HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
A six-year-old girl is being admitted to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?
Correct Answer: C
Rationale: Maternal substance use during pregnancy can impact the child's overall health and surgical risks, making it critical for planning care. Previous hospitalizations, infectious disease history, and developmental milestones are less directly relevant to umbilical hernia repair.
Question 2 of 5
The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inflamed conjunctiva. The child receives a prescription for an ophthalmic antiinfective ointment. Which instruction should the nurse provide the child's caregivers during discharge education?
Correct Answer: D
Rationale: Ophthalmic ointments often cause temporary blurry vision due to their consistency. Informing caregivers about this expected effect ensures treatment adherence and reduces concern. Discontinuing early risks incomplete treatment, wiping toward the eye can spread infection, and while wipes are useful, blurry vision education is the priority.
Question 3 of 5
The nurse is assessing a child with acute glomerulonephritis who presents to the clinic with increased fatigue, facial puffiness, decreased appetite. The child's urine sample is dark yellow in color. Which additional finding should the nurse report to the healthcare provider?
Correct Answer: C
Rationale: Low blood pressure (88/50 mm Hg) in acute glomerulonephritis may indicate severe fluid shifts or renal dysfunction, requiring urgent reporting. Weight loss, strep test, and rash are less immediately critical.
Question 4 of 5
The nurse is giving an intramuscular injection of an antibiotic to a 16-month-old toddler with pneumonia. The toddler does not have any known allergies and has been walking without assistance for one month. Which technique should the nurse select for administration?
Correct Answer: D
Rationale: The vastus lateralis (middle of the lateral thigh) is the preferred site for IM injections in toddlers due to adequate muscle mass and minimal risk to nerves or vessels. Arm injections are for older children/adults, 1/2-inch needles may not reach muscle, and gluteal injections risk sciatic nerve injury in young children.
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.