HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
An adolescent hospitalized with sickle cell anaemia reports to the nurse of experiencing a pain level of 10 on a 0 to 10 numerical scale. The nurse observes the adolescent on a phone call laughing. Which action should the nurse take?
Correct Answer: C
Rationale: Documenting the incongruence between the reported pain level and observed behavior ensures accurate assessment and communication for further evaluation.
Question 2 of 5
The nurse is providing education to a group of adolescents about smoking prevention. Which approach should the nurse include to incorporate Piaget's cognitive development theory of formal operations?
Correct Answer: A
Rationale: Classifying health behaviors as healthy and unhealthy engages abstract thinking and categorization, aligning with Piaget's formal operations stage, which emphasizes hypothetical reasoning.
Question 3 of 5
An infant diagnosed with respiratory syncytial virus is being discharged. Which instruction should the nurse include in caregiver education?
Correct Answer: D
Rationale: Performing bulb syringe suction with nasal saline drops helps clear mucus from the infant's nasal passages, easing breathing and feeding, which is critical for RSV management. Prone sleeping increases SIDS risk, and albuterol is not typically indicated.
Question 4 of 5
The nurse knows that a shunt procedure is the therapy of choice in almost all cases of hydrocephalus. Which is the most common reason for revision of a child's ventriculoperitoneal shunt?
Correct Answer: C
Rationale: Malfunction of the valves is the most common reason for ventriculoperitoneal shunt revision, as valves can become blocked or stuck, leading to inadequate or excessive cerebrospinal fluid drainage.
Question 5 of 5
A mother brings her male pre-schooler to the clinic because he has had diarrhea, vomiting, and high fevers for the past three days. The child begins to cry and cling to his mother when the nurse enters the examination room. Which action should the nurse implement to get the child to cooperate?
Correct Answer: C
Rationale: Talking to the mother and focusing on the child's toy builds trust and creates a calming environment, increasing cooperation by reducing anxiety.