ATI RN
Pediatric HESI Test Bank Questions
Question 1 of 5
A nurse is establishing several health programs, such as bicycle safety, to improve the health status of a target population. This describes which step in the community nursing process?
Correct Answer: D
Rationale: The nurse establishing health programs, such as bicycle safety, to improve the health status of a target population is engaging in the implementation phase of the community nursing process. Implementation involves putting the planned interventions into action. In this scenario, the nurse is actively carrying out the health programs to promote bicycle safety, which is a crucial step in the community nursing process. The planning phase precedes implementation, where the nurse develops the interventions and strategies to address community health needs. Following implementation, the next step in the community nursing process would be evaluation, where the effectiveness of the health programs would be assessed to determine their impact on the target population.
Question 2 of 5
An adolescent girl asks the school nurse for advice because she has dysmenorrhea. She says that a friend recommended she try an over-the-counter nonsteroidal anti-inflammatory drug (NSAID). The nurse's response should be based on which statement?
Correct Answer: D
Rationale: NSAIDs are effective for treating dysmenorrhea because they work by inhibiting prostaglandins, which are responsible for causing increased uterine activity and thus pain during menstruation. By reducing prostaglandin levels, NSAIDs help to decrease uterine contractions and consequently alleviate menstrual cramps. This mechanism of action makes NSAIDs an appropriate and effective choice for managing dysmenorrhea.
Question 3 of 5
A mother calls the school nurse saying that her daughter has developed a school phobia. She has been out of school 3 days. The nurse's recommendations should include which intervention?
Correct Answer: C
Rationale: The appropriate intervention in this situation would be to determine the cause of the school phobia before immediately returning the child to school. School phobia, also known as school refusal, can be triggered by various factors such as bullying, academic stress, separation anxiety, or other psychological issues. By identifying the underlying cause of the phobia, the school nurse can better support the child and provide appropriate interventions to address the specific issues that are contributing to the child's reluctance to attend school. This approach helps ensure that the child receives the necessary support and resources needed to successfully reintegrate into the school environment.
Question 4 of 5
Which should the nurse recommend to prevent urinary tract infections in young girls?
Correct Answer: A
Rationale: Cotton underpants are recommended to prevent urinary tract infections in young girls because they allow for better air circulation, which helps keep the genital area dry and reduces the likelihood of bacterial growth. Synthetic materials can trap moisture and create a warm and moist environment that promotes bacterial infections. Therefore, wearing cotton underpants is a simple and effective way to promote good hygiene and prevent urinary tract infections in young girls.
Question 5 of 5
Which clinical manifestation would be seen in a child with chronic renal failure?
Correct Answer: D
Rationale: Chronic renal failure is characterized by the buildup of waste products and toxins in the blood due to kidney dysfunction. One common clinical manifestation in children with chronic renal failure is the development of an unpleasant "uremic" breath odor. This odor is often described as a fishy or ammonia-like smell and is a result of the accumulation of urea in the blood, which is normally filtered out by the kidneys. Other common clinical manifestations of chronic renal failure in children may include hypertension, fluid retention, electrolyte abnormalities (such as hyperkalemia rather than hypokalemia), anemia, growth failure, and bone abnormalities.