HESI RN
HESI Pediatric N158 Questions
Extract:
Question 1 of 5
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?
Correct Answer: C
Rationale: A quiet environment reduces sensory stimulation, alleviating irritability, which is a primary concern in Kawasaki disease.
Question 2 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: D
Rationale: Severe skin breakdown can cause discomfort, disrupting sleep, and requires immediate intervention to improve the infant's comfort.
Question 3 of 5
The nurse is caring for a 5-week-old infant presenting with a history of projectile vomiting after feedings. Which additional finding should the nurse expect to assess?
Correct Answer: C
Rationale: An olive-size mass in the epigastric area is characteristic of pyloric stenosis, associated with projectile vomiting.
Question 4 of 5
A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Describing a typical school day helps identify potential stressors causing the symptoms, guiding further intervention.
Question 5 of 5
The nurse is caring for a toddler with autism spectrum disorder and failure to thrive. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Structured meal times promote routine and reduce sensory overload, aiding feeding in children with autism spectrum disorder.