HESI LPN
Pediatric HESI Practice Questions Questions
Question 1 of 5
A 3-year-old child is admitted to the hospital with a diagnosis of Kawasaki disease. What is the priority nursing intervention?
Correct Answer: B
Rationale: The priority nursing intervention for a 3-year-old child with Kawasaki disease is monitoring for coronary artery aneurysms. Kawasaki disease can lead to coronary artery complications, making early detection crucial in preventing serious outcomes. Administering IV immunoglobulin is a standard treatment for Kawasaki disease but does not take precedence over monitoring for potential complications. Encouraging fluid intake and providing nutritional support are important aspects of care but are not the priority when compared to monitoring for coronary artery aneurysms to prevent long-term cardiac issues.
Question 2 of 5
The nurse is caring for a 15-year-old boy who has sustained burn injuries. The nurse observes the burn developing a purplish color with discharge and a foul odor. The nurse suspects which infection?
Correct Answer: B
Rationale: Invasive burn cellulitis is characterized by the burn developing a dark brown, black, or purplish color with discharge and a foul odor. This description aligns with the symptoms observed in the 15-year-old boy. Burn wound cellulitis (
Choice
A) typically presents with erythema, edema, warmth, and tenderness at the burn site, without the characteristic changes seen in this case. Burn impetigo (
Choice
C) is a superficial infection characterized by honey-colored crusts, not consistent with the purplish color and foul odor described. Staphylococcal scalded skin syndrome (
Choice
D) is a condition caused by exotoxins produced by Staphylococcus aureus, leading to widespread desquamation of the skin, but it does not typically present with the specific findings mentioned in the scenario.
Question 3 of 5
In an adolescent suspected of having type 1 diabetes mellitus, which clinical manifestation may be present?
Correct Answer: D
Rationale: Poor wound healing is a common clinical manifestation of type 1 diabetes mellitus. Elevated blood glucose levels in diabetes can lead to impaired wound healing by affecting various cellular processes involved in the healing cascade. Moist skin (
Choice
A) is not typically associated with type 1 diabetes mellitus. Weight gain (
Choice
B) is more commonly seen in type 2 diabetes due to insulin resistance. Fluid overload (
Choice
C) is not a typical clinical manifestation of type 1 diabetes mellitus.
Therefore, the correct answer is poor wound healing.
Question 4 of 5
The mother of a 5-year-old boy with a myelomeningocele, who has developed a sensitivity to latex, is being taught by the nurse. Which response from his mother indicates a need for further teaching?
Correct Answer: C
Rationale:
Choice C, 'A product's label always indicates whether it is latex-free,' indicates a need for further teaching. Not all products are clearly labeled as latex-free; therefore, it is essential to verify with manufacturers and healthcare providers.
Choices A, B, and D demonstrate appropriate understanding of managing latex sensitivity in the child. Wearing a medical alert identification (
Choice
A), informing caregivers (
Choice
B), and avoiding all contact with latex (
Choice
D) are all important aspects of managing a child's latex sensitivity.
Question 5 of 5
A 2-year-old child who was admitted to the hospital for further surgical repair of a clubfoot is standing in the crib, crying. The child refuses to be comforted and calls for the mother. As the nurse approaches the crib to provide morning care, the child screams louder. Knowing that this behavior is typical of the stage of protest, what is the most appropriate nursing intervention?
Correct Answer: C
Rationale: During the stage of protest, children may display distress when separated from their primary caregiver. Sitting by the crib and providing comfort when the child is less anxious is an appropriate intervention.
Choice A is incorrect because attempting to hold the child while they are in distress may escalate the situation.
Choice B is inappropriate as it ignores the child's emotional distress and proceeds with a task that can wait.
Choice D is not the best option as postponing the bath for a day is not necessary; instead, addressing the child's emotional needs promptly is crucial in this situation.