HESI Pediatric Practice Exam

Questions 55

HESI RN

HESI RN Test Bank

HESI Pediatric Practice Exam Questions

Question 1 of 5

A 14-year-old adolescent with a history of substance abuse is brought to the emergency department by the parents, who suspect that the adolescent has relapsed. What is the nurse's priority action?

Correct Answer: A

Rationale: In this scenario, the nurse's priority action should be to obtain a urine sample for toxicology screening. This step is crucial in identifying the substances involved in the relapse, which will guide appropriate treatment strategies. Establishing a therapeutic relationship and discussing treatment options come after obtaining necessary diagnostic information to ensure a comprehensive care plan.

Question 2 of 5

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?

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.

Question 3 of 5

A 7-year-old child with a history of asthma is brought to the emergency department with an acute asthma exacerbation. The child is wheezing and using accessory muscles to breathe. What is the nurse's priority intervention?

Correct Answer: A

Rationale: In a 7-year-old child with an acute asthma exacerbation showing signs of wheezing and increased work of breathing, the priority intervention for the nurse is to administer a nebulized bronchodilator immediately. Bronchodilators help dilate the airways, relieve bronchospasm, and improve breathing, which is crucial in managing an acute asthma attack and preventing further respiratory distress.

Question 4 of 5

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?

Correct Answer: D

Rationale: Positioning the infant on the stomach occasionally when awake and active can help prevent flat spots on the head.

Question 5 of 5

An adolescent female who is leaning forward with her hands on her knees to breathe tells the practical nurse that she has been using triamcinolone (Azmacort) inhalation aerosol before coming to the clinic. Which action should the PN implement?

Correct Answer: A

Rationale: When a patient presents with breathing difficulties, the first action should be to assess vital signs and breath sounds to evaluate the severity of the condition. This assessment will provide crucial information to determine the appropriate course of action and treatment. Collecting a blood sample for a white blood cell count, giving a nebulizer treatment, or administering another dose of Azmacort would not be the initial priority in this situation.

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