HESI RN
HESI Practice Test Pediatrics
1. The practical nurse is reinforcing information about Lyme disease prevention with a client who is preparing for a camping trip with family. Which statement by the client informs the nurse that the client understands the instruction?
- A. I'll make sure my son wears dark clothing on his hike.
- B. I'll get a prescription for amoxicillin to take with us.
- C. We should all get the Lyme disease vaccine before our trip.
- D. We will wear long pants and long-sleeved shirts in the woods.
Correct answer: D
Rationale: The correct answer is D. Wearing long pants and long-sleeved shirts is an effective preventive measure against tick bites, which reduces the risk of contracting Lyme disease. This attire helps to minimize skin exposure to ticks, thereby decreasing the chances of a tick attaching and transmitting the disease-causing bacteria.
2. What is the most suitable toy for a 3-year-old boy receiving weekly chemotherapy treatment?
- A. Bouncy ball
- B. Coloring book with crayons
- C. Duck that squeaks
- D. Remote-controlled car
Correct answer: B
Rationale: A coloring book with crayons is the best choice as it is safe, engaging, and can provide a distraction during treatment without posing any safety risks. Coloring activities can help keep the child occupied, promote creativity, and offer a calming and therapeutic outlet during chemotherapy sessions.
3. A child is recovering from an appendectomy. The parent asks when the child can resume normal activities. What is the best response by the nurse?
- A. The child can resume normal activities as soon as they feel up to it
- B. The child should avoid strenuous activities for at least 2 weeks
- C. The child can resume normal activities after the stitches are removed
- D. The child should avoid all physical activities for the next month
Correct answer: B
Rationale: After an appendectomy, it is important for the child to avoid strenuous activities for at least 2 weeks to allow for proper healing. Resuming normal activities too soon can put unnecessary strain on the healing process and increase the risk of complications.
4. A 12-year-old child is admitted to the hospital with a diagnosis of osteomyelitis. Which finding should the nurse expect during the assessment?
- A. Localized pain and swelling
- B. Generalized joint stiffness
- C. Pain in the muscles
- D. Limited range of motion in the limbs
Correct answer: A
Rationale: In osteomyelitis, an infection of the bone, patients typically present with localized pain, swelling, and warmth over the affected bone. This is due to the inflammatory response in the bone tissue. Generalized joint stiffness, pain in the muscles, and limited range of motion in the limbs are not specific to osteomyelitis and are more commonly associated with other conditions.
5. 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.
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