Pediatric HESI 2024

Questions 99

HESI LPN

HESI LPN Test Bank

Pediatric HESI 2024 Questions

Question 1 of 5

What information would the nurse include in the preoperative plan of care for an infant with myelomeningocele?

Correct Answer: B

Rationale: The correct answer is B: Covering the sac with saline-soaked nonadhesive gauze. This intervention is essential in caring for an infant with myelomeningocele as it helps prevent infection and maintains a moist environment around the sac before surgical repair. Positioning the infant supine with a pillow under the buttocks (Choice A) may be suitable for comfort but is not directly related to managing the myelomeningocele. Wrapping the infant snugly in a blanket (Choice C) and applying a diaper (Choice D) are not recommended as they can increase the risk of infection and damage to the sac.

Question 2 of 5

A 7-month-old girl is to be catheterized to obtain a sterile urine specimen. One of the infant's parents expresses fear that this procedure may traumatize the baby psychologically. How should the nurse provide reassurance?

Correct Answer: D

Rationale: While catheterization can be uncomfortable, it does not typically result in long-term psychological harm, and obtaining a sterile specimen is important for accurate diagnosis.

Question 3 of 5

During a nap, a 3-year-old hospitalized child wets the bed. How should the nurse respond?

Correct Answer: C

Rationale: When a 3-year-old hospitalized child wets the bed during a nap, the nurse should respond by changing the child's clothes without discussing the incident. This approach helps to maintain the child's dignity, avoid embarrassment, and reduce anxiety about bedwetting. Asking the child to help remake the bed (Choice A) may not be developmentally appropriate for a 3-year-old and could potentially lead to further distress. Putting clean sheets on the bed over a rubber sheet (Choice B) addresses the aftermath but does not directly address the child's needs and feelings. Explaining that children should call the nurse when they need to go to the bathroom (Choice D) may not be effective in this situation as the child may not have control over bedwetting during sleep.

Question 4 of 5

What would be important for the nurse to include when teaching an adolescent about tinea pedis?

Correct Answer: B

Rationale: The correct answer is B: 'Dry the area between your toes thoroughly.' When educating an adolescent about tinea pedis, emphasis should be placed on keeping the feet dry, especially between the toes, to minimize the risk of fungal infection. Choice A is incorrect as keeping the feet moist can exacerbate the condition. Choice C is incorrect because nylon or synthetic socks can trap moisture, promoting fungal growth. Choice D is incorrect as walking barefoot in locker rooms increases the risk of contracting tinea pedis from contaminated surfaces.

Question 5 of 5

A 6-month-old infant is brought to the emergency department in severe respiratory distress. A diagnosis of respiratory syncytial virus (RSV) is made and the infant is admitted to the pediatric unit. What should be included in the nursing plan of care?

Correct Answer: C

Rationale: The correct answer is to maintain standard and contact precautions. RSV is highly contagious, primarily spreading through respiratory secretions. Therefore, it is crucial to implement infection control measures to prevent the spread of the virus within the healthcare setting. Option A is incorrect as warmth and dryness are not the primary concern in RSV management. While family support is important, allowing visits may increase the risk of spreading the infection, making option B less appropriate. Option D is incorrect because RSV is a viral infection, and antibiotics are not effective against viruses.

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