pediatric hesi 2023 Pediatric HESI 2023 - Nursing Elites
Logo

Nursing Elites

HESI LPN

Pediatric HESI 2023

1. A child with a diagnosis of sickle cell anemia is experiencing a vaso-occlusive crisis. What is the most important nursing intervention?

Correct answer: B

Rationale: During a vaso-occlusive crisis in sickle cell anemia, the most important nursing intervention is to administer pain medication. Pain management is crucial in alleviating the intense pain experienced by the patient. Administering oxygen (Choice A) may be necessary in some cases to improve oxygenation, but pain relief takes precedence during a vaso-occlusive crisis. Monitoring fluid intake (Choice C) is important for hydration but is not the priority during a crisis. Encouraging physical activity (Choice D) is contraindicated during a vaso-occlusive crisis as it can exacerbate pain and tissue damage.

2. A child with type 1 diabetes mellitus is being discharged from the hospital. What is important for the nurse to include in the discharge teaching?

Correct answer: D

Rationale: Recognizing signs of hypoglycemia is essential for managing type 1 diabetes mellitus. Hypoglycemia, which occurs when blood glucose levels drop too low, can be dangerous and requires immediate intervention to prevent severe complications. Monitoring blood glucose levels more frequently than once a day, following a strict meal plan, and administering insulin only when blood glucose is high are important aspects of diabetes management but recognizing signs of hypoglycemia is crucial as it enables prompt action to prevent adverse outcomes.

3. What is the primary treatment for minimal change nephrotic syndrome?

Correct answer: A

Rationale: Corticosteroids are the mainstay of treatment for minimal change nephrotic syndrome due to their immunosuppressive effects, which help reduce proteinuria and control the disease progression. Antihypertensive agents are not the primary treatment for this condition and are typically used to manage hypertension that may result from nephrotic syndrome. Long-term diuretics are not indicated in the treatment of minimal change nephrotic syndrome as they do not address the underlying cause. Increasing fluids to promote diuresis is not a recommended treatment for minimal change nephrotic syndrome, as it can exacerbate edema and fluid overload in these patients.

4. A child with a diagnosis of nephrotic syndrome is being discharged. What dietary instructions should the nurse provide?

Correct answer: B

Rationale: For a child with nephrotic syndrome, it is crucial to avoid foods high in salt to manage symptoms and prevent complications. Excessive salt intake can lead to fluid retention and exacerbate edema, which are common issues in nephrotic syndrome. Encouraging a high-protein diet (Choice A) may put additional strain on the kidneys and worsen the condition. While protein restriction is sometimes needed, it is not the primary dietary concern in nephrotic syndrome. Similarly, a low-protein diet (Choice D) is not typically recommended as it may lead to malnutrition in children. Although a low-sodium diet (Choice C) may sound similar to avoiding foods high in salt, the emphasis should be on reducing salt intake specifically, rather than a generalized low-sodium approach.

5. When developing the plan of care for a child with burns requiring fluid replacement therapy, what information would the nurse expect to include?

Correct answer: C

Rationale: The correct answer is C. In fluid replacement therapy for burns, it is crucial to administer most of the volume during the first 8 hours to prevent shock and maintain perfusion. This rapid administration is essential to stabilize the child's condition. Choices A and B are incorrect because the initial fluid replacement in burns typically involves administering crystalloids, not colloids, and the fluid replacement is generally calculated based on the extent of the burn injury, not the type of burn. Choice D is incorrect as monitoring hourly urine output to achieve less than 1 mL/kg/hr is not recommended in burn patients; instead, urine output should be monitored to achieve 1-2 mL/kg/hr in children to ensure adequate renal perfusion.

Similar Questions

When developing the plan of care for a child with burns requiring fluid replacement therapy, what information would the nurse expect to include?
During a check-up for a 5-year-old child with eczema before school starts, what will the nurse do?
A nurse is planning an evening snack for a child receiving Novolin N insulin. What is the reason for this nursing action?
During a physical examination of an infant with Down syndrome, what anomaly should the healthcare provider assess the child for?
What should the nurse advise the parents of a child with asthma on preventing asthma attacks?
The parents of a child with asthma ask the nurse how they can help their child prevent asthma attacks. What should the nurse advise?
ATI TEAS 7 Exam Overview

Access More Features

HESI LPN Basic
$69.99/ 30 days

  • 50,000 Questions with answers
  • All HESI courses Coverage
  • 30 days access @ $69.99

HESI LPN Premium
$149.99/ 90 days

  • 50,000 Questions with answers
  • All HESI courses Coverage
  • 30 days access @ $149.99