HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
1330
Cardiac catheterization performed; ventricular septal defect closed with mesh
Admit to the pediatric floor for observation
Check pedal pulses every 4 hours
Nothing by mouth
Place the child on a continuous cardiopulmonary monitor
Question 1 of 5
What two orders would the nurse question?
Correct Answer: B,C
Rationale: Checking pedal pulses every 4 hours is too infrequent post-catheterization; more frequent monitoring is needed. Lactated Ringer's at 66 mL/hr while NPO requires clarification due to fluid balance concerns in cardiac patients.
Extract:
Question 2 of 5
The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inflamed conjunctiva. The child receives a prescription for an ophthalmic antiinfective ointment. Which instruction should the nurse provide the child's caregivers during discharge education?
Correct Answer: D
Rationale: Ophthalmic ointments often cause temporary blurry vision due to their consistency. Informing caregivers about this expected effect ensures treatment adherence and reduces concern. Discontinuing early risks incomplete treatment, wiping toward the eye can spread infection, and while wipes are useful, blurry vision education is the priority.
Question 3 of 5
The nurse is assessing a child with acute glomerulonephritis who presents to the clinic with increased fatigue, facial puffiness, decreased appetite. The child's urine sample is dark yellow in color. Which additional finding should the nurse report to the healthcare provider?
Correct Answer: C
Rationale: Low blood pressure (88/50 mm Hg) in acute glomerulonephritis may indicate severe fluid shifts or renal dysfunction, requiring urgent reporting. Weight loss, strep test, and rash are less immediately critical.
Question 4 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 5 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.