HESI LPN
Pediatric HESI Practice Questions
1. A parent calls the clinic because their child has ingested a small amount of household bleach. What should the nurse advise?
- A. Administer activated charcoal
- B. Induce vomiting immediately
- C. Call the poison control center
- D. Take the child to the emergency department
Correct answer: C
Rationale: In the case of a child ingesting household bleach, the primary advice should be to call the poison control center (Choice C). The poison control center can provide specific guidance on how to manage the ingestion, including whether any immediate interventions are necessary. Administering activated charcoal (Choice A) or inducing vomiting immediately (Choice B) can worsen the situation as they are not recommended treatments for bleach ingestion. Taking the child to the emergency department (Choice D) may be necessary depending on the advice given by the poison control center, but the initial step should be to seek guidance from the experts at the poison control center.
2. To be an effective educator, you should:
- A. listen to people's problems and decide on the approach to meet their needs
- B. select the best strategy for health action for people to implement
- C. direct people's efforts to implement community-based projects
- D. simply tell your clients what to do for their problems/needs
Correct answer: B
Rationale: The correct answer is to select the best strategy for health action for people to implement because it empowers the community to take ownership of their health. Listening to people's problems (Choice A) is important, but the effectiveness lies in empowering them to implement solutions. Directing people's efforts (Choice C) can be directive and may not foster community ownership. Just telling clients what to do (Choice D) does not promote active participation and empowerment.
3. What is a common sign of a urinary tract infection in older children?
- A. Frequent urination
- B. Increased appetite
- C. Elevated blood pressure
- D. Decreased energy levels
Correct answer: A
Rationale: Frequent urination is a common sign of a urinary tract infection in older children. It is often accompanied by other symptoms such as pain or discomfort. Increased appetite (Choice B) is not typically associated with urinary tract infections. Elevated blood pressure (Choice C) is more commonly linked to conditions like hypertension, not urinary tract infections. Decreased energy levels (Choice D) can be a sign of various health issues but are not a typical symptom of a urinary tract infection.
4. The healthcare professional is developing a teaching plan for a child who is to have their cast removed. What instruction would the professional most likely include?
- A. Applying petroleum jelly to the dry skin.
- B. Rubbing the skin vigorously to remove the dead skin.
- C. Soaking the area in warm water every day.
- D. Washing the skin with diluted peroxide and water.
Correct answer: C
Rationale: Soaking the area in warm water is the most appropriate instruction for a child who is having their cast removed. This method helps to gently remove dead skin without causing irritation. Applying petroleum jelly to dry skin (Choice A) is not recommended as it may not effectively aid in the removal of dead skin. Rubbing the skin vigorously (Choice B) can lead to skin irritation and should be avoided. Washing the skin with diluted peroxide and water (Choice D) may be too harsh, causing unnecessary irritation to the skin post-cast removal.
5. A nurse is assessing a 10-month-old infant. What developmental milestone should the nurse expect to observe?
- A. Crawling
- B. Sitting without support
- C. Standing with assistance
- D. Pulling to a stand
Correct answer: D
Rationale: The correct answer is D: Pulling to a stand. By 10 months of age, most infants should be able to pull themselves up to a standing position while holding onto furniture or other support. This milestone indicates good strength and coordination in the lower body. Choice A, Crawling, is typically achieved around 6-9 months of age. Choice B, Sitting without support, usually occurs around 6-8 months. Choice C, Standing with assistance, can typically be seen around 9-12 months, but pulling to a stand is a more advanced milestone expected by 10 months.