HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 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.
Extract:
History and Physical
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 2 of 5
Two days later, the nurse completes an assessment of the client. Which assessment findings indicate that the client has stabilized?
Correct Answer: B,F,G
Rationale: Normal blood pressure (126/76 mm Hg), heart rate (72 beats/minute), oxygen saturation (98%), and temperature (98.9°F) indicate stabilization. Abnormal ECG, crackles, low urine output, and elevated respirations suggest ongoing issues, not stabilization.
Extract:
Question 3 of 5
Based on the child's diagnosis, he has mixed blood flow due to a left-to-right shunt within the ventricular septum _____.
Correct Answer: A
Rationale: The phrase 'across the ventricular septum' accurately describes the location of the left-to-right shunt in a ventricular septal defect, causing mixed blood flow.
Question 4 of 5
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?
Correct Answer: C
Rationale: Acute rheumatic fever is often preceded by a streptococcal throat infection. A recent sore throat is the most significant illness to note, as it may indicate an untreated or inadequately treated group A Streptococcus infection, which can trigger ARF.
Question 5 of 5
The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease. Which foods should the nurse include in the list of allowed foods for this child?
Correct Answer: A
Rationale: Rice is naturally gluten-free and safe for celiac disease. Oats must be certified gluten-free due to cross-contamination risks, and rye and barley contain gluten, making them unsafe.