Pediatric HESI

Questions 55

HESI RN

HESI RN Test Bank

Pediatric HESI Questions

Question 1 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.

Question 2 of 5

A 3-year-old with a congenital heart defect has had a steady decrease in heart rate, now at 76 bpm from 110 bpm four hours ago. 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. The blood pressure of 70/40 is dangerously low and requires immediate attention to prevent further complications.

Question 3 of 5

What is the nurse's priority action for a 2-year-old child with croup presenting with a barking cough and stridor?

Correct Answer: C

Rationale: The priority action for a 2-year-old child with croup and stridor is to administer nebulized epinephrine. This intervention helps reduce airway swelling, alleviate symptoms, and improve breathing by causing vasoconstriction and reducing upper airway edema.

Question 4 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.

Question 5 of 5

A 4-month-old girl is brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke up this morning with a hacking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress?

Correct Answer: D

Rationale: Flaring of the nares is a clinical sign of acute respiratory distress in infants. It indicates an increased effort to breathe and is a crucial finding that requires immediate attention, as it signifies the child is having difficulty breathing and may be in respiratory distress.

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