HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse is caring for an infant with unilateral clubfoot. Which information should the nurse include in parent education about long-term outcomes?
Correct Answer: D
Rationale: Serial casting is a standard, effective treatment for clubfoot, often leading to normal gait with proper management. Delayed development or gait issues are not expected, and heredity's role is less critical than treatment.
Question 2 of 5
The healthcare provider has assessed the client and completes initial orders. Which three care needs should the nurse prioritize for this client?
Correct Answer: B,F,H
Rationale: Cardiac arrhythmias, fluid status, and respiratory status are critical due to chronic kidney disease risks (electrolyte imbalances, fluid overload, pulmonary complications). Diet, fever diagnostics, education, antipyretics, vital signs, and acid/base issues are secondary.
Question 3 of 5
An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LHRH) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment?
Correct Answer: B
Rationale: LHRH therapy aims to delay precocious puberty, allowing the child to develop at a pace similar to peers. The statement about sexual maturity differences disappearing reflects understanding that the treatment is temporary and effective in aligning development with age-appropriate norms.
Question 4 of 5
While obtaining the vital signs of a 10-year-old child who had a tonsillectomy this morning, the nurse observes the child swallowing every 2 to 3 minutes. Which assessment should the nurse implement?
Correct Answer: B
Rationale: Frequent swallowing post-tonsillectomy may indicate bleeding. Inspecting the posterior oropharynx is the priority to check for blood or bleeding sites. Teeth clenching, voice tone, or gag reflex assessments are less relevant to detecting post-operative hemorrhage.
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.