HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse is preparing to administer medications for an eight-month-old infant with heart failure. The infant has a blood pressure of 114/66 mm Hg, apical pulse of 88 beats/minute, and respirations of 30 breaths/minute. Which medication should the nurse withhold until the health care provider is notified?
Correct Answer: A
Rationale: Digoxin requires an apical pulse >90-110 bpm in infants to avoid toxicity. At 88 bpm, the nurse should withhold it and notify the provider. Other medications lack pulse-related contraindications.
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
A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol. The child's mother tells the nurse that she uses this medication to open her son's airway when he is having trouble breathing. What is the nurse's best response?
Correct Answer: D
Rationale: Albuterol relieves bronchoconstriction, not inflammation. Confirming its role while educating about comprehensive asthma management (e.g., anti-inflammatory drugs) is appropriate. Overuse doesn't cause bronchitis, usage needs verification, and immediate evaluation isn't indicated.
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.