HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 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:
The client has a history of Wilms tumor with left radical nephrectomy diagnosed at age five for which he completed treatment nine months ago. A septic episode, while undergoing treatment for his Wilms tumor, resulted in an acute kidney injury. This Injury, along with antibiotic therapy and chemotherapy, has resulted in chronic kidney disease. The client is followed by oncology and nephrology services.
Question 2 of 5
For each nursing action, click to indicate whether the action is indicated or contraindicated for this client's plan of care.
| Options | Indicated | Contraindicated |
|---|---|---|
| Continuous pulse oximetry monitoring | ||
| Calculation of intake and output | ||
| Daily weights | ||
| IV 0.9% normal saline continuous infusion at 100 mL/hr | ||
| IV potassium-sparing diuretics |
Correct Answer: A,B,C,D
Rationale: Pulse oximetry, intake/output, daily weights, and saline infusion are indicated to monitor respiratory status, fluid balance, and hydration in chronic kidney disease. Potassium-sparing diuretics are contraindicated due to potential electrolyte imbalances.
Extract:
Question 3 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: B
Rationale: Chest pain during a sickle cell crisis may indicate acute chest syndrome, a life-threatening complication requiring immediate intervention. Jaundice, swelling, and ulcers are common but less urgent unless accompanied by other critical symptoms.
Question 4 of 5
The parents of a 14-month-old child who is hospitalized due to febrile seizures tell the nurse that they fear their child will have lifelong seizures. Which information should the nurse convey to these parents?
Correct Answer: B
Rationale: Febrile seizures are typically benign and decrease with age, usually resolving by age 5. Reassuring parents about this natural course alleviates fears. Ibuprofen isn't prophylactic, visual stimuli don't trigger febrile seizures, and sponge baths are secondary to fever management education.
Question 5 of 5
The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with attention-deficit/hyperactivity disorder (ADHD). Which statement(s) made by the caregiver demonstrates an understanding of the education?
Correct Answer: A,D,F
Rationale: A consistent schedule, organization chart, and designated study area are evidence-based strategies to manage ADHD symptoms. These promote structure and focus, key for children with ADHD. Nonstimulant medications can be effective, medication isn't always the best approach, and specialized education plans require assessment, not automatic enrollment.