Pediatric HESI

Pediatric HESI Related

Review Pediatric HESI related questions and content

The parents of a 3-year-old boy who has Duchenne muscular dystrophy ask, 'How can our son have this disease? We are wondering if we should have any more children.' What information should the nurse provide to parents?

  • A. This is an inherited X-linked recessive disorder, which primarily affects male children in the family
  • B. The striated muscle groups of males can be impacted by a lack of the protein dystrophin in their mothers
  • C. The male infant had a viral infection that went unnoticed and untreated so muscle damage was incurred
  • D. Birth trauma with a breech vaginal birth causes damage to the spinal cord, thus weakening the muscles
Correct Answer: A

Rationale: The correct answer is A. Duchenne muscular dystrophy is an X-linked recessive disorder that primarily affects males. It is crucial for the nurse to explain to the parents that this condition follows an inheritance pattern where the gene mutation responsible for the disorder is located on the X chromosome. Males have only one X chromosome, so if they inherit the mutated gene, they will develop the disease. Females, on the other hand, have two X chromosomes, providing a backup copy that can compensate for the mutation. Understanding this inheritance pattern is essential for family planning decisions, as the risk of passing on the disorder to future children can be explained based on this genetic inheritance.

You may also like to solve these questions

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?

  • A. We should give our child acetaminophen when they have a fever.
  • B. We should place our child in a cool bath during a seizure.
  • C. We should call 911 if the seizure lasts longer than 5 minutes.
  • D. We should try to keep our child's fever under control.
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A male adolescent who is newly diagnosed with a seizure disorder receives a prescription for an anticonvulsant. Which statement indicates the client is at risk for non-compliance with life-long medication management?

  • A. I hope I will be able to drive while taking these pills.
  • B. My friends will think I am a freak if I take these pills.
  • C. I don't want my parents monitoring my medications.
  • D. I will take the pills at home so others will not see me.
Correct Answer: B

Rationale: The statement 'My friends will think I am a freak if I take these pills' indicates concerns about peer perception, which can lead to non-compliance in adolescents. Peer pressure and fear of social stigma can significantly impact medication adherence in this age group, making option B the most concerning response regarding the client's compliance with life-long medication management.

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?

  • A. Place the child in a quiet environment
  • B. Make a list of foods that the child likes
  • C. Encourage the parents to rest when possible
  • D. Apply lotion to hands and feet
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.

When should the surgical correction of hypospadias in a newborn infant typically be done?

  • A. Repair should be done by one month to prevent bladder infection.
  • B. To form a proper urethra repair, it should be done after sexual maturity.
  • C. Repairs typically should be done before the child is potty trained.
  • D. Delaying the repair until school age reduces castration fears.
Correct Answer: C

Rationale: Surgical repairs for hypospadias are typically recommended to be performed before the child is potty trained. This timing helps in avoiding complications, ensures better outcomes, and makes the surgical process smoother. Early correction also minimizes the psychological impact on the child regarding genital differences and can improve long-term psychological well-being.

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

  • A. Administer a corticosteroid
  • B. Obtain a throat culture
  • C. Administer nebulized epinephrine
  • D. Place the child in an upright position
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Copyright © 2025 Nokea. All rights reserved.