HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse is giving an intramuscular injection of an antibiotic to a 16-month-old toddler with pneumonia. The toddler does not have any known allergies and has been walking without assistance for one month. Which technique should the nurse select for administration?
Correct Answer: D
Rationale: The vastus lateralis (middle of the lateral thigh) is the preferred site for IM injections in toddlers due to adequate muscle mass and minimal risk to nerves or vessels. Arm injections are for older children/adults, 1/2-inch needles may not reach muscle, and gluteal injections risk sciatic nerve injury in young children.
Question 2 of 5
Based on the child's diagnosis, he has mixed blood flow due to a left-to-right shunt within the ventricular septum _____.
Correct Answer: A
Rationale: The phrase 'across the ventricular septum' accurately describes the location of the left-to-right shunt in a ventricular septal defect, causing mixed blood flow.
Question 3 of 5
The nurse is providing nutrition education to the parents of an infant with failure to thrive (FTT). Which statement made by the parent should the nurse recognize as an appropriate understanding of interventions?
Correct Answer: B
Rationale: Breast milk offers sufficient calories and nutrients for most infants with FTT, supporting growth when feeding issues are addressed. Syringe feedings, fruit juice, and high-calorie formula require specific medical guidance.
Extract:
This is a 3-year-old with a history of ventricular septal defect. He was born vaginally at 35 weeks and was in the neonatal intensive care unit (NICU) for 3 weeks due to poor feeding. He lives with his parents and an older sibling, who has no medical conditions. The client is here for a follow-up visit.
After the physician orders the echocardiogram, the nurse provides education to the parents on the procedure.
Question 4 of 5
For each statement, click to indicate whether the statement by the parents indicate understanding or no understanding.
| Options | Understanding | No understanding |
|---|---|---|
| The echocardiogram is an invasive procedure. | ||
| I can show my child a movie or read him a book during the procedure. | ||
| Echocardiography uses soundwaves to produce images. | ||
| The echocardiogram will produce an image of the structure of the heart. |
Correct Answer: B,C,D
Rationale: Statements about distraction during the procedure, soundwave use, and heart imaging show understanding. Calling the echocardiogram invasive is incorrect, as it's non-invasive.
Extract:
Question 5 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.