HESI RN
HESI Pediatrics Practice Exam Questions
Question 1 of 5
When a 3-year-old boy asks a nurse why his baby sister is eating his mommy's breast, how should the nurse respond? (Select the response that does not apply.)
Correct Answer: A
Rationale: In this scenario, the nurse should avoid reminding the older sibling about his own breastfeeding experience as it does not directly address the question posed by the boy. Providing simple explanations about breastfeeding and newborn feeding patterns helps the older sibling understand the natural process without bringing up personal experiences. Choice B is correct because clarifying that breastfeeding is the mother's choice helps the older sibling understand the concept of personal decisions. Choice C is appropriate as reassuring the older brother that it does not hurt his mother addresses a common concern children may have. Choice D is also suitable as it explains in simple terms how newborns receive milk from their mothers.
Question 2 of 5
A child with Graves' disease who is taking propranolol (Inderal) is seen in the clinic. The nurse should monitor the child for which therapeutic response?
Correct Answer: B
Rationale: The correct answer is B: 'Decreased heart rate.' Propranolol is a beta-blocker commonly used to manage symptoms of hyperthyroidism, including tachycardia. Monitoring for a decreased heart rate is important as it indicates the drug's therapeutic response in controlling the elevated heart rate associated with Graves' disease. Choices A, C, and D are incorrect because weight gain, reduced headaches, and diminished fatigue are not typical therapeutic responses to propranolol in the context of managing Graves' disease.
Question 3 of 5
A 10-year-old child is brought to the emergency department after falling from a bicycle and hitting their head. The nurse notes that the child is drowsy and has a headache. What is the nurse's priority action?
Correct Answer: A
Rationale: In a child who has fallen and hit their head, presenting with drowsiness and headache, the priority action for the nurse is to perform a full neurological assessment. This is crucial to evaluate the extent of the head injury and monitor for signs of increased intracranial pressure, which could indicate a more severe traumatic brain injury. Administering pain medication or allowing the child to rest quietly are not appropriate initial actions without first assessing the neurological status. Checking the child's immunization status is important for overall health but is not the priority in this acute situation.
Question 4 of 5
The parents of a 9-month-old infant are being educated about preventing iron deficiency anemia. Which statement by the parent indicates a correct understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: 'I will give my baby iron-fortified cereal.' Iron-fortified cereal is an excellent source of iron for infants, aiding in the prevention of iron deficiency anemia. Choice A is incorrect as whole cow's milk should not be introduced until the child is at least 12 months old to prevent iron deficiency. Choice C is incorrect because giving fruit juice between meals can interfere with iron absorption. Choice D is incorrect as giving water with meals can decrease nutrient intake. Therefore, the best choice to prevent iron deficiency anemia in a 9-month-old infant is to give them iron-fortified cereal.
Question 5 of 5
What response should the practical nurse (PN) provide when a school-age child asks to talk with a dying sister?
Correct Answer: D
Rationale: The correct response is D because it is believed that hearing is the last sense to go. Even if the dying person does not respond, speaking to them can still provide comfort. Choice A is incorrect because talking loudly is not necessary and can be distressing. Choice B is incorrect as it focuses on touch rather than the sense of hearing. Choice C is incorrect because sitting close may not necessarily help the dying person hear better.