HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 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.
Extract:
This is a 3-year-old with a history of ventricular septal defect. He was born vaginally at 35 weeks and was in the neonatal intensive care unit (NICU) for 3 weeks due to poor feeding. He lives with his parents and an older sibling, who has no medical conditions. The client is here for a follow-up visit. The nurse educates the parents on post-discharge care for the child.
Question 2 of 5
What should the nurse include in post-discharge care education?
Correct Answer: C,F
Rationale: Monitoring for bleeding/swelling at the site and fever are critical to detect complications post-cardiac catheterization. Pressure dressings, ibuprofen, clear liquids, and bath restrictions are not standard for ventricular septal defect repair discharge.
Extract:
Question 3 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 4 of 5
The nurse is caring for a 5-week-old infant presenting with a history of projectile vomiting after feedings. Which additional finding should the nurse expect to assess?
Correct Answer: A
Rationale: Projectile vomiting in a 5-week-old suggests pyloric stenosis, often accompanied by a palpable olive-sized mass in the epigastrium due to pyloric muscle hypertrophy. Mucus/blood in stool, rebound tenderness, or burping/poor feeding are less specific.
Question 5 of 5
When providing care for a child who is in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Monitoring pulses and sensation ensures circulation and nerve function aren't compromised, critical in traction to prevent complications like ischemia. Pin site care, skin assessment, and repositioning are secondary.