HESI LPN · LPN Nursing Interventions for Pediatric Respiratory Distress
Question 1 of 96
What should the parent understand about a double lung transplant for a child with cystic fibrosis (CF)?
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Question 2 of 96
Which of the following abilities would a nurse expect a 4-month-old infant to perform?
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Question 3 of 96
The mother tells the nurse that the child is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse should explain that this behavior is a sign of...
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Question 4 of 96
The patient should be taught that when her infant falls asleep after feeding for only a few minutes, she should do which of the following?
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Question 5 of 96
A nurse is caring for a child with a suspected case of rotavirus. Which of the following interventions should be a priority?
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Question 6 of 96
When providing therapeutic play, which of the following toys would best promote imaginative play in a 4-year-old?
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Question 7 of 96
What is the first-line management for a neonate with congenital diaphragmatic hernia (CDH)?
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Question 8 of 96
What is the first-line treatment for a neonate with a moderate to severe hypoxic episode after birth?
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Question 9 of 96
Most children recover from pneumonia rapidly and completely, although radiographic abnormalities may return to normal in
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Question 10 of 96
Which of the following is the most common cause of anemia in neonates?
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Question 11 of 96
SITUATION: Susie, 9 y/o has been diagnosed with tracheoesophageal fistula. Which of the following actions is most important for Susie's care?
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Question 12 of 96
Arterial blood gas study in cystic fibrosis shows:
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Question 13 of 96
The nurse must continually assess the infant who has meconium aspiration syndrome for the complication of
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Question 14 of 96
A nurse is assessing a child with a diagnosis of spina bifida. Which of the following findings would the nurse expect to see?
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Question 15 of 96
Discharge teaching for a child with celiac disease would include instructions about avoiding which of the following?
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Question 16 of 96
Which diagnostic evaluation will be used to determine if a child has aspirated carrots?
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Question 17 of 96
The parent of a 9-month-old child with croup tells the nurse that her older child just had croup and it cleared up in a couple of days without intervention. She asks the nurse why this child is exhibiting worse symptoms and needs to be hospitalized. The nurse's best response is....
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Question 18 of 96
The school nurse is concerned about an outbreak of chickenpox because two children at the school have cancer and are immunodeficient from chemotherapy. The most appropriate recommendation by the school nurse is that
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Question 19 of 96
A nurse is caring for a child diagnosed with impetigo. The nurse should advise the parents to
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Question 20 of 96
To evaluate the desired response of methylergonovine (Methergine), the nurse would assess the patient's
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Question 21 of 96
A nurse is performing a routine physical exam for a 3-year-old child. The nurse should assess the child's
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Question 22 of 96
A postpartum patient calls the clinic and reports to the nurse feelings of fatigue, tearfulness, and anxiety. What is the nurse's most appropriate response at this time?
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Question 23 of 96
The following are features of pectus excavatum (funnel chest) EXCEPT:
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Question 24 of 96
What is the preferred method of administering oxygen to a preterm neonate with respiratory distress syndrome?
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Question 25 of 96
A parent has asked the nurse about how her child can be tested for pinworms. The nurse responds by stating that which is the most common test for diagnosing pinworms in a child?
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Question 26 of 96
A nurse is teaching the parents of a child with a recent diagnosis of asthma. The nurse should explain that which of the following is a common trigger for asthma attacks?
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Question 27 of 96
Which nursing measure would be most appropriate to prevent thrombophlebitis in the recovery period following a cesarean birth?
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Question 28 of 96
A nurse has been assigned to take care of a pediatric patient suspected of having chickenpox (varicella). Which type of precaution is required?
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Question 29 of 96
Bronchiolitis treatment consists of supportive therapy including all the following EXCEPT
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Question 30 of 96
The mother of a hospitalized 2-year-old child with viral laryngotracheobronchitis (croup) asks the nurse why the health care provider did not prescribe antibiotics. Which response should the nurse provide?
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Question 31 of 96
A therapist is called to assist in resuscitation for a term neonate. Which of the following is the most appropriate action for managing hypoxia due to meconium aspiration?
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Question 32 of 96
A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis). What does a nurse identify as the cause of this complication?
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Question 33 of 96
A neonate is born with hypoplastic left heart syndrome (HLHS). What is the first-line treatment for this condition?
