HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
The mother of an 11-year-old boy who has juvenile idiopathic arthritis tells the nurse, 'I really don't want my son to become dependent on pain medication, so I only allow him to take it when he is really hurting.' Which information is most important for the nurse to provide this mother?
Correct Answer: B
Rationale: Regular pain medication in chronic conditions like juvenile idiopathic arthritis prevents pain escalation, improving function and quality of life. Distraction, hot baths, and rest are complementary but less effective alone.
Question 4 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.
Question 5 of 5
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?
Correct Answer: D
Rationale: Irritability in Kawasaki disease often stems from discomfort and systemic effects. A quiet environment reduces stimulation, helping to soothe the child and address irritability first, which may improve eating. Lotion, food lists, and parental rest are secondary.