HESI RN
Pediatric HESI Questions
Question 1 of 5
A 6-month-old female is scheduled to receive diphtheria, tetanus toxoid, and acellular pertussis vaccine (DTaP) and IPV (inactivated poliovirus vaccine) immunizations. She is recovering from a cold but is otherwise healthy and afebrile. Her 5-year-old sister is receiving chemotherapy. Which considerations should the nurse make for this situation?
Correct Answer: A
Rationale: DTaP and IPV can be safely administered to a child with a mild illness like a cold, even if there is an immunocompromised family member, as these vaccines do not contain live viruses. It is important to ensure that the child is otherwise healthy and afebrile before administering the vaccines. The presence of a cold is not a contraindication for receiving DTaP and IPV vaccines.
Question 2 of 5
A 6-month-old female is scheduled to receive diphtheria, tetanus toxoid, and acellular pertussis vaccine (DTaP) and IPV (inactivated poliovirus vaccine) immunizations. She is recovering from a cold but is otherwise healthy and afebrile. Her 5-year-old sister is receiving chemotherapy. Which considerations should the nurse make for this situation?
Correct Answer: A
Rationale: DTaP and IPV can be safely administered to a child with a mild illness like a cold, even if there is an immunocompromised family member, as these vaccines do not contain live viruses. It is important to ensure that the child is otherwise healthy and afebrile before administering the vaccines. The presence of a cold is not a contraindication for receiving DTaP and IPV vaccines.
Question 3 of 5
A 3-year-old child is brought to the clinic by the parents who are concerned that the child is not yet potty trained. What is the nurse's best response?
Correct Answer: B
Rationale: It is important to acknowledge that children develop at different rates and provide support and strategies for potty training.
Question 4 of 5
Which nursing diagnosis is a priority for a 4-year-old child diagnosed with nephrotic syndrome?
Correct Answer: C
Rationale: In a child with nephrotic syndrome, fluid volume excess is a priority nursing diagnosis due to the risk of edema and related complications. This patient may experience significant fluid retention, leading to edema, hypertension, and potential respiratory distress. Monitoring and managing fluid volume excess are crucial in preventing further complications and supporting the child's health during nephrotic syndrome.
Question 5 of 5
The parents of a 2-year-old child with a history of febrile seizures are being taught by the healthcare provider. Which statement by the parents indicates a need for further teaching?
Correct Answer: B
Rationale: Placing a child in a cool bath during a seizure is not recommended as it can be dangerous. The priority is to ensure the safety of the child during the seizure and seek medical help if needed. Teaching should focus on appropriate interventions and safety measures during febrile seizures.
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