HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 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.
Extract:
1030: The child has an audible murmur. Lung sounds are clear and equal. Pedal pulses present and marked. The parents state that the child has no known allergies. His last meal was approximately 3 hours ago. The child's parents are extremely concerned about the cardiac catheterization.
Vital signs:
Heart rate 108 beats/minute
Blood pressure 92/56 mm Hg
Respiratory rate 22 breaths/minute
Ovvoen saturation 96%
Question 2 of 5
What can the nurse do to help the parents to decrease their anxiety?
Correct Answer: A,D,E
Rationale: Providing recovery ideas, a comfortable waiting area, and avoiding specific timeframes reduce parental anxiety by empowering and reassuring them. Claiming 100% safety is inaccurate, and limiting visitation may increase distress.
Extract:
Question 3 of 5
During her sports physical examination, a 15-year-old female requests oral contraceptives. She explains that she is sexually active and does not want her parents to know. Which action should the nurse take?
Correct Answer: D
Rationale: Counseling on risks and benefits ensures informed decision-making while respecting confidentiality, as many regions allow minors to access contraceptives without parental consent. Providing free contraceptives, encouraging parental discussion, or requiring approval may not align with legal or ethical standards.
Question 4 of 5
While obtaining the vital signs of a 10-year-old child who had a tonsillectomy this morning, the nurse observes the child swallowing every 2 to 3 minutes. Which assessment should the nurse implement?
Correct Answer: B
Rationale: Frequent swallowing post-tonsillectomy may indicate bleeding. Inspecting the posterior oropharynx is the priority to check for blood or bleeding sites. Teeth clenching, voice tone, or gag reflex assessments are less relevant to detecting post-operative hemorrhage.
Question 5 of 5
During a well baby clinic visit, the mother of a 6-month-old infant asks the nurse if she can have a prescription for liquid multivitamin with fluoride. Though the infant is still breast feeding, the mother provides the child with supplemental formula feedings. Which assessment is most important for the nurse to obtain?
Correct Answer: C
Rationale: Assessing the water source for fluoride content is critical to determine if additional fluoride supplementation is needed, preventing over- or under-dosing. Weight gain, gestational age, and hemoglobin/hematocrit are important but not directly tied to fluoride supplementation decisions.