HESI RN
Pediatric HESI Questions
Question 1 of 5
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?
Correct Answer: C
Rationale: When a client expresses concerns about family dynamics, it is important to explore their feelings and reactions to the situation. By asking about the client's response to his mother's anger, the nurse can gain insight into the client's emotions, thoughts, and coping mechanisms. Understanding these aspects is crucial in providing appropriate support and guidance.
Question 2 of 5
When should a mother introduce solid foods to her infant? The mother of a 4-month-old baby girl asks the nurse when she should introduce solid foods to her infant. The mother states, 'My mother says I should put rice cereal in the baby's bottle now.' The nurse should instruct the mother to introduce solid foods when her child exhibits which behavior?
Correct Answer: B
Rationale: In pediatric nursing, it is crucial to provide evidence-based guidance to parents on infant feeding practices. The correct answer, option B (Opens mouth when food comes her way), is the appropriate behavior indicating readiness for solid foods introduction. This behavior shows the infant's interest and readiness to accept and swallow solid foods. Option A (Stops rooting when hungry) is incorrect because rooting reflex is a primitive reflex present in newborns to locate the nipple for breastfeeding. It does not signify readiness for solid foods. Option C (Awakens once for nighttime feedings) is incorrect as it pertains to sleep patterns rather than feeding readiness. Option D (Gives up a bottle for a cup) is also incorrect as it relates to transitioning from bottle to cup, not readiness for solid foods. Educationally, it's important to emphasize that introducing solid foods too early can lead to digestive issues and potential allergies. Parents should be advised to look for signs of readiness like sitting up with support, good head control, loss of tongue thrust reflex, and showing interest in food. This rationale helps parents make informed decisions based on their child's developmental cues rather than outdated practices.
Question 3 of 5
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?
Correct Answer: A
Rationale: Creating a quiet environment is the priority intervention as it helps reduce irritability and stress in children with Kawasaki disease. This intervention can promote a soothing atmosphere for the child, which may help in managing their symptoms effectively. Once the child is in a peaceful setting, further interventions such as addressing nutritional needs or skincare can be addressed.
Question 4 of 5
The mother of a 14-year old who had a below-the-knee amputation for osteosarcoma tells the nurse that her child is angry and blaming her for allowing the amputation to occur. Which response is best for the nurse to provide?
Correct Answer: D
Rationale: The correct response, option D, is the best choice for the nurse to provide because it acknowledges the child's feelings of anger and helps the mother understand that this reaction is a common coping mechanism in response to a significant loss, such as an amputation. By validating the child's emotions and explaining that anger is a natural part of the grieving process, the nurse can help the mother support her child effectively during this challenging time. Option A is incorrect because immediately suggesting a psychiatric consult may not be necessary at this stage and could potentially escalate the situation. Option B is incorrect as it dismisses the child's feelings as just normal adolescent behavior, failing to address the underlying emotional distress. Option C is also incorrect as it overlooks the specific emotional response of anger and does not provide guidance on how to help the child cope with these feelings effectively. In an educational context, it is crucial for pediatric nurses to understand the emotional impact of medical interventions on children and adolescents. By recognizing and addressing their emotional responses, nurses can provide holistic care that supports not only their physical well-being but also their mental and emotional health during challenging times like dealing with an amputation.
Question 5 of 5
When developing a behavior modification program for an extremely aggressive 10-year-old boy, what should the nurse do first?
Correct Answer: A
Rationale: The first step in developing a behavior modification program for an aggressive child is to determine what activities, foods, and toys the child enjoys. By understanding the child's preferences, the nurse can tailor the program to be more engaging and effective, increasing the likelihood of success in modifying the aggressive behavior.