HESI Pediatric Practice Exam

HESI Pediatric Practice Exam Related

Review HESI Pediatric Practice Exam related questions and content

During a well baby visit, the parents explain that a soft bulge appears in the groin of their 4-month-old son when he cries or strains during stooling. The infant is scheduled for surgical repair of the inguinal hernia in two weeks. What should the parent be instructed to do if the hernia becomes incarcerated prior to the surgery?

  • A. Use a rectal thermometer to strain during stooling.
  • B. Gently manipulate the hernia for reduction.
  • C. Offer oral electrolyte fluids for comfort.
  • D. Give acetaminophen or aspirin for crying.
Correct Answer: B

Rationale: In the case of an incarcerated inguinal hernia, gentle manipulation can sometimes help in reducing it before surgery. This action should be taken cautiously and immediately followed by seeking medical attention. It is important to note that attempting reduction should be done by a healthcare professional, and parents should be advised to seek urgent medical care if the hernia becomes incarcerated.

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An adolescent female who comes to the school clinic is reluctant to confide her concerns to the practical nurse (PN). The PN tells the teen that confidentiality and privacy are maintained unless a life-threatening situation arises. Which principle supports the PN's response?

  • A. The adolescent should be encouraged to seek help outside of the school clinic.
  • B. Disclosures from the adolescent should be kept confidential.
  • C. Honest information ensures establishing a trusting relationship.
  • D. Minor adolescents should not be encouraged to disclose private concerns.
Correct Answer: C

Rationale: The correct principle supporting the practical nurse's response is that honest information ensures establishing a trusting relationship. By assuring confidentiality and privacy to the adolescent unless there is a life-threatening situation, the practical nurse fosters an environment where the teen feels safe to share their concerns openly. This approach helps build trust, encouraging effective communication and support for the adolescent's well-being.

A 6-year-old child with a history of asthma is brought to the clinic with complaints of wheezing and shortness of breath. The nurse notes that the child is using accessory muscles to breathe. What should the nurse do first?

  • A. Administer a bronchodilator
  • B. Obtain a peak flow reading
  • C. Apply oxygen
  • D. Perform a complete respiratory assessment
Correct Answer: A

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

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.

The mother of a one-month-old calls the clinic to report that the back of her infant's head is flat. How should the nurse respond?

  • A. Turn the infant on the left side braced against the crib when sleeping.
  • B. Prop the infant in a sitting position with a cushion when not sleeping.
  • C. Place a small pillow under the infant's head while lying on the back.
  • D. Position the infant on the stomach occasionally when awake and active.
Correct Answer: D

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.

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