HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse is caring for a 5-week-old infant presenting with a history of projectile vomiting after feedings. Which additional finding should the nurse expect to assess?
Correct Answer: A
Rationale: Projectile vomiting in a 5-week-old suggests pyloric stenosis, often accompanied by a palpable olive-sized mass in the epigastrium due to pyloric muscle hypertrophy. Mucus/blood in stool, rebound tenderness, or burping/poor feeding are less specific.
Question 2 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.
Question 3 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 4 of 5
A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol. The child's mother tells the nurse that she uses this medication to open her son's airway when he is having trouble breathing. What is the nurse's best response?
Correct Answer: D
Rationale: Albuterol relieves bronchoconstriction, not inflammation. Confirming its role while educating about comprehensive asthma management (e.g., anti-inflammatory drugs) is appropriate. Overuse doesn't cause bronchitis, usage needs verification, and immediate evaluation isn't indicated.
Question 5 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.