ATI RN
Pediatric HESI Test Bank Questions
Question 1 of 5
Matthew, age 18 months, has just been admitted with croup. His parent is tearful and tells the nurse, "This is all my fault. I should have taken him to the doctor sooner so he wouldn't have to be here." Which is appropriate in the care plan for this parent who is experiencing guilt?
Correct Answer: A
Rationale: In this situation, it is important to clarify the parent's misconception about the illness. By providing information about croup, the nurse can help the parent understand that seeking medical care promptly is essential in managing the condition but that it is not solely the parent's fault. This can help alleviate the parent's guilt and provide reassurance that they are doing their best for their child. It is essential to provide education and support to empower the parent in caring for their child effectively.
Question 2 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 3 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 4 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.
Question 5 of 5
The nurse is preparing an adolescent for discharge after a cardiac catheterization. Which statement by the adolescent would indicate a need for further teaching?
Correct Answer: B
Rationale: The statement "I have to stay on strict bed rest for 3 days" would indicate a need for further teaching. After a cardiac catheterization, strict bed rest is usually not required for an extended period of time. The patient is typically advised to limit physical activities for a certain period but can engage in light activities as tolerated. Prolonged bed rest can increase the risk of complications such as blood clots and muscle weakness. It would be important to clarify this misconception and provide accurate information regarding post-procedure care.