HESI LPN
Pediatric HESI 2024 Questions
Question 1 of 5
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 2 of 5
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.
Question 3 of 5
At 0345, you receive a call for a woman in labor. Upon arriving at the scene, you are greeted by a very anxious man who tells you that his wife is having her baby 'now.' This man escorts you into the living room where a 25-year-old woman is lying on the couch in obvious pain. The woman states that her contractions are occurring every 4 to 5 minutes and lasting approximately 30 seconds each. Which of the following questions would be most appropriate to ask at this point?
Correct Answer: C
Rationale: In this scenario, asking about the gestational age is crucial as it helps determine the stage of labor and potential complications. Knowing the number of weeks of gestation can guide the healthcare provider in assessing the progress of labor and making decisions about the care of both the mother and the baby. Choices A, B, and D are not as relevant in this urgent situation. While knowing if the bag of waters has broken is important for assessing the progress of labor, determining gestational age is more critical at this point. Asking about regular prenatal care or the number of other children does not provide immediate information necessary for managing the current situation.
Question 4 of 5
What is the first action to take before administering tube feeding to an infant?
Correct Answer: B
Rationale: The correct first action before administering tube feeding to an infant is to offer a pacifier. Providing a pacifier stimulates the sucking reflex, aiding in digestion and providing comfort to the infant. Irrigating the tube with water (Choice A) is not typically the initial step and could potentially introduce unnecessary fluid into the infant's system. Slowly instilling formula (Choice C) should only be done after ensuring the tube is appropriately placed. Placing the infant in the Trendelenburg position (Choice D) is not necessary for tube feeding and could pose risks such as aspiration.
Question 5 of 5
A 7-month-old girl is to be catheterized to obtain a sterile urine specimen. One of the infant's parents expresses fear that this procedure may traumatize the baby psychologically. How should the nurse provide reassurance?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.