HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs). Which information should the nurse provide to the parents?
Correct Answer: D
Rationale: Sydenham's chorea in rheumatic fever is temporary and typically resolves, so informing parents of its transient nature is accurate and reassuring.
Question 2 of 5
The nurse is planning care for a 4-year-old girl who is diagnosed as having a developmental disability. What should be thetotle primary focus of treatment for this child?
Correct Answer: D
Rationale: Helping the child achieve her maximum potential focuses on individualized care to optimize development and well-being, addressing her unique abilities and needs.
Question 3 of 5
A mother brings her male pre-schooler to the clinic because he has had diarrhea, vomiting, and high fevers for the past three days. The child begins to cry and cling to his mother when the nurse enters the examination room. Which action should the nurse implement to get the child to cooperate?
Correct Answer: C
Rationale: Talking to the mother and focusing on the child's toy builds trust and creates a calming environment, increasing cooperation by reducing anxiety.
Question 4 of 5
A 6-year-old with heart failure (HF) gained 2 pounds (0.9 kg) in the last 24 hours. Which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Assessing bilateral lung sounds is critical as sudden weight gain in heart failure may indicate fluid retention, potentially causing pulmonary edema, which requires immediate attention.
Question 5 of 5
The nurse is admitting a child with a diagnosis of untreated hypoparathyroidism. Which finding indicative of hypocalcaemia should the nurse report to the healthcare provider?
Correct Answer: A
Rationale: A positive Chvostek sign, facial twitching when tapping the facial nerve, indicates hypocalcemia due to nerve irritability from low calcium levels, a critical finding in hypoparathyroidism.