HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 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 2 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 3 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 4 of 5
A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parenteral nutrition and continuous enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in plan of care?
Correct Answer: C
Rationale: Non-nutritive sucking via a pacifier supports oral-motor development and soothes the infant, crucial for those on parenteral/enteral nutrition to prepare for oral feeding. Tube placement verification is routine safety, physical therapy isn't standard, and sterile technique isn't required for enteral feedings unless specified.
Question 5 of 5
During her sports physical examination, a 15-year-old female requests oral contraceptives. She explains that she is sexually active and does not want her parents to know. Which action should the nurse take?
Correct Answer: D
Rationale: Counseling on risks and benefits ensures informed decision-making while respecting confidentiality, as many regions allow minors to access contraceptives without parental consent. Providing free contraceptives, encouraging parental discussion, or requiring approval may not align with legal or ethical standards.