
confirms assessment? - correct answer- Irritability
Specific Gravity of 1.005
Moist Rales Bilaterally
Ricky is admitted and prescribed a diuretic. What is a priority
intervention? - correct answer- implement seizures precautions
, 2 | Page
Based on Ricky's weight, what is the correct amount of
medication to administer? - correct answer- 0.68
Which nutrition option is best suited for 3-week old Ricky, given
that his mother has chosen formula feedings? - correct answer-
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? - correct answer- Moderate
The nurse completes a head-to-toe assessment of Ricky. What
additional findings support the assessment of moderate
dehydration? - correct answer- Slightly rapid respiration
irritability
moderate thirst
Oliguria
Ricky's temp is 38.5 C. What impact does this have on his fluid
needs? - correct answer- Increases fluid by 12%
