ATI RN
Pediatric HESI Test Bank Questions
Question 1 of 5
Which of the ff dietary recommendations should a nurse give to a client taking diuretics?
Correct Answer: A
Rationale: Diuretics are medications that help the body get rid of excess sodium and water through increased urine output. One common side effect of diuretics is the loss of potassium from the body. Therefore, it is important for clients taking diuretics to include potassium-rich foods in their diet to help maintain a healthy potassium level. Some examples of potassium-rich foods include bananas, oranges, potatoes, spinach, avocados, and tomatoes. By including these foods in their diet, clients taking diuretics can help prevent potassium deficiency and maintain overall health.
Question 2 of 5
Which nursing interventions can help prevent falls in a patient with Parkinson's disease? Choose all answers that are correct. i.Keep the patient's call light within reach ii.Apply a soft vest restraint when the patient is in bed iii.Avoid use of throw rugs iv.Maintain the patient's bed in a low position v.Encourage the patient to be independent for as long as possible vi.Provide a cane or walker for ambulation
Correct Answer: A
Rationale: The correct answer is A, which includes the following nursing interventions to help prevent falls in a patient with Parkinson's disease: keeping the patient's call light within reach and maintaining the bed in a low position. Keeping the call light within reach ensures that the patient can easily call for assistance when needed, reducing the risk of falls when trying to reach for help. Maintaining the bed in a low position minimizes the risk of injury if the patient were to fall out of bed. The incorrect options can be explained as follows: - Option B includes using a soft vest restraint, which is not recommended as it can increase the risk of injury and agitation in patients with Parkinson's disease. - Option C suggests avoiding throw rugs, which is a good practice, but it does not directly address fall prevention strategies specific to patients with Parkinson's disease. - Option D includes providing a cane or walker for ambulation, which is generally a good intervention but may not be suitable for all patients with Parkinson's disease who have specific gait and balance issues. In an educational context, it is crucial for nursing students to understand the unique challenges faced by patients with Parkinson's disease, such as impaired balance and coordination, which increase their risk of falls. Implementing tailored interventions, like those in option A, can help students provide safe and effective care to these patients, promoting positive health outcomes.
Question 3 of 5
Another girl was bitten by a poisonous snake. All of the following are true except
Correct Answer: A
Rationale: When it comes to snake bites, one should not exercise the bitten extremity as it can increase the spread of venom in the body. Moving the affected limb can potentially lead to the venom spreading more quickly through the lymphatic system and into the bloodstream. Therefore, it is essential to keep the victim as calm and still as possible to minimize the effects of the venom. Proper first aid for snake bites includes keeping the victim calm, immobilizing the bitten limb, and seeking immediate medical attention.
Question 4 of 5
A 32 y.o. male patient is admitted to a medical unit with a diagnosis of Guillain-Barre Syndrome. His legs are weak, and he is unable to walk without assistance. Which of the ff. is most likely responsible for this syndrome?
Correct Answer: D
Rationale: Guillain-Barre Syndrome (GBS) is an autoimmune disorder where the body's immune system mistakenly attacks the peripheral nerves. This leads to inflammation that damages the nerves and interrupts their ability to send signals to the brain. In the case of the 32-year-old male patient with weak legs, the autoimmune reaction is most likely responsible for causing muscle weakness and difficulty walking. GBS typically presents with ascending muscle weakness starting in the legs and progressing upwards. It is essential to recognize this condition promptly as it can lead to severe complications such as respiratory failure. Treatment often involves supportive care and interventions to manage the autoimmune response.
Question 5 of 5
Which of the ff conditions are more likely to develop in a client who is relatively immobile for the rest of his or her life? Choose all that apply
Correct Answer: A
Rationale: In a client who is relatively immobile for the rest of their life, the correct answer is A) Bladder infection. Immobility can lead to urinary stasis, which creates a conducive environment for bacterial growth in the bladder, increasing the risk of bladder infections. Option B) Constipation is also a common issue in immobile clients due to decreased abdominal muscle tone and peristalsis. However, it is not directly related to immobility as bladder infections are. Option C) Calculus formation is less likely to develop due to immobility alone. It is more related to factors like diet and hydration. Option D) Bladder inflammation is a general term and not as specific as a bladder infection which is more likely in immobile clients. Educationally, understanding the impact of immobility on various body systems is crucial for healthcare providers, especially when caring for patients with limited mobility. This knowledge helps in preventing and managing potential complications effectively, improving overall patient outcomes.