HESI RN
HESI Pediatric Practice Exam Questions
Question 1 of 5
A 4-year-old child is brought to the clinic with complaints of ear pain and fever. The practical nurse suspects otitis media. Which symptom supports this suspicion?
Correct Answer: C
Rationale: Tugging at the ear is a common symptom in children with otitis media. It often indicates discomfort or pain in the ear, suggesting inflammation or infection in the middle ear. This behavior is frequently observed in young children who are unable to express their discomfort verbally, making it a significant clinical indicator for otitis media in this age group.
Question 2 of 5
Which drink choice on a hot day indicates to the healthcare provider that a teenager with sickle cell anemia understands dietary considerations related to the disease?
Correct Answer: D
Rationale: Lemonade is the correct choice for a teenager with sickle cell anemia as it provides hydration without caffeine, which is important for individuals with this condition. Caffeine can lead to dehydration, vasoconstriction, and potentially worsen symptoms in sickle cell anemia patients.
Question 3 of 5
The nurse is assessing a 4-year-old child who is brought to the clinic for a routine checkup. The child's parent reports that the child has been more irritable and less active over the past week. The nurse notes a petechial rash on the child's trunk and extremities. What should the nurse do first?
Correct Answer: D
Rationale: Petechial rash can be a sign of a serious condition like meningitis, and the healthcare provider should be notified immediately.
Question 4 of 5
A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol (Proventil). The child's mother tells the nurse that she uses this medication to open her son's airway when he is having trouble breathing. What is the nurse's best response?
Correct Answer: C
Rationale: The correct response is to assure the mother that she is using the medication correctly. Albuterol is a beta-adrenergic agonist that helps open the airways during an asthma attack. By reassuring the mother, the nurse reinforces the correct usage of the medication, which is crucial in managing the child's asthma symptoms effectively.
Question 5 of 5
A child with sickle cell anemia is being treated for a vaso-occlusive crisis. Which intervention should the practical nurse (PN) implement?
Correct Answer: B
Rationale: Encouraging increased fluid intake is crucial in managing vaso-occlusive crises in patients with sickle cell anemia. Dehydration can worsen these crises, so adequate hydration is essential to prevent complications and improve outcomes.
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