HESI LPN
Pediatric HESI 2024 Questions
Question 1 of 5
What is the first action to take before administering tube feeding to an infant?
Correct Answer: B
Rationale: The correct first action before administering tube feeding to an infant is to offer a pacifier. Providing a pacifier stimulates the sucking reflex, aiding in digestion and providing comfort to the infant. Irrigating the tube with water (
Choice
A) is not typically the initial step and could potentially introduce unnecessary fluid into the infant's system. Slowly instilling formula (
Choice
C) should only be done after ensuring the tube is appropriately placed. Placing the infant in the Trendelenburg position (
Choice
D) is not necessary for tube feeding and could pose risks such as aspiration.
Question 2 of 5
At 2 years of age, a child is readmitted to the hospital for additional surgery. What is the most important factor in preparing the toddler for this experience?
Correct Answer: B
Rationale: The most important factor in preparing a toddler for additional surgery is their previous experience of hospitalization. This familiarity can help reduce anxiety and fear associated with the hospital environment and medical procedures.
Choice A, satisfying the child's wishes, may not always be feasible or in the child's best interest during medical procedures.
Choice C, preventing the child from being with strangers, may not address the core issue of preparing the child for surgery.
Choice D, ensuring the child still receives parental affection, is important but may not directly address the preparation needed for surgery.
Question 3 of 5
At 0345, you receive a call for a woman in labor. Upon arriving at the scene, you are greeted by a very anxious man who tells you that his wife is having her baby 'now.' This man escorts you into the living room where a 25-year-old woman is lying on the couch in obvious pain. The woman states that her contractions are occurring every 4 to 5 minutes and lasting approximately 30 seconds each. Which of the following questions would be most appropriate to ask at this point?
Correct Answer: C
Rationale: Asking about the gestational age is crucial in determining the stage of labor and assessing potential complications. This information helps in understanding the progress of labor and making appropriate decisions regarding the management of the delivery process.
Choices A, B, and D are not as pertinent at this point in providing immediate care or assessing the situation compared to knowing the gestational age.
Question 4 of 5
The nurse is caring for an infant with candidal diaper rash. Which topical agent would the nurse expect the healthcare provider to order?
Correct Answer: B
Rationale: The correct answer is B: Antifungals. Candidal diaper rash is caused by a yeast infection and is best treated with antifungal agents. Corticosteroids (choice
A) may worsen fungal infections by suppressing the immune response. Antibiotics (choice
C) are used to treat bacterial infections, not fungal infections like candidal diaper rash. Retinoids (choice
D) are not typically used to treat candidal diaper rash in infants; they are more commonly used for dermatological conditions like acne.
Question 5 of 5
When you attempt to assess a 22-year-old woman who has been sexually assaulted, and she orders you not to touch her, your most appropriate initial action should be to
Correct Answer: B
Rationale: In cases of sexual assault, it is crucial to prioritize the patient's emotional and physical comfort. Asking a female EMT-B to attempt the assessment is the most appropriate initial action as it respects the patient's need for privacy and comfort. Asking the patient to sign a release form (
Choice
A) is not the immediate concern when the patient's well-being and comfort are at stake. Explaining to the patient that she must be examined (
Choice
C) disregards her autonomy and can worsen the trauma she is experiencing. Transporting the patient without performing an assessment (
Choice
D) neglects the necessary evaluation and potentially vital care that she may require.