Pediatrics HESI 2023

Pediatrics HESI 2023 Related

Review Pediatrics HESI 2023 related questions and content

During the second week of hospitalization for intravenous antibiotic therapy, a 2-year-old toddler whose family is unable to visit often smiles easily, goes to all the nurses happily, and does not express interest in the parent when the parent does visit. The parent tells the nurse, 'I am pleased about the adjustment but somewhat concerned about my child's reaction to me.' How should the nurse respond?

  • A. The child is repressing feelings towards the parent.
  • B. Routines have been established, and the child feels safe.
  • C. The child has given up fighting and accepts the separation.
  • D. Behavior has improved because the child feels better physically.
Correct Answer: C

Rationale: The correct answer is C. The child's behavior of smiling easily, interacting happily with nurses, and showing disinterest in the parent when they visit indicates that the child has emotionally withdrawn and accepted the separation. This response suggests that the child may have given up fighting against the separation from the parent due to prolonged hospitalization. Choices A, B, and D are incorrect. Choice A about the child repressing feelings towards the parent is not supported by the scenario. Choice B about routines and feeling safe does not address the emotional aspect of the child's behavior. Choice D about improved behavior due to feeling better physically does not explain the emotional dynamics at play in the child's behavior.

You may also like to solve these questions

The nurse is implementing care for a school-age child admitted to the pediatric intensive care unit with diabetic ketoacidosis (DKA). Which prescribed intervention should the nurse implement first?

  • A. Begin 0.9% saline solution intravenously as prescribed
  • B. Administer regular insulin intravenously as prescribed
  • C. Place child on a cardiac monitor
  • D. Place child on a pulse oximetry monitor
Correct Answer: A

Rationale: Initiating intravenous saline solution is the initial priority in managing diabetic ketoacidosis to address dehydration and electrolyte imbalances. Administering insulin without addressing dehydration first can lead to potential complications. While monitoring cardiac status and oxygen saturation are important, addressing the fluid and electrolyte imbalances takes precedence in the management of DKA.

The nurse is implementing care for a school-age child admitted to the pediatric intensive care unit with diabetic ketoacidosis (DKA). Which prescribed intervention should the nurse implement first?

  • A. Begin 0.9% saline solution intravenously as prescribed
  • B. Administer regular insulin intravenously as prescribed
  • C. Place the child on a cardiac monitor
  • D. Place the child on a pulse oximetry monitor
Correct Answer: A

Rationale: The correct first intervention when managing a child with diabetic ketoacidosis is to begin intravenous saline solution to address dehydration and restore electrolyte balance. Rehydration is essential to improve perfusion and correct electrolyte imbalances. Administering insulin without addressing dehydration can potentially lead to further complications. Placing the child on a cardiac monitor or pulse oximetry monitor is important but not the initial priority in managing DKA.

The child has been admitted for a sickle cell crisis. What would the nurse do first to provide adequate pain management?

  • A. Administer a nonsteroidal anti-inflammatory drug (NSAID) as ordered.
  • B. Use guided imagery and therapeutic touch.
  • C. Administer meperidine as ordered.
  • D. Initiate pain assessment with a standardized pain scale.
Correct Answer: D

Rationale: Initiating pain assessment with a standardized pain scale is crucial in managing pain effectively during a sickle cell crisis. This step allows the nurse to objectively evaluate the child's pain level and tailor the pain management plan accordingly. Administering medication without a proper assessment could lead to inappropriate pain management. Using guided imagery and therapeutic touch may be beneficial as adjunct therapies but should not replace the initial pain assessment. Meperidine is not typically the first-line choice for pain management in sickle cell crisis due to its potential for neurotoxic metabolites.

A healthcare provider is assessing a 2-year-old child with suspected Down syndrome. What characteristic physical feature is the healthcare provider likely to observe?

  • A. Epicanthal folds
  • B. Webbed neck
  • C. Enlarged head
  • D. Polydactyly
Correct Answer: A

Rationale: Epicanthal folds are a common physical feature seen in individuals with Down syndrome. These are folds of skin that cover the inner corners of the eyes. Webbed neck (Choice B) is associated with Turner syndrome, not Down syndrome. Enlarged head (Choice C) is not a typical physical characteristic of Down syndrome. Polydactyly (Choice D) is the presence of extra fingers or toes, which is not specifically related to Down syndrome.

The nurse is caring for a child who has been admitted for a sickle cell crisis. What would the nurse do first to provide adequate pain management?

  • A. Administer a nonsteroidal anti-inflammatory drug (NSAID) as ordered.
  • B. Use guided imagery and therapeutic touch.
  • C. Administer meperidine as ordered.
  • D. Initiate pain assessment with a standardized pain scale.
Correct Answer: D

Rationale: Initiating pain assessment with a standardized pain scale is crucial in effectively managing pain during a sickle cell crisis. This initial step helps the nurse understand the severity of the pain, which guides subsequent interventions. Administering medications, such as NSAIDs or meperidine, should only be done after a thorough pain assessment to ensure appropriate and individualized treatment. Using guided imagery and therapeutic touch may be beneficial as adjunct interventions, but they should not replace the essential first step of assessing the pain level accurately.

Copyright © 2025 Nokea. All rights reserved.