HESI RN
HESI Practice Test Pediatrics
1. The nurse is caring for a 14-year-old adolescent who was admitted to the hospital after a suicide attempt. The adolescent’s mood appears stable, and the healthcare provider has recommended discharge. What is the nurse’s priority action?
- A. Ensure that a safety plan is in place before discharge
- B. Provide education about medication adherence
- C. Encourage the adolescent to participate in group therapy
- D. Schedule a follow-up appointment with a mental health professional
Correct answer: A
Rationale: The priority action for the nurse is to ensure that a safety plan is in place before discharge. A safety plan is essential to assist the adolescent in managing future crises and decreasing the likelihood of another suicide attempt. It provides guidance on coping strategies and resources to help the adolescent stay safe in times of distress.
2. The healthcare provider is providing postoperative care to a 7-year-old child who had surgery for appendicitis. The child is experiencing pain at the surgical site. What is the healthcare provider's priority action?
- A. Administer the prescribed pain medication
- B. Encourage the child to take deep breaths
- C. Apply a warm compress to the surgical site
- D. Reposition the child to a more comfortable position
Correct answer: A
Rationale: Administering the prescribed pain medication is crucial to effectively manage the child's postoperative pain. Pain management is a priority to ensure the child's comfort and promote healing following surgery. Encouraging deep breaths, applying warm compresses, or repositioning the child may help, but addressing the pain with medication is the initial and most vital intervention.
3. The healthcare professional working on the pediatric unit takes two 8-year-old girls to the playroom. Which activity is best for the healthcare professional to plan for these girls?
- A. Selecting a board game.
- B. Playing doctor and patient.
- C. Watching cartoons on TV.
- D. Coloring, cutting, and pasting.
Correct answer: A
Rationale: Selecting a board game is the best activity for the healthcare professional to plan for these girls as it is age-appropriate and promotes social interaction. Board games can enhance cognitive skills, encourage teamwork, and provide an enjoyable and interactive experience for the girls.
4. The nurse is caring for a 10-year-old child who is scheduled for surgery to repair a fractured femur. The child’s parent expresses concern about the child being afraid of the surgery. What is the nurse’s best response?
- A. Children at this age are usually not afraid of surgery
- B. It’s normal for your child to feel scared. Let’s talk about what to expect
- C. You should talk to the surgeon about your child’s fear
- D. Don’t worry, your child will be fine
Correct answer: B
Rationale: Acknowledging the child’s fear and providing information about what to expect can help alleviate anxiety.
5. When observing a distraught mother scolding her 3-year-old son for wetting his pants in the hallway of a pediatric unit, what initial action should the nurse take?
- A. Suggest that the mother consult a pediatric nephrologist.
- B. Provide disposable training pants while calming the mother.
- C. Refer the mother to a community parent education program.
- D. Inform the mother that toilet training is slower for boys.
Correct answer: B
Rationale: In this situation, the nurse's initial action should be to provide disposable training pants to manage the immediate issue of wetting while also calming the mother. This approach addresses the current distressing situation and offers a practical solution to alleviate the mother's concerns.
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