HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease. Which foods should the nurse include in the list of allowed foods for this child?
Correct Answer: A
Rationale: Rice is naturally gluten-free and safe for celiac disease. Oats must be certified gluten-free due to cross-contamination risks, and rye and barley contain gluten, making them unsafe.
Question 2 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.
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. The nurse educates the parents on post-discharge care for the child.
Question 3 of 5
What should the nurse include in post-discharge care education?
Correct Answer: C,F
Rationale: Monitoring for bleeding/swelling at the site and fever are critical to detect complications post-cardiac catheterization. Pressure dressings, ibuprofen, clear liquids, and bath restrictions are not standard for ventricular septal defect repair discharge.
Extract:
Question 4 of 5
The nurse is assessing the lung sounds of a preschooler. Which action should the nurse implement to ensure the child's cooperation?
Correct Answer: D
Rationale: Allowing the child to use a stethoscope on a stuffed animal reduces fear by familiarizing them with the tool, promoting cooperation through play. Bubbles, cotton ball games, or toys may distract but don't directly relate to the stethoscope, making them less effective for ensuring cooperation during lung assessment.
Question 5 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.