HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 1 of 96
Which of the following is the most common complication of premature rupture of membranes (PROM)?
A
Preterm labor
B
Chorioamnionitis
C
Infection
D
Fetal malformations
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 2 of 96
Monthly injections of palivizumab, a RSV-specific monoclonal antibody, initiated just before the onset of the RSV season confers some protection from severe RSV disease. Palivizumab is indicated for some infants under 2 years old with
A
Spasmodic croup
B
Very low birth weight
C
Cyanotic congenital heart disease
D
GERD
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 3 of 96
Which situation would require the administration of Rho(D) immune globulin?
A
Mother Rh-negative, baby Rh-positive
B
Mother Rh-negative, baby Rh-negative
C
Mother Rh-positive, baby Rh-positive
D
Mother Rh-positive, baby Rh-negative
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 4 of 96
The nurse plans to administer the Denver Developmental Screening Test (DDST) to a five-month-old infant. The nurse should explain to the mother that the test measures the infant's...
A
Intelligence quotient.
B
Emotional development.
C
Social and physical activities.
D
Pre-disposition to genetic and allergic illnesses.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 5 of 96
All the following can be used for treatment of cerebral palsy EXCEPT
A
Benzodiazepines
B
Baclofen
C
Dantrolene
D
Hyperbaric oxygen
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 6 of 96
The MOST common non-infectious cause of inspiratory stridor in infants is
A
Subglottic stenosis
B
Laryngeal web
C
Airway hemangioma
D
Laryngomalacia
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 7 of 96
Which breathing exercise should the nurse have an asthmatic 3-year-old perform to increase her expiratory phase?
A
Use an incentive spirometer
B
Breathe into a paper bag
C
Blow a pinwheel
D
Take several deep breaths
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 8 of 96
Which statement indicates the parent needs further teaching on how to prevent his other children from contracting respiratory syncytial virus (RSV)?
A
I should make sure that both my children receive Synagis (palivizumab) injections for the remainder of this year.
B
I should keep my infected child away from his brother until he has recovered.
C
I should insist that all people who come in contact with my children wash their hands thoroughly before playing with them.
D
I should insist that anyone with a respiratory illness avoid contact with my children until they are well.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 9 of 96
Unilateral hyperlucent lung, or Swyer-James syndrome, is a focal sequela of severe necrotizing pneumonia in which all or part of a lung has increased translucency radiographically; it has been linked to
A
Influenza virus
B
Parainfluenza virus
C
Adenovirus type 21
D
Rhinovirus
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 10 of 96
Which of the following is being used when the mother of a hospitalized child calls the student nurse and states, 'You idiot, you have no idea how to care for my sick child'?
A
Displacement
B
Projection
C
Repression
D
Psychosis
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 11 of 96
Which of the following would the nurse expect to assess in a child with celiac disease having a celiac crisis secondary to an upper respiratory infection?
A
Respiratory distress
B
Lethargy
C
Watery diarrhea
D
Weight gain
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 12 of 96
The mother relates that the child is beginning to identify behaviors that please others as 'good behavior'. The child's behavior is characteristic of which of Kohlberg's levels of moral development?
A
Pre-conventional morality.
B
Conventional morality.
C
Post-conventional morality.
D
Autonomous morality.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 13 of 96
There is an appropriate type of play for every ages of an infant based on their ability and what they can appreciate. During 7 months, the infant appreciates the face of his caregivers. Hubert is playing with a 7 month old boy, Santino. What type of play will be best for Santino at his stage?
A
Hide and seek
B
Peek-a-boo
C
Make believe
D
Building blocks
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 14 of 96
Which of the following anatomic structures is a (are) fetal shunt(s)?
A
III only
B
I, III, and IV only
C
I, II, and IV only
D
II, III, and IV only
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 15 of 96
The nurse observes a patient on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. Which action is most appropriate for the nurse to take at this time?
A
Hand the baby to the woman.
B
Explain "taking-in" to the woman.
C
Offer to hand the baby to the woman.
D
No action, because this situation is perfectly acceptable.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 16 of 96
Mucoviscidosis would also predispose Sonya to later development of which of the following lung disorder?
A
Pleural Effusion
B
Obstructive emphysema
C
Pneumothorax
D
Tuberculosis
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 17 of 96
When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. The finding is associated with;
A
Otogenous tetanus
B
Tracheoesophageal fistula
C
Congenital heart defects
D
Renal anomalies
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 18 of 96
Which temperature indicates the presence of postpartum infection?
A
37.5°C (99.6°F) in the first 48 hours
B
37.7°C (100°F) for 2 days postpartum
C
38°C (100.4°F) in the first 24 hours
D
38.2°C (100.8°F) on the second and third postpartum days
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 19 of 96
Which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic?
A
Gravida 5, para 5
B
Primipara who delivered a 7lb boy
C
Patient who is bottle feeding her first child
D
Patient who is breastfeeding her second child
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 20 of 96
What is the most common invasive procedure to assess the fetal condition?
A
Amniocentesis
B
Scalp fetal pH
C
Stress test
D
Needle ultrasound
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 21 of 96
A child is diagnosed with type 1 diabetes. The nurse should explain that this condition is characterized by
A
Insulin resistance
B
Impaired glucose production
C
Autoimmune destruction of the insulin-producing cells in the pancreas
D
Insulin overproduction
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 22 of 96
When developing a teaching plan for a group of high school students about teenage pregnancy, the nurse would keep in mind which of the following?
