Pediatric HESI Test Bank

Pediatric HESI Test Bank Related

Review Pediatric HESI Test Bank related questions and content

The nurse is counseling a young couple who in 2 months are having their third baby. The nurse uses Von Bertalanffy's general system theory applied to families to analyze the family structure. Which best describes the main emphasis of this theory and its application to family dynamics?

  • A. It emphasizes the family as a system with interdependent, interacting parts that endure over time to ensure the survival, continuity, and growth of its components.
  • B. It emphasizes the social system of the family, such as the organization or structure of the family and how the structure relates to its function.
  • C. It emphasizes the developmental stages that all families go through, beginning with marriage; the longitudinal career of the family is also known as the family life cycle.
  • D. It addresses how families respond to stress and how the family copes with stress as a group and how each individual member copes.
Correct Answer: A

Rationale: Von Bertalanffy's general system theory applied to families emphasizes the family as a system with interdependent, interacting parts that endure over time to ensure the survival, continuity, and growth of its components. This theory focuses on viewing the family as a dynamic system where each member's actions and behaviors impact the whole family unit. Choice B is incorrect as it focuses solely on the social system of the family, while Von Bertalanffy's theory looks at the family as a whole system. Choice C is incorrect as it discusses family developmental stages, which is not the main emphasis of Von Bertalanffy's theory. Choice D is also incorrect as it only addresses how families respond to stress, which is a narrower focus compared to the broader system view of Von Bertalanffy's theory.

You may also like to solve these questions

When planning the discharge of a child who had surgery for a congenital heart defect, what is an important aspect of the discharge teaching?

  • A. Teaching the parents about signs of infection
  • B. Providing instructions on wound care
  • C. Scheduling follow-up appointments
  • D. Explaining the use of prescribed medications
Correct Answer: D

Rationale: Explaining the use of prescribed medications is crucial because it helps ensure proper management of the child's condition after discharge. While teaching the parents about signs of infection and providing instructions on wound care are important aspects of postoperative care, they are not as critical as ensuring the correct understanding and administration of prescribed medications. Scheduling follow-up appointments is also important but does not directly impact the immediate post-discharge care and medication adherence.

The nurse is assessing an infant and notes that the infant's urine has a mousy or musty odor. What would the nurse suspect?

  • A. Maple syrup urine disease
  • B. Tyrosinemia
  • C. Phenylketonuria
  • D. Trimethylaminuria
Correct Answer: C

Rationale: The correct answer is C: Phenylketonuria (PKU). PKU is suggested by a mousy or musty odor of the urine, which is caused by the inability to metabolize phenylalanine. Choice A, Maple syrup urine disease, is characterized by a sweet-smelling urine. Choice B, Tyrosinemia, typically presents with cabbage-like odor in the urine. Choice D, Trimethylaminuria, is associated with a fishy odor in the urine, breath, and sweat.

The nurse is caring for a 10-year-old with Duchenne muscular dystrophy. As part of the plan of care, the nurse focuses on maintaining his cardiopulmonary function. Which intervention would the nurse implement to best promote maximum chest expansion?

  • A. Deep-breathing exercises
  • B. Upright positioning
  • C. Coughing
  • D. Chest percussion
Correct Answer: B

Rationale: Upright positioning is the most appropriate intervention to promote maximum chest expansion in a child with Duchenne muscular dystrophy. By keeping the child in an upright position, lung expansion is maximized, which improves breathing efficiency. Deep-breathing exercises may help with overall lung function but do not directly promote chest expansion. Coughing and chest percussion are more related to airway clearance and do not specifically address maximizing chest expansion.

A healthcare professional is teaching a class of new parents about how to position their infants during the first few weeks of life. Which position is safest?

  • A. On the back, lying flat
  • B. On either side, lying flat
  • C. Head slightly elevated on the left side
  • D. Head slightly elevated on the right side
Correct Answer: A

Rationale: The correct answer is 'On the back, lying flat.' Placing infants on their back to sleep is recommended to reduce the risk of sudden infant death syndrome (SIDS). This position promotes safe sleep practices and helps prevent accidental suffocation. Choices B, C, and D are incorrect as placing infants on their side or with the head slightly elevated may increase the risk of breathing difficulties or other hazards during sleep.

When caring for a child diagnosed with cystic fibrosis, what is the priority nursing intervention?

  • A. Administering pancreatic enzymes
  • B. Providing respiratory therapy
  • C. Encouraging physical activity
  • D. Encouraging frequent handwashing
Correct Answer: A

Rationale: The priority nursing intervention when caring for a child with cystic fibrosis is administering pancreatic enzymes. Cystic fibrosis is a genetic disorder that affects the digestive and respiratory systems. Administering pancreatic enzymes is crucial in aiding digestion as patients with cystic fibrosis often have pancreatic insufficiency. While providing respiratory therapy and encouraging physical activity are important aspects of care for individuals with cystic fibrosis, administering pancreatic enzymes takes precedence in addressing the malabsorption issues associated with the condition. Encouraging frequent handwashing is also essential in infection control, but it is not the priority intervention specifically related to managing cystic fibrosis.

Copyright © 2025 Nokea. All rights reserved.