HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms the presence of head lice. The nurse washes the child's hair with permethrin shampoo and calls his parents. Which instruction should the nurse provide to the parents about treatment for head lice?
Correct Answer: C
Rationale: Washing bed linens and clothing in hot water kills lice and nits, preventing reinfestation. Disposing of accessories is optional, haircuts aren't necessary, and rewashing after 24 hours isn't standard.
Extract:
This is a 3-year-old with a history of ventricular septal defect. He was born vaginally at 35 weeks and was in the neonatal intensive care unit (NICU) for 3 weeks due to poor feeding. He lives with his parents and an older sibling, who has no medical conditions. The client is here for a follow-up visit.
After the physician orders the echocardiogram, the nurse provides education to the parents on the procedure.
Question 2 of 5
For each statement, click to indicate whether the statement by the parents indicate understanding or no understanding.
| Options | Understanding | No understanding |
|---|---|---|
| The echocardiogram is an invasive procedure. | ||
| I can show my child a movie or read him a book during the procedure. | ||
| Echocardiography uses soundwaves to produce images. | ||
| The echocardiogram will produce an image of the structure of the heart. |
Correct Answer: B,C,D
Rationale: Statements about distraction during the procedure, soundwave use, and heart imaging show understanding. Calling the echocardiogram invasive is incorrect, as it's non-invasive.
Extract:
Question 3 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: D
Rationale: Irritability in Kawasaki disease often stems from discomfort and systemic effects. A quiet environment reduces stimulation, helping to soothe the child and address irritability first, which may improve eating. Lotion, food lists, and parental rest are secondary.
Question 4 of 5
The nurse is preparing to administer medications for an eight-month-old infant with heart failure. The infant has a blood pressure of 114/66 mm Hg, apical pulse of 88 beats/minute, and respirations of 30 breaths/minute. Which medication should the nurse withhold until the health care provider is notified?
Correct Answer: A
Rationale: Digoxin requires an apical pulse >90-110 bpm in infants to avoid toxicity. At 88 bpm, the nurse should withhold it and notify the provider. Other medications lack pulse-related contraindications.
Question 5 of 5
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?
Correct Answer: C
Rationale: Acute rheumatic fever is often preceded by a streptococcal throat infection. A recent sore throat is the most significant illness to note, as it may indicate an untreated or inadequately treated group A Streptococcus infection, which can trigger ARF.