HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?
Correct Answer: B
Rationale: By age 3, children typically use simple sentences with four or more words, reflecting advanced language skills. One-word sentences, letter/number recognition, and gestures with short phrases are earlier milestones.
Question 3 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.
Question 4 of 5
During a follow-up clinic visit, a mother tells the nurse that her 5-month-old son who had surgical correction for tetralogy of Fallot (TOF) has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Rapid breathing and feeding difficulties post-TOF repair suggest possible cardiac or respiratory issues. Auscultating heart and lungs assesses for abnormalities, guiding further evaluation. FTT evaluation, inducing cyanosis, or ECG are less immediate.
Question 5 of 5
The nurse is caring for an infant with unilateral clubfoot. Which information should the nurse include in parent education about long-term outcomes?
Correct Answer: D
Rationale: Serial casting is a standard, effective treatment for clubfoot, often leading to normal gait with proper management. Delayed development or gait issues are not expected, and heredity's role is less critical than treatment.