HESI RN
HESI Pediatrics Exam Questions
Extract:
Question 1 of 5
A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of thyroxine (T4) and high levels of thyroid-stimulating hormone (TSH). What is the best explanation for this finding?
Correct Answer: D
Rationale: High TSH results from low T4 production, indicating congenital hypothyroidism.
Question 2 of 5
The nurse begins collecting the medical history of a child when the child screams and tries to hide behind the parent, dropping a stuffed toy. What intervention should the nurse implement?
Correct Answer: B
Rationale: Using the toy reduces fear, creating a comfortable environment for history collection.
Question 3 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 antinfective ointment. What instruction should the nurse provide the child's caregivers during discharge education?
Correct Answer: B
Rationale: Ointment can cause temporary blurry vision, and caregivers should be prepared.
Question 4 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. What condition should the nurse consider as the probable cause of the findings?
Correct Answer: A
Rationale: Symptoms and radial ossification suggest osteosarcoma, a common bone tumor in adolescents.
Question 5 of 5
The parents of a child who is diagnosed with Wilm's tumor ask the nurse why surgery is necessary before a biopsy is performed. What information should the nurse provide?
Correct Answer: D
Rationale: Biopsy risks rupturing the tumor, potentially spreading cancer cells.