A healthcare provider is assessing a child with suspected pneumonia. What clinical manifestation is the healthcare provider likely to observe?

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Pediatric HESI 2024 Questions

Question 1 of 4

A healthcare provider is assessing a child with suspected pneumonia. What clinical manifestation is the healthcare provider likely to observe?

Correct Answer: A

Rationale: When assessing a child with suspected pneumonia, a healthcare provider is likely to observe a cough as a common clinical manifestation. Pneumonia often presents with symptoms such as cough, fever, difficulty breathing, and chest pain. Choice B, diarrhea, is not typically associated with pneumonia. Choice C, rash, is not a common clinical manifestation of pneumonia. Choice D, vomiting, is also not a typical symptom of pneumonia. Therefore, the correct answer is A: Cough.

Question 2 of 4

Based on developmental norms for a 5-year-old child, a healthcare professional decides to withhold a scheduled dose of digoxin (Lanoxin) elixir and notify the healthcare provider. Below what apical pulse did the healthcare professional withhold the medication?

Correct Answer: C

Rationale: For a 5-year-old child, an apical pulse below 90 beats/min is an indicator to withhold digoxin. Digoxin is a medication that affects the heart, and in pediatric patients, monitoring the pulse rate is crucial due to the risk of bradycardia (slow heart rate) as a potential side effect. In this case, an apical pulse of 90 beats/min or lower indicates a heart rate that may be too slow for a child of this age, warranting the withholding of digoxin and prompt notification of the healthcare provider. Choices A, B, and D are not within the critical range specified for withholding digoxin in a 5-year-old child and would not necessitate withholding the medication.

Question 3 of 4

The nurse is assisting low-income families to access health care. The nurse is aware that, in today's society, this most accurately defines the diversity of a modern family.

Correct Answer: B

Rationale: In today's diverse society, the concept of family has evolved beyond traditional definitions. Choice B, 'A family is whatever the child and family say it is,' reflects the contemporary understanding that families can take various forms, based on self-identification and individual perspectives. Choice A is too restrictive, as modern families may not solely consist of parents and their offspring living together. Choice C is somewhat inclusive but lacks the recognition of self-identification and diversity within families. Choice D focuses on genetic relation and roles, which may not apply to all modern family structures. Therefore, choice B is the most suitable and inclusive definition of a modern family in today's society.

Question 4 of 4

The mother of an 8-year-old girl with a broken arm is the nurturer in the family. Which nursing activity should be focused on her?

Correct Answer: A

Rationale: In this scenario, focusing on teaching the mother proper care procedures is crucial. This empowers the mother to provide appropriate care for her daughter's broken arm, promoting optimal healing. Dealing with insurance coverage (Choice B) is important but not the immediate focus for the mother. Determining the success of treatment (Choice C) is typically done by healthcare professionals, not family members. Transmitting information to family members (Choice D) may be beneficial but ensuring the primary caregiver, in this case, the mother, is well-informed and capable of providing care takes precedence.

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