HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 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: C
Rationale: Severe skin breakdown in the diaper area likely causes discomfort, contributing to sleep disturbances. This is more significant than family structure, feeding irritability, or formula changes, which are less directly tied to sleep issues.
Question 2 of 5
Parents of an infant with an inguinal hernia bring their child to the emergency department reporting that the hernia has changed in color to dark purple and child has not had a bowel movement in 24 hours. The nurse obtains a Face, Legs, Activity, Cry, Consolability (FLACC) scale score of 8 on initial assessment. Which action should the nurse prioritize?
Correct Answer: A
Rationale: A dark purple hernia, no bowel movement, and high FLACC score suggest strangulation, a surgical emergency. Reporting to the provider ensures urgent evaluation. Fluid intake, manual reduction, or IV access are secondary to addressing this critical condition.
Question 3 of 5
An infant who has a Wilms' tumor is admitted for surgery. Which intervention should the nurse implement during the preoperative period?
Correct Answer: C
Rationale: Avoiding abdominal manipulation prevents tumor disruption or discomfort in Wilms' tumor. Pain medication, prone positioning, and antiemetics are less critical preoperatively unless specifically indicated.
Question 4 of 5
The nurse is assessing a 6-month-old infant. Which response requires further evaluation by the nurse?
Correct Answer: D
Rationale: The startle (Moro) reflex typically disappears by 3-6 months. Its presence at 6 months suggests possible neurological delay, warranting further evaluation. Peek-a-boo, doubled birth weight, and sound localization are normal milestones for a 6-month-old.
Question 5 of 5
The healthcare provider has assessed the client and completes initial orders. Which three care needs should the nurse prioritize for this client?
Correct Answer: B,F,H
Rationale: Cardiac arrhythmias, fluid status, and respiratory status are critical due to chronic kidney disease risks (electrolyte imbalances, fluid overload, pulmonary complications). Diet, fever diagnostics, education, antipyretics, vital signs, and acid/base issues are secondary.