HESI RN
RN HESI Pediatrics Exam 2 Questions
Extract:
Question 1 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 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.
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
The healthcare provider prescribed amoxicillin 20 mg/kg by mouth (PO) every 8 hours for a toddler with otitis media who weighs 33 pounds (15 kg). The medication is labeled, '125 mg/5mL.' How many mL should the nurse administer?
Correct Answer: A
Rationale: Dose = 15 kg × 20 mg/kg = 300 mg. Volume = 300 mg ÷ (125 mg/5 mL) = 12 mL, ensuring correct antibiotic dosing for otitis media.
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 5 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.