Questions 9

HESI RN

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Pediatric HESI Questions

Question 1 of 5

A male adolescent who is newly diagnosed with a seizure disorder receives a prescription for an anticonvulsant. Which statement indicates the client is at risk for non-compliance with life-long medication management?

Correct Answer: B

Rationale: The statement 'My friends will think I am a freak if I take these pills' indicates concerns about peer perception, which can lead to non-compliance in adolescents. Peer pressure and fear of social stigma can significantly impact medication adherence in this age group, making option B the most concerning response regarding the client's compliance with life-long medication management.

Question 2 of 5

A mother brings her 3-month-old infant to the clinic, concerned about frequent vomiting after feeding. The practical nurse (PN) suspects gastroesophageal reflux (GER). Which recommendation should the PN provide to the mother?

Correct Answer: C

Rationale: The correct recommendation for reducing symptoms of gastroesophageal reflux (GER) in infants is to keep the infant upright for 30 minutes after feeding. This position helps prevent the backflow of stomach contents, alleviating symptoms of reflux. Placing the infant in a prone position or providing larger, less frequent feedings may worsen symptoms, while offering only formula thickened with rice cereal is not the first-line intervention for GER.

Question 3 of 5

A 4-year-old child with a history of frequent ear infections is brought to the clinic by the parents who are concerned about the child's hearing. What is the nurse's priority action?

Correct Answer: B

Rationale: The nurse's priority action should be to inspect the child's ears for drainage. This immediate assessment can provide valuable information about the presence of infection or fluid accumulation, which can directly impact the child's hearing. By identifying any signs of drainage, the nurse can promptly address any current issues affecting the child's ear health and hearing abilities.

Question 4 of 5

A 3-year-old with a congenital heart defect has had a steady decrease in heart rate, now at 76 bpm from 110 bpm four hours ago. Which additional finding should be reported immediately to a healthcare provider?

Correct Answer: D

Rationale: A significant drop in heart rate and blood pressure should be reported immediately as it may indicate worsening of the congenital heart defect. The blood pressure of 70/40 is dangerously low and requires immediate attention to prevent further complications.

Question 5 of 5

A 6-year-old child with a history of asthma is brought to the emergency department with difficulty breathing and a severe cough. The nurse notes that the child is using accessory muscles to breathe and has a peak flow reading in the red zone. What should the nurse do first?

Correct Answer: A

Rationale: In a 6-year-old child with asthma experiencing difficulty breathing and using accessory muscles to breathe with a peak flow reading in the red zone, the priority intervention is to administer a nebulized bronchodilator first. Nebulized bronchodilators help open the airways quickly, providing immediate relief and improving breathing. This intervention aims to address the acute respiratory distress the child is experiencing before considering other assessments or interventions such as obtaining arterial blood gases, starting oxygen therapy, or contacting the healthcare provider.

Similar Questions

A 6-year-old child with a history of asthma is brought to the emergency department with difficulty breathing and a severe cough. The nurse notes that the child is using accessory muscles to breathe and has a peak flow reading in the red zone. What should the nurse do first?
A 4-month-old girl is brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke up this morning with a hacking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress?
During a routine physical exam, a male adolescent client tells the nurse, 'sometimes, my mother gets angry because I want to be with my own friends.' What is the best initial response by the nurse?
A male toddler is brought to the emergency center approximately three hours after swallowing tablets from his grandmother's bottle of digoxin (Lanoxin). What intervention should the nurse implement first?
The child is hospitalized with dehydration and is receiving IV fluids. What is the best indicator that the child's dehydration is improving?

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