HESI LPN
Pediatric HESI Test Bank Questions
Question 1 of 5
A nurse in the emergency department observes large welts and scars on the back of a child who has been admitted for an asthma attack. What additional information must be included in the nurse's assessment?
Correct Answer: B
Rationale: The correct answer is B: Signs of child abuse. Large welts and scars on a child may be indicative of abuse, making it crucial for the nurse to assess and report any suspicions. Assessing the history of an injury (choice A) may not provide insight into the cause of the welts and scars as effectively as looking for signs of potential abuse. Food allergies (choice C) and recent recovery from chickenpox (choice D) are not directly relevant to the observation of welts and scars on the child's back.
Question 2 of 5
A major developmental milestone of a toddler is the achievement of autonomy. What should the parents do to enhance their toddler's need for autonomy?
Correct Answer: D
Rationale: Toddlers striving for autonomy need to develop internal controls to foster their independence. Teaching the child to share (Choice A) focuses more on social skills rather than autonomy. Helping the child learn society's roles (Choice B) is important but not directly related to enhancing autonomy. Teaching the child to accept external limits (Choice C) is contrary to promoting autonomy as it emphasizes conformity to external rules rather than internal self-regulation.
Question 3 of 5
What type of play does a caregiver expect when observing a toddler in a playroom with other children?
Correct Answer: A
Rationale: When observing a toddler in a playroom with other children, a caregiver would expect to witness parallel play. Parallel play is common among toddlers, where they play alongside but not directly with other children. This type of play is characterized by children engaging in similar activities near each other without interactive or cooperative play. Solitary play (Choice B) involves a child playing alone, while cooperative play (Choice C) involves children playing together towards a common goal. Competitive play (Choice D) involves activities where children compete against each other.
Question 4 of 5
A 15-month-old child with the diagnosis of hydrocephalus is scheduled for a computed tomography (CT) scan. What should the nurse include when preparing the toddler for the CT scan?
Correct Answer: D
Rationale: Preparing a toddler for a CT scan involves providing a simple explanation of the procedure to reduce anxiety and help the child understand what will happen. This approach helps establish trust and cooperation, making the experience less frightening for the child. Shaving the head, starting an IV infusion, or administering a sedative are not typically part of the preparation for a CT scan in a toddler and may not be necessary or appropriate in this scenario.
Question 5 of 5
A child who had surgery for a congenital heart defect is being discharged. What is an important aspect of the discharge teaching?
Correct Answer: D
Rationale: Explaining the use of prescribed medications is crucial as it helps ensure the proper management of the child's condition post-discharge. Understanding how and when to administer medications is essential for the child's recovery. While teaching the parents about signs of infection, providing wound care instructions, and scheduling follow-up appointments are also important aspects of care, ensuring the correct use of prescribed medications takes precedence to prevent complications and promote the child's well-being.