HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 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.
Question 2 of 5
A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse that she would like to use a pump instead of insulin injections to manage her diabetes. Which assessment is most important for the nurse to obtain?
Correct Answer: D
Rationale: Successful pump use requires the ability to program basal rates and boluses. This skill ensures safe, effective diabetes management, making it the priority assessment over troubleshooting, glucose interpretation, or A1c knowledge.
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 caring for an infant with unilateral clubfoot. Which information should the nurse include in parent education about long-term outcomes?
Correct Answer: D
Rationale: Serial casting is a standard, effective treatment for clubfoot, often leading to normal gait with proper management. Delayed development or gait issues are not expected, and heredity's role is less critical than treatment.
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 5 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.