ATI RN
Pediatric HESI Test Bank Questions
Question 1 of 5
A post-TURP patient experiences dribbling following removal of his catheter. Which action should the nurse take?
Correct Answer: B
Rationale: The best course of action for a post-TURP patient experiencing dribbling after catheter removal is to teach him to perform Kegel's exercises 10 to 20 times per hour. Kegel exercises help strengthen the pelvic floor muscles, which can improve urinary control and reduce dribbling. Restricting fluid intake is not recommended as it can lead to dehydration. Reinserting the Foley catheter is not ideal unless there are complications. Incontinence following TURP can take time to improve, so reassuring the patient that it never lasts more than a few days may give false expectations. Teaching Kegel exercises is the most appropriate intervention to address post-TURP dribbling.
Question 2 of 5
Nursing interventions for a patient with a diagnosis of hyponatremia includes all of the following except:
Correct Answer: B
Rationale: Hyponatremia is a condition characterized by low levels of sodium in the blood. Encouraging the intake of low-sodium liquids, such as coffee or tea, can further dilute the sodium levels in the body and worsen the condition. Instead, it is important to restrict fluid intake and focus on providing appropriate electrolyte replacement. Monitoring the patient's neurological status is crucial as severe hyponatremia can lead to neurological symptoms such as confusion, seizures, and coma. Assessing for symptoms like nausea and malaise helps in understanding the patient's condition. Restricting tap water intake is also necessary to help manage hyponatremia by preventing further dilution of sodium levels.
Question 3 of 5
Other signs of hypovolemia includes all of the following except:
Correct Answer: A
Rationale: When assessing for signs of hypovolemia, dry mucous membranes and soft eyeballs are actually indicative of dehydration, not specifically hypovolemia. In hypovolemia, the body loses both fluid and electrolytes, leading to decreased circulating blood volume. Other signs of hypovolemia include increased hematocrit and hemoglobin levels due to hemoconcentration, decreased pulse rate and widened pulse pressure as compensatory mechanisms to maintain perfusion to vital organs, and increased lethargy and confusion due to impaired perfusion to the brain.
Question 4 of 5
If a Wall unit is used, What should be the suctioning pressure required by James?
Correct Answer: A
Rationale: The recommended suction pressure range for suctioning an adult patient using a wall unit is typically between 80-120 mmHg. However, for a pediatric patient, the recommended suction pressure range is lower, usually between 50-95 mmHg. In this case, James' age is specified, so it is crucial to consider the appropriate suction pressure range for pediatric patients. Therefore, the suctioning pressure required by James should be in the range of 50-95 mmHg, making option A the correct answer.
Question 5 of 5
Which food is recommended for the patient who must increase intake of potassium?
Correct Answer: B
Rationale: Potassium is an essential mineral that plays a key role in numerous bodily functions, including muscle contractions and maintaining proper heart function. Among the options given, potatoes are an excellent source of potassium. One medium-sized potato can provide around 900 mg of potassium, making it a great choice for individuals who need to increase their potassium intake. Therefore, potatoes are recommended for the patient who must increase their intake of potassium.