HESI Pediatric Practice Exam

HESI Pediatric Practice Exam Related

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A 7-year-old child with a history of asthma presents to the clinic with shortness of breath and wheezing. The nurse notes that the child's peak flow reading is in the red zone. What should the nurse do first?

  • A. Administer a bronchodilator
  • B. Reassess the peak flow reading
  • C. Notify the healthcare provider
  • D. Provide oxygen therapy
Correct Answer: A

Rationale: When a child with asthma presents with shortness of breath and wheezing, and the peak flow reading is in the red zone, indicating severe airflow limitation, the priority intervention is to administer a bronchodilator. Bronchodilators help dilate the airways quickly, improving airflow and assisting with breathing. Reassessing the peak flow reading, notifying the healthcare provider, and providing oxygen therapy may be necessary actions but administering a bronchodilator takes precedence in managing acute asthma exacerbation.

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A 7-year-old child with cystic fibrosis is admitted to the hospital with a respiratory infection. The nurse is teaching the child's parents about the importance of chest physiotherapy (CPT). Which statement by the parents indicates they need further teaching?

  • A. We should perform CPT before meals.
  • B. CPT will help loosen mucus in the lungs.
  • C. We should perform CPT right after the child eats.
  • D. CPT is an important part of our child's treatment.
Correct Answer: C

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

The parents of a 3-month-old infant are being educated by the healthcare provider about safe sleep practices. Which statement by the parents indicates a need for further teaching?

  • A. We will place our baby on their back to sleep
  • B. We will use a firm mattress and avoid soft bedding
  • C. We will keep our baby in our bed so we can monitor them closely
  • D. We will avoid putting toys or pillows in the crib
Correct Answer: C

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

The nurse is assessing a 4-year-old child who is brought to the clinic for a routine checkup. The child's parent reports that the child has been more irritable and less active over the past week. The nurse notes a petechial rash on the child's trunk and extremities. What should the nurse do first?

  • A. Ask the parent about recent exposure to contagious diseases
  • B. Review the child's immunization record
  • C. Measure the child's temperature
  • D. Notify the healthcare provider immediately
Correct Answer: D

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

When planning care for a child diagnosed with rheumatic fever, what is the primary goal of nursing care?

  • A. Reduce fever.
  • B. Maintain fluid and electrolytes.
  • C. Prevent cardiac damage.
  • D. Maintain joint mobility and function.
Correct Answer: C

Rationale: The primary goal of nursing care for a child diagnosed with rheumatic fever is to prevent cardiac damage. Rheumatic fever can lead to complications affecting the heart, making it crucial to monitor and prevent cardiac involvement to avoid long-term consequences. While addressing fever and joint pain are important aspects of care, preventing cardiac damage takes precedence in managing rheumatic fever.

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?

  • A. Ask if the right testis has been seen in the scrotum before
  • B. Address potential concerns about future fertility
  • C. Schedule an ultrasound to confirm the position of the testicle
  • D. Prepare to obtain a urine specimen for culture
Correct Answer: A

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

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