HESI RN
Pediatric HESI
1. During a routine physical exam, a male adolescent client tells the nurse, 'sometimes, my mother gets angry because I want to be with my own friends.' What is the best initial response by the nurse?
- A. Offer reassurance that his mother's concern is normal
- B. Determine if his friends are engaged in unsafe behaviors
- C. Ask about the client's response to his mother's anger
- D. Offer to discuss his concerns with his mother
Correct answer: C
Rationale: When a client expresses concerns about family dynamics, it is important to explore their feelings and reactions to the situation. By asking about the client's response to his mother's anger, the nurse can gain insight into the client's emotions, thoughts, and coping mechanisms. Understanding these aspects is crucial in providing appropriate support and guidance. Option A is incorrect because it focuses solely on reassuring the client about his mother's concern without addressing the client's feelings. Option B assumes negative behaviors without evidence. Option D jumps to discussing concerns with the mother without understanding the client's perspective first.
2. On a day when the temperature is expected to drop below freezing during the night, the nurse is asked to determine which homeless adults are most in need of the limited spaces available in a shelter. It is most important for which person to be admitted at night?
- A. an adult who was hit by a car 3 weeks ago
- B. a young person with diabetes mellitus
- C. a middle-aged person who has hypertension
- D. an older person who is malnourished
Correct answer: D
Rationale: Malnourished individuals are at higher risk of severe complications from cold exposure due to their weakened immune system and decreased ability to regulate body temperature. This places them at a greater risk of hypothermia and other cold-related conditions, making them the most vulnerable group in need of shelter. Choice A is not the most critical as the injury is from 3 weeks ago and should have received appropriate medical care by now. Choice B, a young person with diabetes mellitus, while vulnerable, can manage their condition with proper medication and care. Choice C, a middle-aged person with hypertension, may need monitoring but is less susceptible to immediate harm from cold exposure compared to a malnourished individual.
3. At 8-12 weeks of pregnancy, the breast changes include:
- A. Prickling, tingling sensation.
- B. Nipples become prominent and mobile.
- C. Darkening of the nipple.
- D. Breast becomes tender.
Correct answer: F
Rationale: At 8-12 weeks of pregnancy, the breast changes typically include the onset of colostrum production, not just tenderness. Colostrum is the first milk produced by the mammary glands during pregnancy. While some women may experience prickling or tingling sensations, prominent and mobile nipples, and darkening of the nipple, the key change during this time period is the production of colostrum. This substance is rich in antibodies and important for the newborn's initial nutrition. Therefore, the correct answer is not listed among the choices provided.
4. Each breast is situated on each side of the sternum and extends between the:
- A. 1st and 6th rib
- B. 2nd and 6th rib
- C. 3rd and 6th rib
- D. 4th and 6th rib
Correct answer: B
Rationale: The correct answer is B: 2nd and 6th rib. Each breast is situated between the 2nd and 6th ribs. This anatomical location is important for understanding breast examination techniques and identifying potential abnormalities. Choices A, C, and D are incorrect because the breasts do not extend as far as the 1st, 3rd, or 4th rib, respectively. Understanding the precise anatomical location of structures is crucial in healthcare to ensure accurate assessments and interventions.
5. During cellular respiration, glycolysis takes place in the cytosol and produces how many molecules of ATP, pyruvate, and NADH?
- A. two, two, two
- B. two, four, two
- C. two, four, four
- D. four, four, four
Correct answer: A
Rationale: Glycolysis, the first step of cellular respiration, takes place in the cytosol and produces two molecules each of ATP, pyruvate, and NADH. Therefore, the correct answer is A. Choice B is incorrect as glycolysis produces two ATP molecules, not four. Choice C is incorrect as it incorrectly states that glycolysis produces four molecules of pyruvate and NADH. Choice D is incorrect because glycolysis produces two molecules of ATP, not four.