HESI RN
Pediatric HESI Questions
Question 1 of 5
What information should the nurse provide to parents of a 3-year-old boy with Duchenne muscular dystrophy who inquire about the disease and future children?
Correct Answer: A
Rationale: Duchenne muscular dystrophy is an X-linked recessive disorder caused by mutations in the DMD gene on the X chromosome. This disorder primarily affects males because they have one X chromosome, inherited from their mothers, who may be carriers of the mutated gene. Females have two X chromosomes, providing a protective effect as the normal gene on one X chromosome can compensate for the mutated gene on the other. Therefore, the nurse should explain to the parents that Duchenne muscular dystrophy is an inherited X-linked recessive disorder, which is why their son has the disease and why there is a risk of passing it on to future sons.
Question 2 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 3 of 5
A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol (Proventil). The child's mother tells the nurse that she uses this medication to open her son's airway when he is having trouble breathing. What is the nurse's best response?
Correct Answer: C
Rationale: The nurse's priority is to first reassure the mother that she is using albuterol correctly to open her son's airways during episodes of difficulty breathing. This reassurance helps build trust and ensures that the child receives the intended benefit of the medication. Once the mother feels confident in her administration technique, the nurse can then provide further education or address any concerns about the child's asthma management.
Question 4 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 5 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.