HESI RN
Pediatric HESI Questions
Question 1 of 5
What action should the nurse implement when the infusion is complete for a 16-year-old with acute myelocytic leukemia receiving chemotherapy via an implanted medication port at the outpatient oncology clinic?
Correct Answer: C
Rationale: After completing the chemotherapy infusion via the implanted medication port, the nurse should flush the mediport with saline and heparin solution. This action helps prevent clot formation in the port, ensuring its patency for future use and reducing the risk of complications associated with catheter occlusion.
Question 2 of 5
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?
Correct Answer: A
Rationale: Creating a quiet environment is the priority intervention as it helps reduce irritability and stress in children with Kawasaki disease. This intervention can promote a soothing atmosphere for the child, which may help in managing their symptoms effectively. Once the child is in a peaceful setting, further interventions such as addressing nutritional needs or skincare can be addressed.
Question 3 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.
Question 4 of 5
The nurse is assessing a 4-month-old infant who has just received routine immunizations. The mother reports that the baby has been fussy and has a low-grade fever since the immunizations. What is the best response by the nurse?
Correct Answer: A
Rationale: Fussiness and low-grade fever are common side effects of immunizations in infants and usually resolve on their own. It is important for the nurse to educate the mother about these expected reactions to help ease her concerns. Immediate evaluation or giving aspirin to an infant for fever is not necessary or safe, as aspirin can be harmful to infants.
Question 5 of 5
The nurse is assessing a 6 month old infant. Which response requires further evaluation by the nurse?
Correct Answer: D
Rationale: The startle reflex should diminish by this age; persistence requires evaluation.
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