the nurse is assisting low income families to access health care the nurse is aware that in todays society this most accurately defines the diversity
Logo

Nursing Elites

HESI LPN

Pediatric HESI 2024

1. The nurse is assisting low-income families to access health care. The nurse is aware that, in today's society, this most accurately defines the diversity of a modern family.

Correct answer: B

Rationale: Given the diversity of families in today's society, some believe that family should be defined as whatever the child and family say it is.

2. During the health assessment of a school-age child, on which problem would the nurse focus more attention based on the child's developmental level?

Correct answer: D

Rationale: During the school-age years, children are more physically active and curious, which increases their risk of accidents and injuries. This developmental stage is characterized by increased exploration and engagement in physical activities. While infections and poisonings are important health concerns, school-age children are more likely to be affected by accidents and injuries due to their active nature. Risk-taking behaviors may become more prevalent in adolescence rather than during the school-age period, making it a less likely focus for the nurse during the health assessment of a school-age child.

3. A child with a diagnosis of acute glomerulonephritis is admitted to the hospital. What is the priority nursing intervention?

Correct answer: A

Rationale: The correct answer is monitoring for hypertension. Acute glomerulonephritis involves inflammation of the kidney's glomeruli, potentially leading to impaired kidney function and elevated blood pressure. Monitoring for hypertension is crucial as it is a common complication of this condition. Providing pain relief (choice B) may be necessary for comfort but is not the priority. While fluid restriction (choice C) is important in some kidney conditions, in acute glomerulonephritis, maintaining adequate hydration to support kidney function is typically recommended. Encouraging fluid intake (choice D) may exacerbate fluid overload, making it an inappropriate intervention in this scenario.

4. The nurse is assessing a 13-year-old boy with type 2 diabetes mellitus. What would the nurse correlate with the disorder?

Correct answer: C

Rationale: The correct answer is C. Excessive thirst (polydipsia) is a common symptom of type 2 diabetes mellitus, indicating high blood glucose levels. This symptom occurs due to the body trying to get rid of excess glucose through urine, leading to dehydration and increased thirst. Choices A, B, and D are incorrect. Choice A is more indicative of a recent viral illness rather than a symptom of diabetes. Choice B, decreased blood pressure, is not typically associated with type 2 diabetes; in fact, diabetes can often lead to hypertension. Choice D, Kussmaul breathing, is more characteristic of diabetic ketoacidosis, which is more common in type 1 diabetes rather than type 2 diabetes.

5. A child has coarctation of the aorta. What does the nurse expect to identify when taking the child’s vital signs?

Correct answer: A

Rationale: When a child has coarctation of the aorta, the nurse would expect to identify a weak radial pulse when taking the child's vital signs. Coarctation of the aorta results in a narrowing of the aorta, leading to reduced blood flow and a weakened pulse. An irregular heartbeat (Choice B) is less likely to be associated with coarctation of the aorta. Similarly, a bounding femoral pulse (Choice C) is not typically observed with this condition. An elevated radial blood pressure (Choice D) is less common as coarctation of the aorta usually causes decreased blood pressure in the lower extremities due to the aortic narrowing.

Similar Questions

A 6-year-old with muscular dystrophy was recently injured falling out of bed at home. What intervention should the nurse suggest to prevent further injury?
When describing urticaria, what would an instructor include?
A child with a diagnosis of hemophilia is admitted to the hospital with a bleeding episode. What is the priority nursing intervention?
A healthcare professional is reviewing the clinical records of infants and children with cardiac disorders who developed heart failure. What did the healthcare professional determine is the last sign of heart failure?
A parent and 3-month-old infant are visiting the well-baby clinic for a routine examination. What should the nurse include in the accident prevention teaching plan?

Access More Features

HESI LPN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All HESI courses Coverage
  • 30 days access

HESI LPN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All HESI courses Coverage
  • 30 days access

Other Courses