HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
During a follow-up clinic visit, a mother tells the nurse that her 5-month-old son who had surgical correction for tetralogy of Fallot (TOF) has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Rapid breathing and feeding difficulties post-TOF repair suggest possible cardiac or respiratory issues. Auscultating heart and lungs assesses for abnormalities, guiding further evaluation. FTT evaluation, inducing cyanosis, or ECG are less immediate.
Question 2 of 5
During a follow-up clinic visit, a mother tells the nurse that her 5-month-old son who had surgical correction for tetralogy of Fallot (TOF) has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Rapid breathing and feeding difficulties post-TOF repair suggest possible cardiac or respiratory issues. Auscultating heart and lungs assesses for abnormalities, guiding further evaluation. FTT evaluation, inducing cyanosis, or ECG are less immediate.
Question 3 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.
Question 4 of 5
The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inflamed conjunctiva. The child receives a prescription for an ophthalmic antiinfective ointment. Which instruction should the nurse provide the child's caregivers during discharge education?
Correct Answer: D
Rationale: Ophthalmic ointments often cause temporary blurry vision due to their consistency. Informing caregivers about this expected effect ensures treatment adherence and reduces concern. Discontinuing early risks incomplete treatment, wiping toward the eye can spread infection, and while wipes are useful, blurry vision education is the priority.
Question 5 of 5
The parents of a 14-month-old child who is hospitalized due to febrile seizures tell the nurse that they fear their child will have lifelong seizures. Which information should the nurse convey to these parents?
Correct Answer: B
Rationale: Febrile seizures are typically benign and decrease with age, usually resolving by age 5. Reassuring parents about this natural course alleviates fears. Ibuprofen isn't prophylactic, visual stimuli don't trigger febrile seizures, and sponge baths are secondary to fever management education.