ATI RN
Pediatric HESI Test Bank Questions
Question 1 of 5
Which is an important nursing action related to the use of tape and/or adhesives on preterm newborns?
Correct Answer: A
Rationale: An important nursing action related to the use of tape and/or adhesives on preterm newborns is to avoid using tape and adhesives until the skin is more mature. Preterm newborns have delicate and fragile skin that is more prone to damage and injury. Using tape and adhesives on immature skin can increase the risk of skin tears, irritations, and damage. It is recommended to wait until the skin matures and becomes less delicate before using tape or adhesives on preterm newborns to prevent skin-related complications.
Question 2 of 5
Which is an important nursing consideration in preventing the complications of congenital hypothyroidism (CH)?
Correct Answer: D
Rationale: Early detection and prompt treatment are crucial in preventing the complications of congenital hypothyroidism (CH). All newborns should undergo newborn screening tests, including a test for CH. This screening helps to identify infants with CH early on, allowing for timely interventions such as thyroid hormone replacement therapy. Failure to conduct appropriate screening on newborns can lead to delayed diagnosis and treatment, which can result in significant developmental delays and other complications associated with CH. Therefore, ensuring that appropriate screening is done on newborns is a key nursing consideration in preventing the complications of congenital hypothyroidism.
Question 3 of 5
A nurse is assigned to four children of different ages. In which age group should the nurse understand that body integrity is a concern? TestBankWorld.org
Correct Answer: D
Rationale: Body integrity becomes a concern in adolescence, which is the period of development marked by rapid physical changes and self-awareness. Adolescents may experience body image issues, peer pressure, and the desire to conform to societal standards, which can lead to behaviors that compromise their body integrity, such as risky behaviors, eating disorders, self-harm, or seeking cosmetic procedures. By understanding the concerns surrounding body integrity in adolescents, the nurse can provide appropriate support, education, and guidance to promote healthy body image and self-esteem.
Question 4 of 5
A nurse notes that a 10-month-old infant has a larger head circumference than chest. The nurse interprets this as a normal finding because the head and chest circumference become equal at which age?
Correct Answer: B
Rationale: It is considered normal for a baby's head circumference to be larger than their chest circumference during the first few months of life. Generally, a baby's head grows more rapidly than their chest, which causes the head circumference to be larger. By around 6 to 9 months of age, the head and chest circumference measurements typically become equal. This is part of the normal growth and development pattern in infants.
Question 5 of 5
How does the nurse assess a child's capillary refill time?
Correct Answer: D
Rationale: Capillary refill time is a clinical assessment used to evaluate peripheral perfusion. To perform this assessment on a child, the nurse would gently press on the child's nail bed or skin, causing the area to momentarily blanch (turn white) as blood is temporarily forced out of the capillaries. Once pressure is released, the nurse observes and times how quickly the color returns to normal. A normal capillary refill time in a child is less than 2 seconds. This method helps the nurse determine if the child's peripheral circulation is adequate. Inspecting the chest (choice A), auscultating the heart (choice B), and palpating the apical pulse (choice C) are not appropriate methods for assessing capillary refill time.