HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A parent reports their preschool-aged child often asks others to repeat statements and does not articulate common words correctly. The parents think the child has a hearing impairment due to multiple episodes of ear infections and rupture tympanic membranes. The nurse inspects the outer ear canal using an otoscope and no obstruction, inflammation, or drainage is observed. Which action is most important for the nurse to implement?
Correct Answer: B
Rationale: Referring for audiometric testing is critical given the history of ear infections and speech difficulties, indicating a potential hearing impairment requiring specialized evaluation.
Question 2 of 5
A 6-year-old with heart failure (HF) gained 2 pounds (0.9 kg) in the last 24 hours. Which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Assessing bilateral lung sounds is critical as sudden weight gain in heart failure may indicate fluid retention, potentially causing pulmonary edema, which requires immediate attention.
Question 3 of 5
A 12-year-old boy with hemophilia is hospitalized for hemarthrosis of his right knee. He is complaining of severe knee pain. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Elevating and immobilizing the knee in a flexed position minimizes movement, reducing pain and further bleeding in hemarthrosis.
Question 4 of 5
One week after removing a tick that bit him, a student arrives at the school nurse's office with reports of flu-like symptoms. Which intervention should the school nurse implement first?
Correct Answer: B
Rationale: Observing for a rash around the tick bite site is the first intervention because a 'bull's-eye' rash is indicative of Lyme disease, a potential tick-borne illness. This guides further actions, prioritizing specific symptoms over general ones like fever, which is common to many illnesses.
Question 5 of 5
An adolescent with a past surgical history of orchiopexy for cryptorchidism is evaluated in a primary care setting. Which anticipatory guidance should the nurse provide?
Correct Answer: A
Rationale: Teaching testicular self-examinations is essential for monitoring testicular health post-orchiopexy, enabling early detection of abnormalities like cancer.