HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?
Correct Answer: B
Rationale: By age 3, children typically use simple sentences with four or more words, reflecting advanced language skills. One-word sentences, letter/number recognition, and gestures with short phrases are earlier milestones.
Question 2 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.
Question 3 of 5
A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Symptoms like headaches, stomach aches, and sleep issues often indicate stress or emotional distress in children. Asking about a typical school day helps identify potential stressors (e.g., bullying, academic pressure), which is a more targeted initial approach than vital sign comparison, parental counseling, or neurological assessment.
Question 4 of 5
When providing care for a child who is in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Monitoring pulses and sensation ensures circulation and nerve function aren't compromised, critical in traction to prevent complications like ischemia. Pin site care, skin assessment, and repositioning are secondary.
Question 5 of 5
The nurse is assessing a 6-month-old infant. Which response requires further evaluation by the nurse?
Correct Answer: D
Rationale: The startle (Moro) reflex typically disappears by 3-6 months. Its presence at 6 months suggests possible neurological delay, warranting further evaluation. Peek-a-boo, doubled birth weight, and sound localization are normal milestones for a 6-month-old.