HESI RN
RN HESI Pediatrics Exam 2 Questions
Question 1 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 2 of 5
The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the healthcare provider immediately?
Correct Answer: B
Rationale: Chest pain during a sickle cell crisis may indicate acute chest syndrome, a life-threatening complication requiring immediate intervention. Jaundice, swelling, and ulcers are common but less urgent unless accompanied by other critical symptoms.
Question 3 of 5
A 9-year-old admitted to the unit with severe abdominal pain and fever is diagnosed with appendicitis and is placed on the surgery schedule for an appendectomy. The child reports to the nurse of experiencing sudden relief in abdominal pain. Which action should the nurse take first?
Correct Answer: D
Rationale: Sudden relief of pain in appendicitis may indicate appendix rupture, a surgical emergency due to potential peritonitis. Contacting the healthcare provider immediately is critical for urgent evaluation. Documentation, meal inquiry, and antibiotics are secondary to addressing this potentially life-threatening change.
Extract:
1330
Cardiac catheterization performed; ventricular septal defect closed with mesh
Admit to the pediatric floor for observation
Check pedal pulses every 4 hours
Nothing by mouth
Place the child on a continuous cardiopulmonary monitor
Question 4 of 5
What two orders would the nurse question?
Correct Answer: B,C
Rationale: Checking pedal pulses every 4 hours is too infrequent post-catheterization; more frequent monitoring is needed. Lactated Ringer's at 66 mL/hr while NPO requires clarification due to fluid balance concerns in cardiac patients.
Extract:
Question 5 of 5
The parents of a 14-month-old child who is hospitalized due to febrile seizures tell the nurse that they fear their child will have lifelong seizures. Which information should the nurse convey to these parents?
Correct Answer: B
Rationale: Febrile seizures are typically benign and decrease with age, usually resolving by age 5. Reassuring parents about this natural course alleviates fears. Ibuprofen isn't prophylactic, visual stimuli don't trigger febrile seizures, and sponge baths are secondary to fever management education.