HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Question 1 of 5
A three-year old child with neuroblastoma begins experiencing epistaxis episodes and bruising to the extremities over the past month. Which finding in the medical record should the nurse expect?
Correct Answer: A
Rationale: Thrombocytopenia, a low platelet count, is expected in neuroblastoma due to bone marrow involvement, leading to bruising and epistaxis from impaired clotting.
Question 2 of 5
A 4-year-old girl returns to the pediatrician's office for a postoperative visit following hospitalization for minor surgery. When observing the child in the waiting area, which behavior should the nurse consider normal for this age child?
Correct Answer: B
Rationale: Drawing a picture of self with facial features is a normal developmental milestone for a 4-year-old, reflecting fine motor and cognitive growth.
Question 3 of 5
A clinic nurse is assessing infants and toddlers for fine and gross motor development. Which child should the nurse refer to a healthcare provider for further evaluation?
Correct Answer: A
Rationale: A 3-year-old preferring to walk on tiptoes may indicate a neurological or musculoskeletal issue, warranting further evaluation, as this is not a typical gait for this age.
Question 4 of 5
A 12-year-old boy with hemophilia is hospitalized for hemarthrosis of his right knee. He is complaining of severe knee pain. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Elevating and immobilizing the knee in a flexed position minimizes movement, reducing pain and further bleeding in hemarthrosis.
Question 5 of 5
An adolescent with a past surgical history of orchiopexy for cryptorchidism is evaluated in a primary care setting. Which anticipatory guidance should the nurse provide?
Correct Answer: A
Rationale: Teaching testicular self-examinations is essential for monitoring testicular health post-orchiopexy, enabling early detection of abnormalities like cancer.