ATI RN
Pediatric HESI Test Bank Questions
Question 1 of 5
The nurse is presenting an in-service session on assessing gestational age in newborns. Which information should be included?
Correct Answer: C
Rationale: The newborn's posture at rest and arm recoil are two physical signs used to determine gestational age. Assessment of posture at rest involves observing the newborn's flexed or extended posture when lying flat on their back. Premature infants tend to have more flexed postures due to their immature muscular tone. Arm recoil refers to the ability of the newborn to return their extended arm flexes to the flexed position. This reflex is typically present in more mature infants. These physical signs, along with other factors such as skin texture, breast development, and ear formation, are used by healthcare providers to estimate the gestational age of newborns. While length, weight, and head circumference are also important measurements, the posture at rest and arm recoil are specifically used in determining gestational age.
Question 2 of 5
Which nursing consideration is important when caring for a child with impetigo contagiosa?
Correct Answer: C
Rationale: Carefully washing hands and maintaining cleanliness when caring for an infected child with impetigo contagiosa is important due to its highly contagious nature. Impetigo is a skin infection that is easily spread through direct contact with the lesions or with items contaminated by the infected person such as towels, clothing, or bedding. By washing hands and maintaining cleanliness, caregivers can help prevent the spread of infection to others and minimize the risk of re-infection to the child. This nursing consideration is crucial in managing impetigo and promoting the child's recovery.
Question 3 of 5
Which may be given to high-risk children after exposure to chickenpox to prevent varicella?
Correct Answer: D
Rationale: VCZ immune globulin (VariZIG) is given to high-risk children after exposure to chickenpox to prevent varicella. VariZIG contains antibodies against the varicella-zoster virus, providing passive immunity to the child. This can help reduce the severity of the infection or prevent it altogether in high-risk individuals. Acyclovir (Zovirax) is an antiviral medication used to treat varicella infections but is not typically used for prevention post-exposure. Varicella globulin is not a treatment for varicella. Diphenhydramine hydrochloride (Benadryl) is an antihistamine and is not used for preventing varicella post-exposure.
Question 4 of 5
The nurse is helping parents achieve a more nutritionally adequate vegetarian diet for their child. Which is most likely lacking in their particular diet?
Correct Answer: C
Rationale: A vegetarian diet can provide adequate amounts of protein, fat, and even complete protein if well-balanced. However, certain essential nutrients like vitamins C and A are more commonly found in higher concentrations in animal-based products. Therefore, in a vegetarian diet, particularly if not carefully planned, there may be a potential lack of these specific vitamins. It is important for the nurse to educate the parents on alternative plant-based sources of vitamins C and A to ensure their child's nutritional requirements are met.
Question 5 of 5
Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS) infant? (Select all that apply.)
Correct Answer: A
Rationale: The correct intervention for the nurse to implement when caring for a family of a sudden infant death syndrome (SIDS) infant is to allow parents to say goodbye to their infant (Option A). This is essential for the parents' grieving process and closure. Allowing this time can help them cope with their loss and begin the healing process. Option B is incorrect because ongoing support and follow-up care are crucial for families who have experienced the loss of a child. The nurse should provide resources and referrals for counseling and support groups to help the family navigate their grief. Option C is incorrect as it is the responsibility of the healthcare team to ensure the safe transportation of the parents home from the hospital. This should not be left to chance or arranged by someone not part of the healthcare team. Option D is also incorrect because requesting an autopsy of the deceased infant may be necessary to determine the cause of death and provide closure for the family. It can also help identify any potential genetic or environmental factors that may pose a risk to other children in the family. In an educational context, it is crucial for nurses to understand the sensitive and complex nature of caring for families experiencing the loss of a child. Providing compassionate and holistic care involves supporting families emotionally, physically, and mentally during such a difficult time. By allowing parents to say goodbye, offering ongoing support, ensuring safe transportation, and considering the need for an autopsy, nurses can help families through the grieving process and promote healing.