HESI RN
HESI Pediatrics Exam Questions
Extract:
Question 1 of 5
A 5-week-old infant who has been experiencing projectile vomiting after feedings. What additional symptom should the nurse anticipate?
Correct Answer: B
Rationale: An olive-sized mass suggests pyloric stenosis, a common cause of projectile vomiting.
Question 2 of 5
The nurse is caring for a child with hypoparathyroidism who exhibits a carpal spasm when pressure is applied to the upper arm. Which laboratory value should the nurse review?
Correct Answer: B
Rationale: Carpal spasm (Trousseau's sign) indicates hypocalcemia, common in hypoparathyroidism.
Question 3 of 5
A newborn, who has had gastroschisis repair, is transferred to the pediatric unit after spending several days in the pediatric intensive care unit. The infant is on parenteral nutrition and continuous enteral feedings. What action should the nurse include in the plan of care to promote the infant's normal growth and development?
Correct Answer: B
Rationale: Non-nutritive sucking via a pacifier stimulates the sucking reflex and supports feeding development, promoting normal growth.
Question 4 of 5
During a sports physical examination, a 15-year-old female expresses her desire for oral contraceptives. She mentions that she is sexually active and prefers not to inform her parents. What should be the nurse's course of action?
Correct Answer: A
Rationale: Educating about risks and benefits respects autonomy and informs decision-making.
Question 5 of 5
Which snack choice by a school-aged child with gastroesophageal reflux indicates to the nurse that the child understands the dietary restrictions?
Correct Answer: B
Rationale: Sugar cookies are less likely to trigger GERD symptoms compared to high-fat or acidic foods.