HESI RN
HESI Pediatrics Exam Questions
Extract:
Question 1 of 5
The nurse is evaluating a preschool-aged child who is presenting with symptoms of flank pain, dysuria, and a low-grade fever. What additional information should the nurse obtain from the parent to determine if the child might have a urinary tract infection?
Correct Answer: A
Rationale: Increased urination frequency is a common UTI symptom in children, aiding diagnosis.
Question 2 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 3 of 5
A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parenteral nutrition and continuous enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in the plan of care?
Correct Answer: B
Rationale: Offering a pacifier for non-nutritive sucking promotes oral feeding skills and emotional stability, supporting normal growth and development in infants with gastroschisis repair.
Question 4 of 5
When advising a new mother on caring for a child with croup, which symptom should be a priority concern for the telephone triage nurse?
Correct Answer: D
Rationale: Difficulty swallowing secretions suggests severe airway swelling, requiring urgent attention.
Question 5 of 5
A child who weighs 30 kg is experiencing a grand mal seizure. The healthcare provider prescribes diazepam 0.3 mg/kg/dose intravenous (IV) STAT. The medication is available in 5 mg/mL vials. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth).
Correct Answer: A
Rationale: The total dose is 9 mg (30 kg × 0.3 mg/kg). Dividing by the concentration (5 mg/mL) gives 1.8 mL (9 mg ÷ 5 mg/mL).