HESI RN
RN HESI Pediatrics Exam 2 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: D
Rationale: Irritability in Kawasaki disease often stems from discomfort and systemic effects. A quiet environment reduces stimulation, helping to soothe the child and address irritability first, which may improve eating. Lotion, food lists, and parental rest are secondary.
Question 2 of 5
During her sports physical examination, a 15-year-old female requests oral contraceptives. She explains that she is sexually active and does not want her parents to know. Which action should the nurse take?
Correct Answer: D
Rationale: Counseling on risks and benefits ensures informed decision-making while respecting confidentiality, as many regions allow minors to access contraceptives without parental consent. Providing free contraceptives, encouraging parental discussion, or requiring approval may not align with legal or ethical standards.
Question 3 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 4 of 5
Based on the child's diagnosis, he has mixed blood flow due to a left-to-right shunt within the ventricular septum _____.
Correct Answer: A
Rationale: The phrase 'across the ventricular septum' accurately describes the location of the left-to-right shunt in a ventricular septal defect, causing mixed blood flow.
Question 5 of 5
The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?
Correct Answer: C
Rationale: Secondhand smoke exposure is a known risk factor for otitis media. Avoiding it reduces respiratory infections that contribute to ear infections. Breastfeeding is beneficial but not specific to otitis prevention, prone positioning is unsafe, and daily ear inspections aren't preventive.