HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A 9-year-old admitted to the unit with severe abdominal pain and fever is diagnosed with appendicitis and is placed on the surgery schedule for an appendectomy. The child reports to the nurse of experiencing sudden relief in abdominal pain. Which action should the nurse take first?
Correct Answer: D
Rationale: Sudden relief of pain in appendicitis may indicate appendix rupture, a surgical emergency due to potential peritonitis. Contacting the healthcare provider immediately is critical for urgent evaluation. Documentation, meal inquiry, and antibiotics are secondary to addressing this potentially life-threatening change.
Question 2 of 5
The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inflamed conjunctiva. The child receives a prescription for an ophthalmic antiinfective ointment. Which instruction should the nurse provide the child's caregivers during discharge education?
Correct Answer: D
Rationale: Ophthalmic ointments often cause temporary blurry vision due to their consistency. Informing caregivers about this expected effect ensures treatment adherence and reduces concern. Discontinuing early risks incomplete treatment, wiping toward the eye can spread infection, and while wipes are useful, blurry vision education is the priority.
Question 3 of 5
The nurse is assessing the lung sounds of a preschooler. Which action should the nurse implement to ensure the child's cooperation?
Correct Answer: D
Rationale: Allowing the child to use a stethoscope on a stuffed animal reduces fear by familiarizing them with the tool, promoting cooperation through play. Bubbles, cotton ball games, or toys may distract but don't directly relate to the stethoscope, making them less effective for ensuring cooperation during lung assessment.
Question 4 of 5
A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parenteral nutrition and continuous enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in plan of care?
Correct Answer: C
Rationale: Non-nutritive sucking via a pacifier supports oral-motor development and soothes the infant, crucial for those on parenteral/enteral nutrition to prepare for oral feeding. Tube placement verification is routine safety, physical therapy isn't standard, and sterile technique isn't required for enteral feedings unless specified.
Question 5 of 5
During a well baby clinic visit, the mother of a 6-month-old infant asks the nurse if she can have a prescription for liquid multivitamin with fluoride. Though the infant is still breast feeding, the mother provides the child with supplemental formula feedings. Which assessment is most important for the nurse to obtain?
Correct Answer: C
Rationale: Assessing the water source for fluoride content is critical to determine if additional fluoride supplementation is needed, preventing over- or under-dosing. Weight gain, gestational age, and hemoglobin/hematocrit are important but not directly tied to fluoride supplementation decisions.