HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol. The child's mother tells the nurse that she uses this medication to open her son's airway when he is having trouble breathing. What is the nurse's best response?
Correct Answer: D
Rationale: Albuterol relieves bronchoconstriction, not inflammation. Confirming its role while educating about comprehensive asthma management (e.g., anti-inflammatory drugs) is appropriate. Overuse doesn't cause bronchitis, usage needs verification, and immediate evaluation isn't indicated.
Extract:
The client is a 12-year-old male who sustained a gunshot wound to his abdomen. He had a surgical repair of a perforated small intestine 4 days ago. The client is 112.4 Ib. (51 kg). He has a nasogastric tube, a left femoral central line for fluids, and a right hand peripheral intravenous line.
Review H and P, laboratory results, flow sheet, and orders.
The nurse receives the report from the lab and documents the intake and output for 1600.
Question 2 of 5
Based on the client's information at 1600, what symptoms should the nurse look for?
Correct Answer: A,D,E,F
Rationale: Post-abdominal surgery with IV fluids, the client is at risk for fluid/electrolyte imbalances, manifesting as edema, dry skin, thirst, and muscle weakness. Irritability, fatigue, and hypertension are less specific in this context.
Extract:
Question 3 of 5
A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family?
Correct Answer: C
Rationale: Severe skin breakdown in the diaper area likely causes discomfort, contributing to sleep disturbances. This is more significant than family structure, feeding irritability, or formula changes, which are less directly tied to sleep issues.
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.