HESI RN
RN HESI Obstetrics and Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
How should the nurse instruct the parents of a 4-month-old with seborrheic dermatitis (cradle cap) to shampoo the child's hair?
Correct Answer: C
Rationale: Using a soft brush to gently scrub the scalp loosens and removes cradle cap scales, preventing buildup while avoiding irritation to the delicate scalp.
Question 2 of 5
The nurse is caring for a school-age child presenting to the emergency department with frequent productive coughing, chest tightness, and shortness of breath. Significant inspiratory and expiratory wheezing is auscultated bilaterally. Which finding should the nurse expect after administering a prescribed dose of albuterol?
Correct Answer: D
Rationale: Albuterol, a bronchodilator, reduces airway constriction, so slight expiratory wheezing is expected as it indicates improved airflow compared to significant wheezing.
Question 3 of 5
The nurse is providing education to a group of adolescents about smoking prevention. Which approach should the nurse include to incorporate Piaget's cognitive development theory of formal operations?
Correct Answer: A
Rationale: Classifying health behaviors as healthy and unhealthy engages abstract thinking and categorization, aligning with Piaget's formal operations stage, which emphasizes hypothetical reasoning.
Question 4 of 5
A 4-month-old girl is brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke up this morning with a barking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress?
Correct Answer: D
Rationale: Flaring of the nares indicates increased respiratory effort and accessory muscle use, a clear sign of acute respiratory distress in infants.
Question 5 of 5
A paediatric home care nurse schedules a visit to the home of a 4-week-old newborn who had a low thyroxine (T4) and a high thyroid stimulating hormone (TSH) at birth, and was diagnosed with congenital hypothyroidism or cretinism. Which instruction is most important for the nurse to provide the parents of this child?
Correct Answer: A
Rationale: Administering supplemental thyroid hormone daily is critical to replace deficient hormone, preventing developmental delays in congenital hypothyroidism.