Pediatric Hesi Case Study: Dehydration
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What assessment findings will Answer (s): B
lead Rational:
the nurse to believe an infant is - Common signs of dehydration in infants
moderately dehydrated? include a
A. Rectal temperature of 99°F sunken fontanel, slow capillary refill, dry
(37.2°C), heart rate (HR) of 120 mucous
beats/minute, and a respiratory membranes, poor skin turgor, pale color,
rate decreased urinary output, normal to low
of 28 breaths/minute. blood
B. A sunken fontanel, dry mucous pressure, and normal to high heart rate.
membranes, and HR of 160
beats/minute.
C. Warm skin, rectal temperature
of
100°F (37.8°C), and blood
pressure
100/60 mmHg.
D. Two wet diapers within the past
8
hours, +3 edema of feet, and a
respiratory rate of 30
breaths/minute.
, To obtain more information about Answer (s): B, C
the client's current status, which Rational:
questions are a priority for the - If the infant is not taking formula, clear
nurse liquid
to ask family? (Select all that replacement fluids can help to maintain
apply. hydration.
One, some, or all options may be - Weight is the most important determinant
correct.) in fluid
A. "Do you have any other loss. The nurse needs baseline data to
children?" compare to
B. "Have you offered fluids other infants current condition inorder to
than formula?" determine
C. "What was the client's last hydration status.
weight?"
D. "Has the client completed all
their
immunizations?"
E. "How many hours does the
client
normally sleep each day?"
Lab Values Answer (s): A
- 137 meq/L (mmol/L) Rational:
Based on the client's lab values, Classification of dehydration, based on the
which type of dehydration does the serum
nurse suspect? sodium level 130 to 150 mEq/L is
A. Isonatremic Isonatremic
B. Hyponatremic meaning that sodium and water are lost in
C. Hypernatremic equal
D. Hypokalemic proportions.
Exam Questions and Answers with Verified
Solutions | Latest Updated 2026
What assessment findings will Answer (s): B
lead Rational:
the nurse to believe an infant is - Common signs of dehydration in infants
moderately dehydrated? include a
A. Rectal temperature of 99°F sunken fontanel, slow capillary refill, dry
(37.2°C), heart rate (HR) of 120 mucous
beats/minute, and a respiratory membranes, poor skin turgor, pale color,
rate decreased urinary output, normal to low
of 28 breaths/minute. blood
B. A sunken fontanel, dry mucous pressure, and normal to high heart rate.
membranes, and HR of 160
beats/minute.
C. Warm skin, rectal temperature
of
100°F (37.8°C), and blood
pressure
100/60 mmHg.
D. Two wet diapers within the past
8
hours, +3 edema of feet, and a
respiratory rate of 30
breaths/minute.
, To obtain more information about Answer (s): B, C
the client's current status, which Rational:
questions are a priority for the - If the infant is not taking formula, clear
nurse liquid
to ask family? (Select all that replacement fluids can help to maintain
apply. hydration.
One, some, or all options may be - Weight is the most important determinant
correct.) in fluid
A. "Do you have any other loss. The nurse needs baseline data to
children?" compare to
B. "Have you offered fluids other infants current condition inorder to
than formula?" determine
C. "What was the client's last hydration status.
weight?"
D. "Has the client completed all
their
immunizations?"
E. "How many hours does the
client
normally sleep each day?"
Lab Values Answer (s): A
- 137 meq/L (mmol/L) Rational:
Based on the client's lab values, Classification of dehydration, based on the
which type of dehydration does the serum
nurse suspect? sodium level 130 to 150 mEq/L is
A. Isonatremic Isonatremic
B. Hyponatremic meaning that sodium and water are lost in
C. Hypernatremic equal
D. Hypokalemic proportions.