HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LHRH) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment?
Correct Answer: B
Rationale: LHRH therapy aims to delay precocious puberty, allowing the child to develop at a pace similar to peers. The statement about sexual maturity differences disappearing reflects understanding that the treatment is temporary and effective in aligning development with age-appropriate norms.
Question 2 of 5
The nurse is providing nutrition education to the parents of an infant with failure to thrive (FTT). Which statement made by the parent should the nurse recognize as an appropriate understanding of interventions?
Correct Answer: B
Rationale: Breast milk offers sufficient calories and nutrients for most infants with FTT, supporting growth when feeding issues are addressed. Syringe feedings, fruit juice, and high-calorie formula require specific medical guidance.
Question 3 of 5
A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms the presence of head lice. The nurse washes the child's hair with permethrin shampoo and calls his parents. Which instruction should the nurse provide to the parents about treatment for head lice?
Correct Answer: C
Rationale: Washing bed linens and clothing in hot water kills lice and nits, preventing reinfestation. Disposing of accessories is optional, haircuts aren't necessary, and rewashing after 24 hours isn't standard.
Extract:
The client has a history of Wilms tumor with left radical nephrectomy diagnosed at age five for which he completed treatment nine months ago. A septic episode, while undergoing treatment for his Wilms tumor, resulted in an acute kidney injury. This Injury, along with antibiotic therapy and chemotherapy, has resulted in chronic kidney disease. The client is followed by oncology and nephrology services.
Question 4 of 5
For each nursing action, click to indicate whether the action is indicated or contraindicated for this client's plan of care.
| Options | Indicated | Contraindicated |
|---|---|---|
| Continuous pulse oximetry monitoring | ||
| Calculation of intake and output | ||
| Daily weights | ||
| IV 0.9% normal saline continuous infusion at 100 mL/hr | ||
| IV potassium-sparing diuretics |
Correct Answer: A,B,C,D
Rationale: Pulse oximetry, intake/output, daily weights, and saline infusion are indicated to monitor respiratory status, fluid balance, and hydration in chronic kidney disease. Potassium-sparing diuretics are contraindicated due to potential electrolyte imbalances.
Extract:
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.