HESI RN
RN HESI Pediatrics Exam 2 Questions
Question 1 of 5
The parents of a newborn infant with hypospadias are concerned about when the surgical correction should occur. Which information should the nurse provide?
Correct Answer: B
Rationale: Surgical correction for hypospadias is typically recommended before potty training to improve cosmetic appearance, ensure proper urinary function, and avoid psychosocial issues. Early intervention, usually between 6-18 months, is preferred to minimize complications and psychological distress.
Question 2 of 5
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?
Correct Answer: C
Rationale: Acute rheumatic fever is often preceded by a streptococcal throat infection. A recent sore throat is the most significant illness to note, as it may indicate an untreated or inadequately treated group A Streptococcus infection, which can trigger ARF.
Question 3 of 5
An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LHRH) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment?
Correct Answer: B
Rationale: LHRH therapy aims to delay precocious puberty, allowing the child to develop at a pace similar to peers. The statement about sexual maturity differences disappearing reflects understanding that the treatment is temporary and effective in aligning development with age-appropriate norms.
Question 4 of 5
The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with attention-deficit/hyperactivity disorder (ADHD). Which statement(s) made by the caregiver demonstrates an understanding of the education?
Correct Answer: A,D,F
Rationale: A consistent schedule, organization chart, and designated study area are evidence-based strategies to manage ADHD symptoms. These promote structure and focus, key for children with ADHD. Nonstimulant medications can be effective, medication isn't always the best approach, and specialized education plans require assessment, not automatic enrollment.
Question 5 of 5
A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Symptoms like headaches, stomach aches, and sleep issues often indicate stress or emotional distress in children. Asking about a typical school day helps identify potential stressors (e.g., bullying, academic pressure), which is a more targeted initial approach than vital sign comparison, parental counseling, or neurological assessment.