HESI LPN
Pediatric HESI 2024 Questions
Question 1 of 5
A 6-month-old infant is brought to the emergency department in severe respiratory distress. A diagnosis of respiratory syncytial virus (RSV) is made and the infant is admitted to the pediatric unit. What should be included in the nursing plan of care?
Correct Answer: C
Rationale: The correct answer is to maintain standard and contact precautions. RSV is highly contagious, primarily spreading through respiratory secretions. Therefore, it is crucial to implement infection control measures to prevent the spread of the virus within the healthcare setting. Option A is incorrect as warmth and dryness are not the primary concern in RSV management. While family support is important, allowing visits may increase the risk of spreading the infection, making option B less appropriate. Option D is incorrect because RSV is a viral infection, and antibiotics are not effective against viruses.
Question 2 of 5
An infant with hypertrophic pyloric stenosis (HPS) is admitted to the pediatric unit. What does the nurse expect to find when palpating the infant's abdomen?
Correct Answer: C
Rationale: When palpating the abdomen of an infant with hypertrophic pyloric stenosis (HPS), the nurse would expect to feel an olive-sized mass in the right upper quadrant. This finding is characteristic of HPS, where the hypertrophied pyloric muscle forms a palpable mass in the abdomen. Choices A, B, and D are incorrect. A distended colon is not a typical finding in HPS, marked tenderness around the umbilicus is not specific to this condition, and rhythmic peristaltic waves in the lower abdomen are not associated with HPS.
Question 3 of 5
What should be the focus of nursing activity for the mother of an 8-year-old girl with a broken arm, who is the nurturer in the family?
Correct Answer: A
Rationale: The correct answer is A: Teaching proper care procedures. In this scenario, focusing on teaching the mother proper care procedures is crucial as she is the nurturer in the family and will likely be the primary caregiver for the child. This will empower her to provide appropriate care and support for her daughter during the recovery process. Choices B, C, and D are not the most appropriate activities for the mother in this situation. Dealing with insurance coverage, determining treatment success, and transmitting information to family members are important but not as directly relevant to the immediate care needs of the child's broken arm.
Question 4 of 5
After a cardiac catheterization, what is the priority nursing care for a 3-year-old child?
Correct Answer: B
Rationale: The priority nursing care after a cardiac catheterization in a 3-year-old is to monitor the site for bleeding. This is essential to promptly detect and manage any potential complications, such as hematoma or hemorrhage. Encouraging early ambulation, as mentioned in choice A, may not be safe immediately post-procedure and should be guided by the healthcare provider's instructions. Restricting fluids until blood pressure is stabilized, as in choice C, is not typically necessary after a cardiac catheterization. Comparing blood pressure in both lower extremities, as in choice D, is not the priority immediate nursing care following this procedure.
Question 5 of 5
What are the most common signs and symptoms of leukemia related to bone marrow involvement?
Correct Answer: A
Rationale: The correct answer is A: petechiae, infection, fatigue. In leukemia, bone marrow involvement leads to a decrease in normal blood cell production, resulting in petechiae (small red or purple spots on the skin), increased susceptibility to infections due to decreased white blood cells, and fatigue from anemia. Choices B, C, and D are incorrect because they do not directly relate to the typical signs and symptoms of leukemia with bone marrow involvement. Headache, papilledema, irritability, muscle wasting, weight loss, decreased intracranial pressure, psychosis, and confusion are not typically associated with leukemia and bone marrow involvement.
Similar Questions
Join Our Community Today!
Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for HESI-LPN and 3000+ practice questions to help you pass your HESI-LPN exam.
Subscribe for Unlimited Access