HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The healthcare provider has assessed the client and completes initial orders. Which three care needs should the nurse prioritize for this client?
Correct Answer: B,F,H
Rationale: Cardiac arrhythmias, fluid status, and respiratory status are critical due to chronic kidney disease risks (electrolyte imbalances, fluid overload, pulmonary complications). Diet, fever diagnostics, education, antipyretics, vital signs, and acid/base issues are secondary.
Question 2 of 5
A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms the presence of head lice. The nurse washes the child's hair with permethrin shampoo and calls his parents. Which instruction should the nurse provide to the parents about treatment for head lice?
Correct Answer: C
Rationale: Washing bed linens and clothing in hot water kills lice and nits, preventing reinfestation. Disposing of accessories is optional, haircuts aren't necessary, and rewashing after 24 hours isn't standard.
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 3 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 4 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 5 of 5
The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the healthcare provider immediately?
Correct Answer: B
Rationale: Chest pain during a sickle cell crisis may indicate acute chest syndrome, a life-threatening complication requiring immediate intervention. Jaundice, swelling, and ulcers are common but less urgent unless accompanied by other critical symptoms.