HESI RN
HESI Pediatric N158 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 his son's airway when he is having trouble breathing. What is the nurse's best response?
Correct Answer: B
Rationale: Using albuterol to relieve acute breathing difficulties is correct, as it relaxes airway muscles.
Question 2 of 5
The nurse is assessing a child with acute glomerulonephritis who presents with increased fatigue, facial puffiness, decreased appetite. The child's urine sample is dark yellow in color. Which additional finding should the nurse report to the healthcare provider?
Correct Answer: A
Rationale: A positive strep test confirms a recent streptococcal infection, a common cause of acute glomerulonephritis, requiring reporting.
Question 3 of 5
The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with attention-deficit/hyperactivity disorder (ADHD). Which statement(s) made by the caregiver demonstrate an understanding of the education?
Correct Answer: B,D,F
Rationale: Designating a study area, recognizing non-medication approaches, and maintaining a consistent schedule support ADHD management, while nonstimulants can be effective, and IEPs are not automatic.
Question 4 of 5
When providing care for a child 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 detects vascular or nerve compromise, critical in traction care.
Question 5 of 5
An adolescent client reports to the nurse of walking with a limp due to pain localized in the right knee which worsens at night but denies any recent injury or trauma. The nurse observes swelling and tenderness in the right lower thigh, and imaging results reveal radial ossification in the soft tissues. Which condition should the nurse consider as the probable cause of the findings?
Correct Answer: A
Rationale: Pain, swelling, tenderness, and radial ossification suggest osteosarcoma, a common bone tumor in adolescents, unlike the other conditions.