Pediatric Practice Exam HESI

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: B

Rationale: Choanal atresia is a congenital condition that presents with a blockage in the nasal passages at the junction of the nasal cavity and the nasopharynx. To assess and confirm the diagnosis of choanal atresia, the nurse should focus on assessing the nasopharynx. Choices A, C, and D are incorrect as choanal atresia specifically involves a blockage in the nasal passages, not the rectum, intestinal tract, or laryngopharynx. By assessing the nasopharynx, the severity of the obstruction can be determined, aiding in planning appropriate interventions for the newborn.

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: D

Rationale: For a child with diabetes mellitus, following a specific meal plan is crucial for managing blood glucose levels effectively. This helps in maintaining stable blood sugar levels and preventing complications associated with the condition. Monitoring blood glucose levels daily and recognizing signs of hypoglycemia are also important aspects of managing diabetes; however, adherence to a specific meal plan plays a fundamental role in overall diabetes care. Administering insulin based on blood glucose levels alone is not recommended without a specific plan provided by healthcare providers.

Correct Answer: C

Rationale: The most likely nursing diagnosis for a 1-month-old girl with trisomy 18, characterized by low-set ears and severe hypotonia, is 'Grieving related to the child's poor prognosis.' Trisomy 18 is associated with a poor prognosis, and families often experience grief as they come to terms with the challenges and uncertainties associated with the condition. 'Interrupted family process' may not be as relevant since the primary focus is on the child's condition. 'Deficient knowledge related to the genetic disorder' could be important but may not be the most likely initial concern, as emotional support for the family is crucial at this point. 'Ineffective coping related to the stress of providing care' is a broad diagnosis that does not specifically address the emotional response to the child's prognosis, which is the primary concern in this case.