HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 of 5
When providing care for a child who is in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement?
Correct Answer: B
Rationale: Monitoring pulses and sensation ensures circulation and nerve function aren't compromised, critical in traction to prevent complications like ischemia. Pin site care, skin assessment, and repositioning are secondary.
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
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 4 of 5
While obtaining the vital signs of a 10-year-old child who had a tonsillectomy this morning, the nurse observes the child swallowing every 2 to 3 minutes. Which assessment should the nurse implement?
Correct Answer: B
Rationale: Frequent swallowing post-tonsillectomy may indicate bleeding. Inspecting the posterior oropharynx is the priority to check for blood or bleeding sites. Teeth clenching, voice tone, or gag reflex assessments are less relevant to detecting post-operative hemorrhage.
Question 5 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.