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?- Skildor

Question 1 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 2 of 5

A 7-year-old child with cystic fibrosis is admitted to the hospital with a respiratory infection. The nurse is teaching the child's parents about the importance of chest physiotherapy (CPT). Which statement by the parents indicates they need further teaching?

A. We should perform CPT before meals. B. CPT will help loosen mucus in the lungs. C. We should perform CPT right after the child eats. D. CPT is an important part of our child's treatment.

Correct Answer: C

Rationale: The correct answer is C. Chest physiotherapy should not be performed right after meals to avoid inducing vomiting. It should be done before meals or at least 1 hour after for effective mucus clearance and to prevent any potential complications like vomiting.

Question 3 of 5

The mother of a one-month-old calls the clinic to report that the back of her infant's head is flat. How should the nurse respond?

A. Turn the infant on the left side braced against the crib when sleeping. B. Prop the infant in a sitting position with a cushion when not sleeping. C. Place a small pillow under the infant's head while lying on the back. D. Position the infant on the stomach occasionally when awake and active.

Correct Answer: D

Rationale: Positioning the infant on the stomach occasionally when awake and active can help prevent flat spots on the head.

Question 4 of 5

During a well-baby check of a 7-month-old infant, the practical nurse notes an absence of babbling. Which focused assessment should the PN implement?

A. Visual function. B. Auditory function. C. Cognitive function. D. Social development.

Correct Answer: B

Rationale: The absence of babbling in a 7-month-old infant is a concerning auditory development milestone. Babbling is an early stage of language development which involves making various sounds. A lack of babbling could indicate a hearing impairment or other auditory issues. Therefore, the practical nurse should focus on assessing the infant's auditory function to determine if further evaluation or intervention is necessary.

Question 5 of 5

The caregiver discovers a 6-month-old infant unresponsive and calls for help. After opening the airway and finding the infant is still not breathing, what action should the caregiver take?

A. Palpate femoral pulse and check for regularity. B. Deliver cycles of 30 chest compressions and 2 breaths. C. Give two breaths that make the chest rise. D. Feel the carotid pulse and check for adequate breathing.

Correct Answer: C

Rationale: Providing two breaths that make the chest rise is the correct action in this situation. This helps to deliver oxygen to the infant's lungs and body, which is crucial in a situation where the infant is not breathing. Chest rise indicates successful ventilation, and it is an essential step in pediatric resuscitation, especially for infants.

HESI Pediatric Practice Exam

Skildor

HESI RN

HESI RN

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