HESI RN
HESI Pediatric Practice Exam Questions
Question 1 of 5
The parents of a 3-month-old infant are being educated by the healthcare provider about safe sleep practices. Which statement by the parents indicates a need for further teaching?
Correct Answer: C
Rationale: In pediatric nursing, educating parents on safe sleep practices is crucial to prevent incidents of Sudden Infant Death Syndrome (SIDS). The correct answer is option C: "We will keep our baby in our bed so we can monitor them closely." This statement indicates a need for further teaching because bed-sharing increases the risk of accidental suffocation, entrapment, or overlaying, which can lead to SIDS. Option A is correct as placing the baby on their back to sleep is the recommended position to reduce the risk of SIDS. Option B is also correct as using a firm mattress and avoiding soft bedding decreases the risk of suffocation. Option D is correct as keeping toys or pillows out of the crib also reduces the risk of suffocation. Educationally, it's important to emphasize the ABCs of safe sleep: Alone (infant in their own sleep area), on their Back, and in a Crib (or bassinet) with no soft bedding. Parents should be informed about the dangers of bed-sharing and encouraged to follow the safe sleep guidelines to protect their infant's well-being.
Question 2 of 5
A 9-year-old child is brought to the clinic with complaints of fatigue, pallor, and shortness of breath. The nurse notes that the child has a history of iron-deficiency anemia. What is the nurse's priority action?
Correct Answer: A
Rationale: In a child with a history of iron-deficiency anemia presenting with symptoms of fatigue, pallor, and shortness of breath, the priority action for the nurse is to administer iron supplements as prescribed. Iron supplementation is essential to treat iron-deficiency anemia and improve the child's symptoms promptly.
Question 3 of 5
A child with a fever of 39°C (102.2°F) and a sore throat is brought to the clinic. The practical nurse suspects the child has streptococcal pharyngitis. Which diagnostic test should the practical nurse prepare the child for?
Correct Answer: A
Rationale: A rapid antigen detection test is the appropriate diagnostic test for suspected streptococcal pharyngitis. This test is commonly used due to its quick results, helping in the prompt diagnosis and appropriate treatment of the condition. It specifically detects the presence of streptococcal antigens in the throat, aiding in confirming the diagnosis and guiding the healthcare provider in determining the most suitable treatment plan.
Question 4 of 5
The practical nurse is reinforcing education with the parents of a child prescribed iron supplements for iron-deficiency anemia. Which statement by the parents indicates they need further instruction?
Correct Answer: A
Rationale: Iron supplements should not be given with milk as calcium can interfere with iron absorption. Instead, it is recommended to give it with a source of vitamin C, such as orange juice, to enhance iron absorption. Giving iron supplements with milk may decrease the absorption of iron and should be avoided in this case.
Question 5 of 5
When teaching parents of a 5-year-old child with sickle cell anemia about pain management, what information should be included?
Correct Answer: C
Rationale: Administering prescribed pain medication at the first sign of pain is crucial in managing sickle cell anemia-related pain effectively. Prompt administration helps prevent the pain from escalating and becoming severe, enhancing the child's comfort and quality of life. Cold compresses, rest, and diet modifications may play supportive roles but are not as directly impactful in addressing acute pain episodes associated with sickle cell anemia.