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?- Skildor

Question 1 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?

A. The adolescent should be encouraged to seek help outside of the school clinic. B. Disclosures from the adolescent should be kept confidential. C. Honest information ensures establishing a trusting relationship. D. Minor adolescents should not be encouraged to disclose private concerns.

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 2 of 5

What is the nurse's best response when a 2-year-old boy begins to cry as the mother starts to leave?

A. Let me read this book to you. B. Two-year-olds usually stop crying the minute the parent leaves. C. Now be a big boy. Mommy will be back soon. D. Let's wave bye-bye to mommy.

Correct Answer: D

Rationale: The best response for the nurse in this situation is to help the child understand that the separation is temporary. Waving bye-bye to mommy can be reassuring to the child and make the separation process easier. It acknowledges the child's feelings while providing a positive and comforting interaction.

Question 3 of 5

The nurse is assessing a 4-year-old child who is brought to the clinic for a routine checkup. The child's parent reports that the child has been more irritable and less active over the past week. The nurse notes a petechial rash on the child's trunk and extremities. What should the nurse do first?

A. Ask the parent about recent exposure to contagious diseases B. Review the child's immunization record C. Measure the child's temperature D. Notify the healthcare provider immediately

Correct Answer: D

Rationale: Petechial rash can be a sign of a serious condition like meningitis, and the healthcare provider should be notified immediately.

Question 4 of 5

When should oral hygiene practices start for an infant according to the American Dental Association guidelines?

A. There is no need to begin until after all of the child's baby teeth are in. B. You don't have to worry about that until your child can handle a toothbrush. C. You can begin now using toothpaste on a gauze pad and wiping the gums. D. Begin wiping the teeth with a washcloth and water when the first tooth appears.

Correct Answer: D

Rationale: According to the American Dental Association guidelines, oral hygiene practices should start as soon as the first tooth appears. At this stage, using a soft cloth and water to clean the infant's gums and teeth is recommended to establish good oral hygiene habits early on and prevent dental issues.

Question 5 of 5

A child with leukemia is admitted for chemotherapy, and the nursing diagnosis 'altered nutrition, less than body requirements related to anorexia, nausea, and vomiting' is identified. Which intervention should the nurse include in this child's plan of care?

A. Encourage a variety of large portions of food at every meal. B. Allow the child to eat any food desired and tolerated. C. Recommend eating the food as siblings eat at home. D. Restrict food brought from fast food restaurants.

Correct Answer: B

Rationale: Allowing the child to eat any food desired and tolerated is the most appropriate intervention for a child with altered nutrition due to anorexia, nausea, and vomiting. It is crucial to prioritize maintaining adequate nutritional intake, and by allowing the child to choose foods they desire and can tolerate, the chances of improving their nutritional status increase. This approach helps in ensuring that the child receives necessary nutrients during chemotherapy, even if their appetite is affected by the treatment.

HESI Pediatric Practice Exam

Skildor

HESI RN

HESI RN

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