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
Question 1 of 5
What should the nurse's focused assessment include before the cardiac catheterization?
Correct Answer: A,D,E
Rationale: Fasting status, pedal pulses, and allergy history are critical pre-catheterization to ensure safety and baseline circulation. Height/weight and mental exams are less relevant for a 3-year-old.
Extract:
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
Parents of an infant with an inguinal hernia bring their child to the emergency department reporting that the hernia has changed in color to dark purple and child has not had a bowel movement in 24 hours. The nurse obtains a Face, Legs, Activity, Cry, Consolability (FLACC) scale score of 8 on initial assessment. Which action should the nurse prioritize?
Correct Answer: A
Rationale: A dark purple hernia, no bowel movement, and high FLACC score suggest strangulation, a surgical emergency. Reporting to the provider ensures urgent evaluation. Fluid intake, manual reduction, or IV access are secondary to addressing this critical condition.
Question 4 of 5
A 9-year-old admitted to the unit with severe abdominal pain and fever is diagnosed with appendicitis and is placed on the surgery schedule for an appendectomy. The child reports to the nurse of experiencing sudden relief in abdominal pain. Which action should the nurse take first?
Correct Answer: D
Rationale: Sudden relief of pain in appendicitis may indicate appendix rupture, a surgical emergency due to potential peritonitis. Contacting the healthcare provider immediately is critical for urgent evaluation. Documentation, meal inquiry, and antibiotics are secondary to addressing this potentially life-threatening change.
Question 5 of 5
A six-year-old girl is being admitted to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?
Correct Answer: C
Rationale: Maternal substance use during pregnancy can impact the child's overall health and surgical risks, making it critical for planning care. Previous hospitalizations, infectious disease history, and developmental milestones are less directly relevant to umbilical hernia repair.