HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
The client has a history of Wilms tumor with left radical nephrectomy diagnosed at age five for which he completed treatment nine months ago. A septic episode, while undergoing treatment for his Wilms tumor, resulted in an acute kidney injury. This Injury, along with antibiotic therapy and chemotherapy, has resulted in chronic kidney disease. The client is followed by oncology and nephrology services.
Question 1 of 5
For each nursing action, click to indicate whether the action is indicated or contraindicated for this client's plan of care.
Correct Answer: A,B,C,D
Rationale: Pulse oximetry, intake/output, daily weights, and saline infusion are indicated to monitor respiratory status, fluid balance, and hydration in chronic kidney disease. Potassium-sparing diuretics are contraindicated due to potential electrolyte imbalances.
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 2 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 3 of 5
An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LHRH) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment?
Correct Answer: B
Rationale: LHRH therapy aims to delay precocious puberty, allowing the child to develop at a pace similar to peers. The statement about sexual maturity differences disappearing reflects understanding that the treatment is temporary and effective in aligning development with age-appropriate norms.
Question 4 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.
Question 5 of 5
The nurse is caring for an infant with unilateral clubfoot. Which information should the nurse include in parent education about long-term outcomes?
Correct Answer: D
Rationale: Serial casting is a standard, effective treatment for clubfoot, often leading to normal gait with proper management. Delayed development or gait issues are not expected, and heredity's role is less critical than treatment.