ATI RN
Pediatric HESI Test Bank Questions
Question 1 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 2 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 3 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.
Question 4 of 5
At what age can most infants sit steadily unsupported?
Correct Answer: C
Rationale: Most infants can sit steadily unsupported at around 8 months of age. By this time, they have developed sufficient strength and control in their core muscles to sit up without support. It is important for parents to provide a safe environment for their infants to practice sitting up and to always supervise them during this milestone development.
Question 5 of 5
Which information should the nurse give a mother regarding the introduction of solid foods during infancy?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.