Pediatric Practice Exam HESI

Correct Answer: A

Rationale: In situations of divorce, it is crucial for both parents to inform the child together using age-appropriate language. This approach helps maintain consistency and clarity for the child, reducing confusion and anxiety. Choice B is incorrect because reassurance should not be solely focused on love but on explaining the situation appropriately. Choice C may inadvertently send the message that the divorce is the child's fault or requires compensation. Choice D is incorrect as children benefit from understanding and processing emotions in a healthy manner, rather than having them kept hidden.

Correct Answer: B

Rationale: Setting the water heater at 130 degrees can lead to scald burns. The recommended temperature setting for water heaters is no higher than 120 degrees to prevent burns. Choice A is correct as it shows awareness of the risks of fireworks. Choice C is correct as flame-retardant sleepwear can help prevent burns. Choice D is correct as inward-facing pot handles prevent accidental spills and burns. Option B is incorrect due to the unsafe water heater temperature setting.

Correct Answer: C

Rationale: Keeping the newborn warm is crucial as newborns are at high risk of hypothermia due to their large body surface area and limited subcutaneous fat. Hypothermia can lead to complications such as respiratory distress, hypoglycemia, and metabolic acidosis. Providing warmth helps maintain the newborn's body temperature and supports physiological processes, promoting overall well-being. Applying free-flow oxygen is not necessary if the newborn is not in distress. Clamping and cutting the cord can be done after addressing the immediate need for warmth. Obtaining an APGAR score is important for assessing the newborn's overall condition but ensuring warmth takes precedence to prevent complications related to hypothermia.

Correct Answer: D

Rationale: The correct answer is to place the child in a room near the nurses' desk. This placement allows for close monitoring of the child's condition and facilitates quick intervention if necessary. Placing the child in a private room (Choice A) may not provide the necessary level of oversight in cases of suspected abuse. Additionally, placing the child with an older, friendly child (Choice B) or a child of the same age (Choice C) may not be appropriate due to the need for careful monitoring and protection in cases of potential abuse.

Correct Answer: A

Rationale: The correct answer is A, Sterility. Mumps can lead to sterility, particularly in adolescent males, highlighting the significance of vaccination to prevent this serious complication. While hypopituitarism (choice B) can be a potential complication of mumps, it is not as crucial to prevent in adolescents compared to the risk of sterility. Choices C and D, Decreased libido and Decreased androgens, are not direct complications of mumps and are not the primary concerns for adolescents in relation to mumps prevention.