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Question 34 of 96
A postterm infant, delivered vaginally, is exhibiting tachypnea, grunting, retractions, and nasal flaring. The nurse interprets that these assessment findings are indicative of:
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Question 35 of 96
An hour after birth, the nurse assesses a newborn's temperature and notes that it is 36.2°C (97.2°F). The next activity planned for the newborn is the bath, and the new mother and father are invited to participate in the procedure. What is the nurse's next action?
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Question 36 of 96
The mother-baby nurse is providing care to a patient and her newborn 2 hours after delivery. On review of the newborn's chart, the nurse sees a notation of caput succedaneum. What will the nurse expect to find in the mother's chart?
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Question 37 of 96
Which statement by the parents indicates the need for further education with regard to pacifier use?
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Question 38 of 96
What is the most effective method for preventing neonatal sepsis in the NICU?
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Question 39 of 96
A nurse is caring for a child with asthma. The nurse should instruct the parents to administer which of the following medications during an asthma attack?
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Question 40 of 96
What is the most appropriate first-line intervention for a neonate with persistent hypoglycemia?
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Question 41 of 96
What will be done to relieve constipation in a child with cystic fibrosis (CF)?
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Question 42 of 96
The MOST common neurologic sequelae of bacterial meningitis is?
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Question 43 of 96
A nurse is caring for a child with dehydration. The nurse should monitor for which of the following signs or symptoms as an indication of severe dehydration?
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Question 44 of 96
Which statement by the parents of a toddler with repeated otitis media indicates they need additional teaching?
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Question 45 of 96
Which is an implanted ear prosthesis for children with sensorineural hearing loss?
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Question 46 of 96
If liver biopsy is performed, the presence of hepatocyte giant cells is characteristic.
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Question 47 of 96
Which assessment is of greatest concern in a 15-month-old?
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Question 48 of 96
Which of the following actions by a community health nurse is most appropriate when noting multiple bruises and burns on the posterior trunk of an 18-month-old child during a home visit?
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Question 49 of 96
What is the most common cause of hypoxia in neonates with congenital diaphragmatic hernia (CDH)?
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Question 50 of 96
An adult female patient is using the rhythm (calendar-basal body temperature) method of family planning. In this method, the unsafe period for sexual intercourse is indicated by:
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Question 51 of 96
The nurse is planning to conduct the initial assessment of a full-term newborn. Included in the plan is providing a neutral thermal environment. To accomplish this plan, what is the desired environmental temperature to conduct the assessment?
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Question 52 of 96
A pregnant woman is coming for an early prenatal evaluation and wants to know if she can listen to the baby's heartbeat. How early can the fetal heartbeat be detected?
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Question 53 of 96
Which of the following aspects of psychosocial development is necessary for the nurse to keep in mind when providing care for the preschool child?
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Question 54 of 96
Which of the following is the most common cause of respiratory failure in preterm neonates?
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Question 55 of 96
The respiratory therapist is evaluating a newborn with mild respiratory distress due to tracheal stenosis. During which period of lung development did this problem develop?
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Question 56 of 96
What is the primary goal of administering caffeine to premature neonates?
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Question 57 of 96
What is the most appropriate management for a neonate diagnosed with a congenital diaphragmatic hernia (CDH)?
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Question 58 of 96
A woman 41-weeks pregnant is at high risk for complication in the postpartum period. Which of the following agents will be more appropriate to induce labor?
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Question 59 of 96
Which of the following statements by the parents of a child with school phobia would indicate the need for further teaching?
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Question 60 of 96
Toys should be appropriate according to the age of the infant. It should also develop the infant's mental and physical ability as well. During the check-up, Brian, also 7-month old cried loudly. What toy should you give to Brian to stop him from crying?
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Question 61 of 96
All of the following have been found to be effective for treating the common cold in young children EXCEPT
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Question 62 of 96
What is the most common cause of preterm birth?
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Question 63 of 96
post-term infant, thermoregulation can be a concern, especially in an infant who also has a(n)
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Question 64 of 96
A preterm neonate is being treated for respiratory distress syndrome. Which of the following is the primary benefit of surfactant therapy?
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Question 65 of 96
What is the average birth weight difference between infants born of mothers who smoke and those born of nonsmoking mothers?
