Pediatric Practice Exam HESI

Questions 98

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HESI LPN Test Bank

Pediatric Practice Exam HESI Questions

Question 1 of 5

A family has decided to withhold "extraordinary care" for a newborn with severe abnormalities. How should the nurse interpret this decision?

Correct Answer: D

Rationale: Withholding extraordinary care in cases of severe abnormalities is a legal and ethical decision. It allows the newborn to die naturally without aggressive interventions. Choice A is incorrect because all individuals, including newborns, have rights. Choice B is incorrect because withholding extraordinary care is not equivalent to euthanasia, which involves actively ending a life. Choice C is incorrect because such decisions are legally and ethically permissible when made in consideration of the best interests of the newborn.

Question 2 of 5

The nurse is teaching a parent group about the reasons for adhering to the immunization schedule. What complication of mumps is important for adolescents to avoid?

Correct Answer: A

Rationale: The correct answer is A: Sterility. Mumps can lead to serious complications such as sterility, especially in adolescent males. Vaccination is essential to prevent this potential outcome. Hypopituitarism (Choice B) is not a typical complication of mumps. Choices C and D, decrease in libido and decrease in androgens, are not directly associated with mumps complications, particularly in the context of adolescents.

Question 3 of 5

A 2-year-old child with a diagnosis of hemophilia is admitted to the hospital. What should the nurse include in the care plan?

Correct Answer: B

Rationale: Using a soft toothbrush helps to prevent bleeding in a child with hemophilia.

Question 4 of 5

What is the most appropriate method to feed an infant born with a unilateral cleft lip and palate?

Correct Answer: B

Rationale: A cross-cut nipple is the most appropriate method to feed an infant born with a unilateral cleft lip and palate. Using a cross-cut nipple allows for easier feeding by modifying the flow of milk, which helps in reducing the risk of aspiration in infants with this condition. Plastic spoon, parenteral infusion, and rubber-tipped syringe are not suitable for feeding infants with cleft lip and palate. Feeding an infant with a cleft lip and palate requires special considerations to ensure safe and effective nutrition delivery.

Question 5 of 5

A health care provider orders a tap water enema for a 6-month-old infant with suspected Hirschsprung disease. What rationale causes the nurse to question the order?

Correct Answer: B

Rationale: The correct answer is B. Tap water enemas can cause significant fluid and electrolyte imbalances, particularly in infants, making them unsafe for this age group. Choice A is incorrect because tap water enemas do not directly lead to loss of necessary nutrients. Choice C is incorrect as it focuses on emotional impact rather than physiological risks. Choice D is incorrect as shock from a sudden drop in temperature is not a common consequence of a tap water enema in this scenario.

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