Pediatric HESI

Questions 55

HESI RN

HESI RN Test Bank

Pediatric HESI Questions

Question 1 of 5

What is the most important information for the PN to reinforce with the parents when caring for a child diagnosed with acute rheumatic fever?

Correct Answer: A

Rationale: Completing the full course of antibiotics is crucial in the management of acute rheumatic fever as it helps prevent recurrence and complications. Antibiotics are essential in eradicating the underlying infection that triggers the autoimmune response leading to rheumatic fever. Reinforcing the importance of completing the prescribed antibiotic regimen is vital to ensure the child's recovery and prevent further health issues.

Question 2 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 3 of 5

A child with leukemia is admitted for chemotherapy, and the nursing diagnosis 'altered nutrition, less than body requirements related to anorexia, nausea, and vomiting' is identified. Which intervention should the nurse include in this child's plan of care?

Correct Answer: B

Rationale: Allowing the child to eat any food desired and tolerated is the most appropriate intervention in this scenario. Anorexia, nausea, and vomiting are common side effects of chemotherapy, which can lead to altered nutrition. Allowing the child to choose foods they desire and can tolerate can help improve their nutritional intake during this challenging time.

Question 4 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.

Question 5 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.

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