HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?
Correct Answer: C
Rationale: Secondhand smoke exposure is a known risk factor for otitis media. Avoiding it reduces respiratory infections that contribute to ear infections. Breastfeeding is beneficial but not specific to otitis prevention, prone positioning is unsafe, and daily ear inspections aren't preventive.
Question 2 of 5
The school nurse is preparing to administer amphetamine sulfate 15 mg by mouth (PO) to a child with attention-deficit/hyperactivity disorder (ADHD). The child's mother has provided 10 mg tablets for administration at school. How many tablets should the nurse administer?
Correct Answer: A
Rationale: 15 mg ÷ 10 mg/tablet = 1.5 tablets. Accurate dosing is essential for ADHD management, ensuring the child receives the prescribed amount.
Question 3 of 5
When advising a new mother in caring for a child with croup, which symptom should be a priority concern to the telephone triage nurse?
Correct Answer: B
Rationale: Difficulty swallowing secretions can indicate airway obstruction in croup, a potential emergency requiring immediate attention. Fever, barking cough, and crying during nursing are common but less urgent unless accompanied by respiratory distress.
Question 4 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.
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 5 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.