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Question 66 of 96
What is the most common complication of premature rupture of membranes (PROM)?
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Question 67 of 96
Which is the BEST indication for rigid bronchoscopy?
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Question 68 of 96
A nurse is caring for a child who has a recent history of a concussion. Which of the following is a priority assessment?
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Question 69 of 96
Which method of heat loss may occur if a newborn is placed on a cold scale or touched with cold hands?
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Question 70 of 96
Following a difficult vaginal birth of a singleton pregnancy, the patient starts bleeding heavily. Clots are expressed and a Foley catheter is inserted to empty the bladder because the uterine fundus is soft and displaced laterally from midline. Vital signs are 37.6°C (99.8°F), pulse 90 beats/minute, respirations 20 breaths per minute, and BP 130/90 mm Hg. Which pharmacologic intervention is indicated?
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Question 71 of 96
A mother states that she thinks her 9-month-old is 'developing slowly'. When evaluating the infant's development, the nurse would not expect a normal 9-month-old to be able to...
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Question 72 of 96
A mother conveys concern over the fact that she is not certain if her newborn is receiving enough nutrients from breastfeeding. This is the baby's first clinic visit after birth. What information can you provide that will help alleviate her fears regarding nutrient status for her newborn?
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Question 73 of 96
Which clinical finding should the nurse suspect if the fundus is palpated on the right side of the abdomen above the expected level?
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Question 74 of 96
When a nurse assesses for pain in toddlers, which of the following techniques would be least effective?
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Question 75 of 96
What is the first step in managing a neonate with severe hypoglycemia?
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Question 76 of 96
After teaching the mother about the neonate's positive Babinski reflex, the nurse determines that the mother understands the instructions when she says that a positive Babinski reflex indicates...
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Question 77 of 96
In which communicable diseases are Koplik spots present?
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Question 78 of 96
Which of the following laboratory values support a diagnosis of pyelonephritis?
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Question 79 of 96
During which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant?
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Question 80 of 96
What impact will asthma have on a child’s future in sports?
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Question 81 of 96
Sonya's small stature was probably due to:
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Question 82 of 96
When Sarah is diagnosed with CF, her parents ask what early respiratory symptoms they should expect to see. The nurse's best response would be: "You can expect her to develop....
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Question 83 of 96
All the following are indications for sweat testing EXCEPT
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Question 84 of 96
A 14-year-old boy has acne and according to his parents, dominates the bathroom by using the mirror all the time. Which of the following remarks by the nurse would be least helpful in talking to the boy and his parents?
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Question 85 of 96
Which position is best for a newborn with exstrophy of the bladder?
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Question 86 of 96
A mother of a 2-year-old has just left the hospital to check on her other children. Which of the following would best help the 2-year-old who is now crying inconsolably?
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Question 87 of 96
A commonly encountered risk factor for deep venous thrombosis (DVT) and pulmonary embolism (PE) in the pediatric population is:
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Question 88 of 96
The most common cause of obstructive sleep apnea syndrome (OSA) in young children is
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Question 89 of 96
A nurse is caring for a child who is receiving total parenteral nutrition (TPN). The nurse should prioritize which of the following interventions?
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Question 90 of 96
What is the primary treatment for a neonate diagnosed with necrotizing enterocolitis (NEC)?
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Question 91 of 96
Which of the following is the most likely cause of a sudden drop in the oxygen saturation of a neonate receiving mechanical ventilation?
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Question 92 of 96
What is the most appropriate intervention for a neonate with suspected necrotizing enterocolitis (NEC)?
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Question 93 of 96
A 13-year-old male presents with fever, sore throat, difficulty swallowing, and a garbled “hot potato†voice. He was well until 7 days before admission, when he had a mild sore throat that did not remit and then rapidly worsened 1 day before admission. The most likely diagnosis is
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Question 94 of 96
To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention into the plan of care?
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Question 95 of 96
When teaching a mother about introducing solid foods to her child, which of the following indicates the earliest age at which this should be done?
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Question 96 of 96
A 2-week-old infant with Down syndrome is being seen in the clinic. The mother tells the nurse that the infant is difficult to hold. 'The baby is like a rag doll and doesn't cuddle up to me like my other babies did.' The nurse interprets the infant's behavior as a
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