HESI RN
HESI Pediatric Practice Exam Questions
Question 1 of 5
A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child's oral temperature is 101.2�F. Which intervention should the nurse implement?
Correct Answer: A
Rationale: In a child presenting with ear pain and fever, asking if the child has had a runny nose is crucial in assessing for possible ear infection causes. Respiratory infections can lead to secondary ear infections, so exploring symptoms related to upper respiratory tract infections, like a runny nose, can help in the evaluation and management of the child's condition.
Question 2 of 5
The nurse is caring for a 4-year-old child who is hospitalized with pneumonia. The child is receiving IV antibiotics and oxygen therapy. The nurse notes that the child's respiratory rate is 40 breaths per minute, and the oxygen saturation is 92%. What is the nurse's priority action?
Correct Answer: D
Rationale: In this scenario, the child is hospitalized with pneumonia, receiving IV antibiotics and oxygen therapy. With a high respiratory rate and decreased oxygen saturation, auscultating the child's lung sounds is the priority action. This assessment can provide crucial information about the child's respiratory status, such as the presence of adventitious sounds or decreased air entry, which can guide further interventions and help in evaluating the effectiveness of the current treatments.
Question 3 of 5
An adolescent's mother calls the primary HCP's office to inquire about the results of her daughter's serum test that was drawn last week. Since it is the teenager's 18th birthday, how should the nurse respond to this mother's inquiry?
Correct Answer: D
Rationale: When an individual turns 18, they are legally considered an adult, and privacy laws mandate that their consent is required before sharing their medical information with others. It is important to respect the adolescent's autonomy and privacy rights by explaining to the mother that the information cannot be disclosed without the 18-year-old's permission.
Question 4 of 5
During a well-baby exam, a nurse finds that a 2-month-old's right testicle is not descended into the scrotum, but the left one is palpable. What should the nurse do?
Correct Answer: A
Rationale: The initial step in managing an undescended testicle is to ascertain if it has been previously observed in the scrotum or if this is a new finding. This information helps in determining the appropriate course of action and further evaluation.
Question 5 of 5
A mother brings her 3-week-old infant to the clinic because the baby vomits after eating and always seems hungry. Further assessment indicates that the infant's vomiting is projectile, and the child seems listless. Which additional assessment finding indicates the possibility of a life-threatening complication?
Correct Answer: D
Rationale: In this scenario, the infant presenting with vomiting, lethargy, and projectile vomiting indicates a potential serious condition. Crying without tears is a sign of dehydration, a critical condition that can lead to life-threatening complications in infants. Dehydration can rapidly worsen an infant's condition, making prompt intervention crucial to prevent further complications.
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