HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse begins collecting the medical history of a child when the child screams and tries to hide behind the parent, dropping a stuffed toy. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Using the child's toy creates a comforting, child-friendly environment, reducing anxiety and encouraging participation. Ignoring the child, documenting interactions, or rushing may increase distress and hinder history collection.
Question 2 of 5
An infant born 2 days ago has not passed a meconium stool and begins to vomit bilious secretions. Which action should the nurse take first?
Correct Answer: B
Rationale: No meconium and bilious vomiting suggest a possible intestinal obstruction. Measuring abdominal circumference assesses for distension, guiding further evaluation. IV supplies, manometry, and urine output are secondary.
Question 3 of 5
While obtaining the vital signs of a 10-year-old child who had a tonsillectomy this morning, the nurse observes the child swallowing every 2 to 3 minutes. Which assessment should the nurse implement?
Correct Answer: B
Rationale: Frequent swallowing post-tonsillectomy may indicate bleeding. Inspecting the posterior oropharynx is the priority to check for blood or bleeding sites. Teeth clenching, voice tone, or gag reflex assessments are less relevant to detecting post-operative hemorrhage.
Question 4 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.
Question 5 of 5
The nurse is assessing the lung sounds of a preschooler. Which action should the nurse implement to ensure the child's cooperation?
Correct Answer: D
Rationale: Allowing the child to use a stethoscope on a stuffed animal reduces fear by familiarizing them with the tool, promoting cooperation through play. Bubbles, cotton ball games, or toys may distract but don't directly relate to the stethoscope, making them less effective for ensuring cooperation during lung assessment.