HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse that she would like to use a pump instead of insulin injections to manage her diabetes. Which assessment is most important for the nurse to obtain?
Correct Answer: D
Rationale: Successful pump use requires the ability to program basal rates and boluses. This skill ensures safe, effective diabetes management, making it the priority assessment over troubleshooting, glucose interpretation, or A1c knowledge.
Question 2 of 5
An infant who has a Wilms' tumor is admitted for surgery. Which intervention should the nurse implement during the preoperative period?
Correct Answer: C
Rationale: Avoiding abdominal manipulation prevents tumor disruption or discomfort in Wilms' tumor. Pain medication, prone positioning, and antiemetics are less critical preoperatively unless specifically indicated.
Question 3 of 5
When providing care for a child who is in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Monitoring pulses and sensation ensures circulation and nerve function aren't compromised, critical in traction to prevent complications like ischemia. Pin site care, skin assessment, and repositioning are secondary.
Question 4 of 5
The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease. Which foods should the nurse include in the list of allowed foods for this child?
Correct Answer: A
Rationale: Rice is naturally gluten-free and safe for celiac disease. Oats must be certified gluten-free due to cross-contamination risks, and rye and barley contain gluten, making them unsafe.
Question 5 of 5
Based on the child's diagnosis, he has mixed blood flow due to a left-to-right shunt within the ventricular septum _____.
Correct Answer: A
Rationale: The phrase 'across the ventricular septum' accurately describes the location of the left-to-right shunt in a ventricular septal defect, causing mixed blood flow.