HESI RN
HESI Pediatrics Exam Questions
Extract:
Question 1 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: D
Rationale: Chest pain may indicate acute chest syndrome, a life-threatening complication requiring immediate reporting.
Question 2 of 5
A 1-year-old child with respiratory syncytial virus (RSV) is admitted to the pediatric unit. The child presents with a fever, rhinorrhea, frequent coughing, and sneezing. What additional finding should alert the nurse that the child is in acute respiratory distress?
Correct Answer: D
Rationale: Nasal flaring indicates increased breathing effort, a sign of acute respiratory distress in RSV.
Question 3 of 5
During a sports physical examination, a 15-year-old female expresses her desire for oral contraceptives. She mentions that she is sexually active and prefers not to inform her parents. What should be the nurse's course of action?
Correct Answer: A
Rationale: Educating about risks and benefits respects autonomy and informs decision-making.
Question 4 of 5
Which snack choice by a school-aged child with gastroesophageal reflux indicates to the nurse that the child understands the dietary restrictions?
Correct Answer: B
Rationale: Sugar cookies are less likely to trigger GERD symptoms compared to high-fat or acidic foods.
Question 5 of 5
A newborn, who has had gastroschisis repair, is transferred to the pediatric unit after spending several days in the pediatric intensive care unit. The infant is on parenteral nutrition and continuous enteral feedings. What action should the nurse include in the plan of care to promote the infant's normal growth and development?
Correct Answer: B
Rationale: Non-nutritive sucking via a pacifier stimulates the sucking reflex and supports feeding development, promoting normal growth.