ATI RN
Pediatric HESI Test Bank Questions
Question 1 of 5
Which is an important nursing consideration when suctioning a young child who has had heart surgery?
Correct Answer: B
Rationale: Suctioning for no longer than 30 seconds at a time is an important nursing consideration when suctioning a young child who has had heart surgery. Prolonged suctioning can cause hypoxemia and decrease the child's oxygen saturation, which can be detrimental, especially in postoperative patients who may have compromised cardiopulmonary reserves. It is crucial to minimize the duration of suctioning to prevent potential complications. Additionally, hyperoxygenation before and after suctioning may help maintain adequate oxygen levels and minimize the risk of hypoxemia in these vulnerable patients.
Question 2 of 5
A post-TURP patient experiences dribbling following removal of his catheter. Which action should the nurse take?
Correct Answer: B
Rationale: The best course of action for a post-TURP patient experiencing dribbling after catheter removal is to teach him to perform Kegel's exercises 10 to 20 times per hour. Kegel exercises help strengthen the pelvic floor muscles, which can improve urinary control and reduce dribbling. Restricting fluid intake is not recommended as it can lead to dehydration. Reinserting the Foley catheter is not ideal unless there are complications. Incontinence following TURP can take time to improve, so reassuring the patient that it never lasts more than a few days may give false expectations. Teaching Kegel exercises is the most appropriate intervention to address post-TURP dribbling.
Question 3 of 5
A woman with pelvic inflammatory disease complains of lower abdominal pain. Which action should the nurse take first?
Correct Answer: B
Rationale: The first priority when a woman with pelvic inflammatory disease complains of lower abdominal pain is to administer antibiotics as ordered. Pelvic inflammatory disease is often caused by a bacterial infection, and prompt treatment with antibiotics is crucial to prevent complications such as infertility or chronic pelvic pain. Addressing the infection promptly is essential in managing the condition and preventing further spread of the infection. Once antibiotic therapy has been initiated, the nurse can proceed with other interventions such as pain management (C), patient education on STDs (D), and assessing pain level (A).
Question 4 of 5
Nursing interventions for a patient with a diagnosis of hyponatremia includes all of the following except:
Correct Answer: B
Rationale: Hyponatremia is a condition characterized by low levels of sodium in the blood. Encouraging the intake of low-sodium liquids, such as coffee or tea, can further dilute the sodium levels in the body and worsen the condition. Instead, it is important to restrict fluid intake and focus on providing appropriate electrolyte replacement. Monitoring the patient's neurological status is crucial as severe hyponatremia can lead to neurological symptoms such as confusion, seizures, and coma. Assessing for symptoms like nausea and malaise helps in understanding the patient's condition. Restricting tap water intake is also necessary to help manage hyponatremia by preventing further dilution of sodium levels.
Question 5 of 5
Other signs of hypovolemia includes all of the following except:
Correct Answer: A
Rationale: When assessing for signs of hypovolemia, dry mucous membranes and soft eyeballs are actually indicative of dehydration, not specifically hypovolemia. In hypovolemia, the body loses both fluid and electrolytes, leading to decreased circulating blood volume. Other signs of hypovolemia include increased hematocrit and hemoglobin levels due to hemoconcentration, decreased pulse rate and widened pulse pressure as compensatory mechanisms to maintain perfusion to vital organs, and increased lethargy and confusion due to impaired perfusion to the brain.