HESI RN
RN HESI Pediatrics Exam 2 Questions
Question 1 of 5
The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease. Which foods should the nurse include in the list of allowed foods for this child?
Correct Answer: A
Rationale: Rice is naturally gluten-free and safe for celiac disease. Oats must be certified gluten-free due to cross-contamination risks, and rye and barley contain gluten, making them unsafe.
Extract:
This is a 3-year-old with a history of ventricular septal defect. He was born vaginally at 35 weeks and was in the neonatal intensive care unit (NICU) for 3 weeks due to poor feeding. He lives with his parents and an older sibling, who has no medical conditions. The client is here for a follow-up visit. The nurse educates the parents on post-discharge care for the child.
Question 2 of 5
What should the nurse include in post-discharge care education?
Correct Answer: C,F
Rationale: Monitoring for bleeding/swelling at the site and fever are critical to detect complications post-cardiac catheterization. Pressure dressings, ibuprofen, clear liquids, and bath restrictions are not standard for ventricular septal defect repair discharge.
Extract:
Question 3 of 5
During a well baby clinic visit, the mother of a 6-month-old infant asks the nurse if she can have a prescription for liquid multivitamin with fluoride. Though the infant is still breast feeding, the mother provides the child with supplemental formula feedings. Which assessment is most important for the nurse to obtain?
Correct Answer: C
Rationale: Assessing the water source for fluoride content is critical to determine if additional fluoride supplementation is needed, preventing over- or under-dosing. Weight gain, gestational age, and hemoglobin/hematocrit are important but not directly tied to fluoride supplementation decisions.
Question 4 of 5
The school nurse is preparing to administer amphetamine sulfate 15 mg by mouth (PO) to a child with attention-deficit/hyperactivity disorder (ADHD). The child's mother has provided 10 mg tablets for administration at school. How many tablets should the nurse administer?
Correct Answer: A
Rationale: 15 mg ÷ 10 mg/tablet = 1.5 tablets. Accurate dosing is essential for ADHD management, ensuring the child receives the prescribed amount.
Question 5 of 5
The healthcare provider has assessed the client and completes initial orders. Which three care needs should the nurse prioritize for this client?
Correct Answer: B,F,H
Rationale: Cardiac arrhythmias, fluid status, and respiratory status are critical due to chronic kidney disease risks (electrolyte imbalances, fluid overload, pulmonary complications). Diet, fever diagnostics, education, antipyretics, vital signs, and acid/base issues are secondary.