HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
History and Physical
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 1 of 5
Two days later, the nurse completes an assessment of the client. Which assessment findings indicate that the client has stabilized?
Correct Answer: B,F,G
Rationale: Normal blood pressure (126/76 mm Hg), heart rate (72 beats/minute), oxygen saturation (98%), and temperature (98.9°F) indicate stabilization. Abnormal ECG, crackles, low urine output, and elevated respirations suggest ongoing issues, not stabilization.
Extract:
Question 2 of 5
The nurse begins collecting the medical history of a child when the child screams and tries to hide behind the parent, dropping a stuffed toy. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Using the child's toy creates a comforting, child-friendly environment, reducing anxiety and encouraging participation. Ignoring the child, documenting interactions, or rushing may increase distress and hinder history collection.
Extract:
1030: The child has an audible murmur. Lung sounds are clear and equal. Pedal pulses present and marked. The parents state that the child has no known allergies. His last meal was approximately 3 hours ago. The child's parents are extremely concerned about the cardiac catheterization.
Vital signs:
Heart rate 108 beats/minute
Blood pressure 92/56 mm Hg
Respiratory rate 22 breaths/minute
Ovvoen saturation 96%
Question 3 of 5
What can the nurse do to help the parents to decrease their anxiety?
Correct Answer: A,D,E
Rationale: Providing recovery ideas, a comfortable waiting area, and avoiding specific timeframes reduce parental anxiety by empowering and reassuring them. Claiming 100% safety is inaccurate, and limiting visitation may increase distress.
Extract:
Question 4 of 5
A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Symptoms like headaches, stomach aches, and sleep issues often indicate stress or emotional distress in children. Asking about a typical school day helps identify potential stressors (e.g., bullying, academic pressure), which is a more targeted initial approach than vital sign comparison, parental counseling, or neurological assessment.
Question 5 of 5
A 3-year-old boy in a daycare facility scratches his head frequently, and the nurse confirms the presence of head lice. The nurse washes the child's hair with permethrin shampoo and calls his parents. Which instruction should the nurse provide to the parents about treatment for head lice?
Correct Answer: C
Rationale: Washing bed linens and clothing in hot water kills lice and nits, preventing reinfestation. Disposing of accessories is optional, haircuts aren't necessary, and rewashing after 24 hours isn't standard.