HESI RN
Pediatric HESI Questions
Question 1 of 5
Which nursing intervention is most important to include in the plan of care for a child with acute glomerulonephritis?
Correct Answer: C
Rationale: Weighing the child daily is crucial in managing a child with acute glomerulonephritis as it helps in monitoring fluid retention, which is a key concern in this condition. Daily weight monitoring allows healthcare providers to assess changes in fluid status and adjust treatment accordingly. It is an essential component of the care plan to ensure the child's health status is closely monitored during the management of acute glomerulonephritis.
Question 2 of 5
A 10-year-old child with hemophilia is admitted to the hospital with joint pain and swelling. What should the healthcare provider do first?
Correct Answer: D
Rationale: Administering factor VIII as prescribed is the priority intervention for a child with hemophilia experiencing joint pain and swelling. Factor VIII replacement therapy is crucial in managing bleeding episodes and preventing further damage to the affected joint in individuals with hemophilia.
Question 3 of 5
A 6-month-old female is scheduled to receive diphtheria, tetanus toxoid, and acellular pertussis vaccine (DTaP) and IPV (inactivated poliovirus vaccine) immunizations. She is recovering from a cold but is otherwise healthy and afebrile. Her 5-year-old sister is receiving chemotherapy. Which considerations should the nurse make for this situation?
Correct Answer: A
Rationale: DTaP and IPV can be safely administered to a child with a mild illness like a cold, even if there is an immunocompromised family member, as these vaccines do not contain live viruses. It is important to ensure that the child is otherwise healthy and afebrile before administering the vaccines. The presence of a cold is not a contraindication for receiving DTaP and IPV vaccines.
Question 4 of 5
The parents of a 2-year-old child with a history of febrile seizures are being taught by the healthcare provider. Which statement by the parents indicates a need for further teaching?
Correct Answer: B
Rationale: Placing a child in a cool bath during a seizure is not recommended as it can be dangerous. The priority is to ensure the safety of the child during the seizure and seek medical help if needed. Teaching should focus on appropriate interventions and safety measures during febrile seizures.
Question 5 of 5
When assessing a 10-year-old newly diagnosed with osteomyelitis, which information is most important for the nurse to obtain?
Correct Answer: A
Rationale: In a 10-year-old with newly diagnosed osteomyelitis, the most important information for the nurse to obtain is the recent history of infection recurrences. This is crucial because osteomyelitis is an infection of the bone, and assessing for any recent recurrence of infections can help in determining the possible source of the osteomyelitis and guide the treatment plan accordingly.
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