HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse is assessing a child with acute glomerulonephritis who presents to the clinic with increased fatigue, facial puffiness, decreased appetite. The child's urine sample is dark yellow in color. Which additional finding should the nurse report to the healthcare provider?
Correct Answer: C
Rationale: Low blood pressure (88/50 mm Hg) in acute glomerulonephritis may indicate severe fluid shifts or renal dysfunction, requiring urgent reporting. Weight loss, strep test, and rash are less immediately critical.
Question 2 of 5
The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inflamed conjunctiva. The child receives a prescription for an ophthalmic antiinfective ointment. Which instruction should the nurse provide the child's caregivers during discharge education?
Correct Answer: D
Rationale: Ophthalmic ointments often cause temporary blurry vision due to their consistency. Informing caregivers about this expected effect ensures treatment adherence and reduces concern. Discontinuing early risks incomplete treatment, wiping toward the eye can spread infection, and while wipes are useful, blurry vision education is the priority.
Question 3 of 5
A six-year-old girl is being admitted to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?
Correct Answer: C
Rationale: Maternal substance use during pregnancy can impact the child's overall health and surgical risks, making it critical for planning care. Previous hospitalizations, infectious disease history, and developmental milestones are less directly relevant to umbilical hernia repair.
Question 4 of 5
The parents of a 14-month-old child who is hospitalized due to febrile seizures tell the nurse that they fear their child will have lifelong seizures. Which information should the nurse convey to these parents?
Correct Answer: B
Rationale: Febrile seizures are typically benign and decrease with age, usually resolving by age 5. Reassuring parents about this natural course alleviates fears. Ibuprofen isn't prophylactic, visual stimuli don't trigger febrile seizures, and sponge baths are secondary to fever management education.
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.