HESI LPN
Pediatric HESI 2024 Questions
Question 1 of 5
The nurse is assisting low-income families to access health care. The nurse is aware that, in today's society, this most accurately defines the diversity of a modern family.
Correct Answer: B
Rationale: The correct answer is B) A family is whatever the child and family say it is. This option aligns with the modern understanding of family diversity, which recognizes that families come in various forms beyond traditional definitions. In pediatric healthcare, it is crucial to acknowledge and respect the diverse compositions of families to provide inclusive and effective care. Option A is incorrect because it is limited to a nuclear family structure, which does not encompass the full range of family dynamics present in society today. Option C is also incorrect as it defines family solely based on cohabitation without considering emotional bonds or legal relationships. Option D is inaccurate as it focuses only on genetic relationships, disregarding the importance of chosen or extended family members. In an educational context, understanding diverse family structures is essential for pediatric healthcare providers to deliver culturally competent care and support the well-being of children from all backgrounds. By recognizing and validating each family's unique composition and dynamics, nurses can build trust, enhance communication, and promote positive health outcomes for children.
Question 2 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: Asking about the gestational age is crucial in determining the stage of labor and assessing potential complications. This information helps in understanding the progress of labor and making appropriate decisions regarding the management of the delivery process. Choices A, B, and D are not as pertinent at this point in providing immediate care or assessing the situation compared to knowing the gestational age.
Question 3 of 5
What is the first action a healthcare provider should take before administering a tube feeding to an infant?
Correct Answer: B
Rationale: The correct answer is to offer a pacifier to the infant before administering tube feeding. Offering a pacifier helps stimulate the sucking reflex, preparing the infant for feeding and promoting digestion and comfort. Irrigating the tube with water (Choice A) is not typically the first action before tube feeding and may not be necessary. Slowly instilling formula (Choice C) should only be done after the infant is prepared for feeding. Placing the infant in the Trendelenburg position (Choice D) is not necessary and may not be recommended for tube feeding.
Question 4 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: In this scenario, option D is the correct choice. The nurse should reassure the parent that while the catheterization procedure may be uncomfortable for the infant, it is necessary for obtaining a sterile urine specimen and that there should not be any damaging long-term psychological effects on the baby. It is essential for the nurse to provide this reassurance to alleviate the parent's fears and ensure the procedure is carried out effectively. Option A is incorrect because obtaining a "clean catch" specimen may not always be feasible or reliable for obtaining a sterile urine sample in infants. Option B is also incorrect as the priority in this situation is the medical necessity of obtaining a sterile specimen rather than the parent's fears. Option C, although acknowledging the concern, does not address the reassurance aspect needed to support the parent through the procedure. Educationally, it is important for pediatric nurses to understand how to communicate effectively with parents and address their concerns regarding medical procedures for their children. Providing clear explanations, reassurance, and empathy are key components of pediatric nursing care when dealing with anxious parents.
Question 5 of 5
When you attempt to assess a 22-year-old woman who has been sexually assaulted, and she orders you not to touch her, your most appropriate initial action should be to
Correct Answer: B
Rationale: In cases of sexual assault, it is crucial to prioritize the patient's emotional and physical comfort. Asking a female EMT-B to attempt the assessment is the most appropriate initial action as it respects the patient's need for privacy and comfort. Asking the patient to sign a release form (Choice A) is not the immediate concern when the patient's well-being and comfort are at stake. Explaining to the patient that she must be examined (Choice C) disregards her autonomy and can worsen the trauma she is experiencing. Transporting the patient without performing an assessment (Choice D) neglects the necessary evaluation and potentially vital care that she may require.