HESI LPN
Pediatric Practice Exam HESI Questions
Question 1 of 5
The nurse is admitting a newborn with hypospadias to the nursery. The nurse expects which finding in this newborn?
Correct Answer: D
Rationale: Hypospadias is a congenital condition where the urethral opening is located along the ventral surface of the penis, not the dorsal surface (Choice C) or absent (Choice A). This leads to the characteristic appearance of a ventrally displaced urethral meatus. The penis may appear normal in size but with the urethral opening positioned abnormally (Choice D), rather than being shorter than usual (Choice B). Therefore, the correct expectation for a newborn with hypospadias is that the urethral opening is along the ventral surface of the penis, making Choice D the correct answer.
Question 2 of 5
Where should the child admitted with injuries that may be related to abuse be placed?
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.
Question 3 of 5
During a clinical conference with a group of nursing students, the instructor is describing burn classification. The instructor determines that the teaching has been successful when the group identifies what as characteristic of full-thickness burns?
Correct Answer: D
Rationale: Full-thickness burns are characterized by a leathery, dry appearance with numbness due to nerve damage. Choice A describes characteristics of superficial burns, which are not full-thickness. Choice B describes characteristics of partial-thickness burns with intact blisters, not full-thickness burns. Choice C describes characteristics of partial-thickness burns with blistering and swelling, not full-thickness burns.
Question 4 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 5 of 5
A parent of a 2-year-old child tells a nurse at the clinic, 'Whenever I go to the store, my child has a screaming tantrum, demanding a toy or candy on the shelves. How can I deal with this situation?' What is the nurse's best response?
Correct Answer: B
Rationale: The best approach in dealing with a child's tantrum is to not give in to their demands. By allowing the tantrum to continue until it ends, the child learns that this behavior is not effective in getting what they want. Offering a distraction (Choice A) might temporarily calm the child but does not address the underlying issue of the tantrum. Leaving the child with a babysitter (Choice C) does not teach the child how to handle such situations. Giving in to the child's demands (Choice D) reinforces the tantrum behavior.
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