Pediatric HESI

Questions 55

HESI RN

HESI RN Test Bank

Pediatric HESI Questions

Question 1 of 5

A 10-year-old child with hemophilia is admitted to the hospital with joint pain and swelling. What should the healthcare provider do first?

Correct Answer: D

Rationale: Administering factor VIII as prescribed is the priority intervention for a child with hemophilia experiencing joint pain and swelling. Factor VIII replacement therapy is crucial in managing bleeding episodes and preventing further damage to the affected joint in individuals with hemophilia.

Question 2 of 5

A 4-year-old child with a history of frequent ear infections is brought to the clinic by the parents who are concerned about the child's hearing. What is the nurse's priority action?

Correct Answer: B

Rationale: The nurse's priority action should be to inspect the child's ears for drainage. This immediate assessment can provide valuable information about the presence of infection or fluid accumulation, which can directly impact the child's hearing. By identifying any signs of drainage, the nurse can promptly address any current issues affecting the child's ear health and hearing abilities.

Question 3 of 5

The heart rate for a 3-year-old with a congenital heart defect has steadily decreased over the last few hours, now it's 76 bpm, the previous reading 4 hours ago was 110 bpm. Which additional finding should be reported immediately to a healthcare provider?

Correct Answer: D

Rationale: A significant drop in heart rate and blood pressure should be reported immediately as it may indicate worsening of the congenital heart defect. A decrease in blood pressure may suggest poor cardiac output and compromised perfusion, requiring urgent medical attention.

Question 4 of 5

During a routine physical exam, a male adolescent client tells the nurse, 'sometimes, my mother gets angry because I want to be with my own friends.' What is the best initial response by the nurse?

Correct Answer: C

Rationale: When a client expresses concerns about family dynamics, it is important to explore their feelings and reactions to the situation. By asking about the client's response to his mother's anger, the nurse can gain insight into the client's emotions, thoughts, and coping mechanisms. Understanding these aspects is crucial in providing appropriate support and guidance.

Question 5 of 5

The nurse is providing care for a 12-year-old child who was recently diagnosed with scoliosis. The child's parent asks about treatment options. What is the nurse's best response?

Correct Answer: B

Rationale: Bracing is commonly used in moderate cases of scoliosis to prevent progression of the spinal curvature.

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