HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling. Which action should the nurse take?
Correct Answer: B
Rationale: Intense testicular pain with erythema and swelling suggests testicular torsion, a surgical emergency. Immediate reporting to the provider is critical to prevent testicular loss. Urine samples, swabs, or urinals are not priorities.
Question 2 of 5
The school nurse is preparing to administer amphetamine sulfate 15 mg by mouth (PO) to a child with attention-deficit/hyperactivity disorder (ADHD). The child's mother has provided 10 mg tablets for administration at school. How many tablets should the nurse administer?
Correct Answer: A
Rationale: 15 mg ÷ 10 mg/tablet = 1.5 tablets. Accurate dosing is essential for ADHD management, ensuring the child receives the prescribed amount.
Question 3 of 5
A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol. The child's mother tells the nurse that she uses this medication to open her son's airway when he is having trouble breathing. What is the nurse's best response?
Correct Answer: D
Rationale: Albuterol relieves bronchoconstriction, not inflammation. Confirming its role while educating about comprehensive asthma management (e.g., anti-inflammatory drugs) is appropriate. Overuse doesn't cause bronchitis, usage needs verification, and immediate evaluation isn't indicated.
Question 4 of 5
The parents of a 14-month-old child who is hospitalized due to febrile seizures tell the nurse that they fear their child will have lifelong seizures. Which information should the nurse convey to these parents?
Correct Answer: B
Rationale: Febrile seizures are typically benign and decrease with age, usually resolving by age 5. Reassuring parents about this natural course alleviates fears. Ibuprofen isn't prophylactic, visual stimuli don't trigger febrile seizures, and sponge baths are secondary to fever management education.
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.