HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
Based on the child's diagnosis, he has mixed blood flow due to a left-to-right shunt within the ventricular septum _____.
Correct Answer: A
Rationale: The phrase 'across the ventricular septum' accurately describes the location of the left-to-right shunt in a ventricular septal defect, causing mixed blood flow.
Question 2 of 5
A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Symptoms like headaches, stomach aches, and sleep issues often indicate stress or emotional distress in children. Asking about a typical school day helps identify potential stressors (e.g., bullying, academic pressure), which is a more targeted initial approach than vital sign comparison, parental counseling, or neurological assessment.
Question 3 of 5
When advising a new mother in caring for a child with croup, which symptom should be a priority concern to the telephone triage nurse?
Correct Answer: B
Rationale: Difficulty swallowing secretions can indicate airway obstruction in croup, a potential emergency requiring immediate attention. Fever, barking cough, and crying during nursing are common but less urgent unless accompanied by respiratory distress.
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 4 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 5 of 5
A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parenteral nutrition and continuous enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in plan of care?
Correct Answer: C
Rationale: Non-nutritive sucking via a pacifier supports oral-motor development and soothes the infant, crucial for those on parenteral/enteral nutrition to prepare for oral feeding. Tube placement verification is routine safety, physical therapy isn't standard, and sterile technique isn't required for enteral feedings unless specified.