HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
The client is a 12-year-old male who sustained a gunshot wound to his abdomen. He had a surgical repair of a perforated small intestine 4 days ago. The client is 112.4 Ib. (51 kg). He has a nasogastric tube, a left femoral central line for fluids, and a right hand peripheral intravenous line.
Review H and P, laboratory results, flow sheet, and orders.
The nurse receives the report from the lab and documents the intake and output for 1600.
Question 1 of 5
Based on the client's information at 1600, what symptoms should the nurse look for?
Correct Answer: A,D,E,F
Rationale: Post-abdominal surgery with IV fluids, the client is at risk for fluid/electrolyte imbalances, manifesting as edema, dry skin, thirst, and muscle weakness. Irritability, fatigue, and hypertension are less specific in this context.
Extract:
Question 2 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.
Extract:
The client is a 12-year-old male who sustained a gunshot wound to his abdomen. He had a surgical repair of a perforated small intestine 4 days ago. The client is 112.4 Ib. (51 kg). He has a nasogastric tube, a left femoral central line for fluids, and a right hand peripheral intravenous line.
Review H and P, laboratory results, flow sheet, and orders.
The nurse receives the report from the lab and documents the intake and output for 1600.
Question 3 of 5
Based on the client's information at 1600, what symptoms should the nurse look for?
Correct Answer: A,D,E,F
Rationale: Post-abdominal surgery with IV fluids, the client is at risk for fluid/electrolyte imbalances, manifesting as edema, dry skin, thirst, and muscle weakness. Irritability, fatigue, and hypertension are less specific in this context.
Extract:
Question 4 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 5 of 5
A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family?
Correct Answer: C
Rationale: Severe skin breakdown in the diaper area likely causes discomfort, contributing to sleep disturbances. This is more significant than family structure, feeding irritability, or formula changes, which are less directly tied to sleep issues.