HESI RN
RN HESI Pediatrics Exam 2 Questions
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 1 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 2 of 5
The parents of a newborn infant with hypospadias are concerned about when the surgical correction should occur. Which information should the nurse provide?
Correct Answer: B
Rationale: Surgical correction for hypospadias is typically recommended before potty training to improve cosmetic appearance, ensure proper urinary function, and avoid psychosocial issues. Early intervention, usually between 6-18 months, is preferred to minimize complications and psychological distress.
Question 3 of 5
A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse that she would like to use a pump instead of insulin injections to manage her diabetes. Which assessment is most important for the nurse to obtain?
Correct Answer: D
Rationale: Successful pump use requires the ability to program basal rates and boluses. This skill ensures safe, effective diabetes management, making it the priority assessment over troubleshooting, glucose interpretation, or A1c knowledge.
Question 4 of 5
An infant born 2 days ago has not passed a meconium stool and begins to vomit bilious secretions. Which action should the nurse take first?
Correct Answer: B
Rationale: No meconium and bilious vomiting suggest a possible intestinal obstruction. Measuring abdominal circumference assesses for distension, guiding further evaluation. IV supplies, manometry, and urine output are secondary.
Question 5 of 5
A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling. Which action should the nurse take?
Correct Answer: B
Rationale: Intense testicular pain with erythema and swelling suggests testicular torsion, a surgical emergency. Immediate reporting to the provider is critical to prevent testicular loss. Urine samples, swabs, or urinals are not priorities.