HESI RN
HESI Pediatric N158 Questions
Extract:
Question 1 of 5
The nurse is caring for an infant who was recently diagnosed with a congenital heart defect. Which assessment finding is most important for the nurse to report to the healthcare provider?
Correct Answer: C
Rationale: Poor oral intake and suckling effort indicate feeding difficulties, which can lead to dehydration and poor weight gain, requiring immediate reporting.
Question 2 of 5
The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease. Which foods should the nurse include in the list of allowed foods for this child?
Correct Answer: B
Rationale: Rice is gluten-free and safe for celiac disease, unlike rye, oats, and barley, which contain gluten.
Question 3 of 5
The nurse is monitoring a child with hydrocephalus who received a repeat ventriculoperitoneal (VP) shunt yesterday. Which assessment finding indicates to the nurse that the shunt is functioning normally?
Correct Answer: D
Rationale: The absence of continuous headaches indicates the VP shunt is functioning normally by relieving pressure on the brain, a primary symptom of hydrocephalus.
Question 4 of 5
The nurse is assessing a child with acute glomerulonephritis who presents 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: A
Rationale: A positive strep test confirms a recent streptococcal infection, a common cause of acute glomerulonephritis, requiring reporting.
Question 5 of 5
A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family?
Correct Answer: D
Rationale: Severe skin breakdown can cause discomfort, disrupting sleep, and requires immediate intervention to improve the infant's comfort.