A
The incidence of teenage pregnancies is increasing.
B
Most teenage pregnancies are planned.
C
Denial of the pregnancy is common early on.
D
The risk for complications during pregnancy is rare.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 23 of 96
When assessing the A of the acronym REEDA, the nurse should evaluate the
A
skin color.
B
degree of edema.
C
edges of the episiotomy.
D
episiotomy for discharge.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 24 of 96
teaching regarding thrombus formation is unnecessary?
A
I'll keep my legs elevated with pillows.
B
I'll sit in my rocking chair most of the time.
C
I'll stay in bed for the first 3 days after my baby is born.
D
I'll put my support stockings on every morning before rising.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 25 of 96
Chronic cough is defined as a daily cough lasting longer than
A
2 weeks
B
3 weeks
C
4 weeks
D
6 weeks
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 26 of 96
Which of the following is the most common complication of phototherapy in neonates?
A
Hypercalcemia
B
Bronchopulmonary dysplasia
C
Dehydration
D
Hypoglycemia
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 27 of 96
What can be done to avoid future ear infections in a child?
A
Your child should be put on a daily dose of Singulair (montelukast).
B
Your child should be kept away from tobacco smoke.
C
Your child should be kept away from other children with otitis media.
D
Your child should always wear a hat when outside.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 28 of 96
The MOST common form of pulmonary malignancy in children is:
A
bronchial carcinoid
B
adenoid cystic carcinoma
C
mucoepidermoid carcinoma
D
metastatic lesions
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 29 of 96
Which intervention will be most helpful to parents in identifying problems with an infant car seat?
A
Questioning the parents about the instructions
B
Providing the parents with current laws on infant and child safety
C
Asking the parents to demonstrate how to secure the infant in the car seat
D
Allowing the parents to ask questions and express feelings about infant restraint
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 30 of 96
Pectus carinatum (pigeon chest) is characterized by all the following EXCEPT:
A
accounting for 4 times more females being affected
B
a male preponderance
C
5-15% familial occurrence
D
association with mild mitral valve disease
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 31 of 96
What is the most common cause of neonatal sepsis?
A
Group B Streptococcus
B
Escherichia coli
C
Staphylococcus aureus
D
Listeria monocytogenes
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 32 of 96
Which congenital heart defect is characterized by a hole between the heart's ventricles?
A
Atrial septal defect
B
Ventricular septal defect
C
Patent ductus arteriosus
D
Tetralogy of Fallot
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 33 of 96
Which statement regarding newborns classified as small for gestational age (SGA) is accurate?
A
They weigh less than 2500g
B
They are born before 38 weeks of gestation
C
They are below the tenth percentile on gestational growth charts
D
Placental malfunction is the only recognized cause of this condition
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 34 of 96
Which of the following activities, when voiced by the parents following a teaching session about the characteristics of school-age cognitive development, would indicate the need for additional teaching?
A
Collecting baseball cards and marbles
B
Ordering dolls according to size
C
Considering simple problem-solving options
D
Developing plans for the future
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 35 of 96
Which intervention will increase the effectiveness in reducing the indirect bilirubin in an affected newborn?
A
Turn the infant every 2 hours
B
Place eye patches on the newborn
C
Wrap the infant in triple blankets to prevent cold stress
D
Increase the oral intake of water between and before feedings
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 36 of 96
Which is the expected reaction from a hospitalized preschool child who is in isolation?
A
Loss of companionship with friends
B
An opportunity for regression
C
A threat to child's self-image
D
Sees it as a punishment
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 37 of 96
A nurse is caring for a 4-year-old child who is receiving chemotherapy. The nurse should assess for which of the following as a potential side effect of chemotherapy?
A
Delayed wound healing
B
Increased risk of infection
C
Elevated blood pressure
D
Excessive hair growth
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 38 of 96
Which of the following is the most appropriate first-line treatment for a neonate diagnosed with hyperbilirubinemia?
A
Oxygen therapy
B
Phototherapy
C
Surfactant therapy
D
Mechanical ventilation
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 39 of 96
What is the primary treatment for a neonate diagnosed with severe meconium aspiration syndrome?
A
Endotracheal intubation
B
Positive pressure ventilation
C
Surfactant therapy
D
Antibiotic therapy
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 40 of 96
What is the recommended mode of delivery for a fetus with suspected fetal macrosomia?
A
Planned cesarean section
B
Vaginal delivery with forceps
C
Vaginal delivery with vacuum assistance
D
Induced vaginal delivery
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 41 of 96
A nurse is caring for a child with a suspected diagnosis of intussusception. The nurse should expect which of the following findings?
A
Bilious vomiting and abdominal pain
B
A history of constipation
C
A history of frequent respiratory infections
D
Decreased appetite and diarrhea
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 42 of 96
A breastfeeding mother asks the postpartum nurse if any supplementation is necessary once her breast milk comes in. What is the nurse's most appropriate response?
A
Are you concerned about your ability to adequately nurse your baby?
B
Do you eat a well-balanced diet, high in protein and carbohydrates?
C
Breast milk is low in vitamin D and supplementation with 400 IU is recommended.
D
Your breast milk has all the vitamins and will adequately meet your baby's needs.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 43 of 96
A woman in preterm labor at 30 weeks of gestation receives two 12-mg doses of betamethasone intramuscularly. The purpose of this pharmacologic treatment is to:
A
Stimulate fetal surfactant production.
B
Reduce maternal and fetal tachycardia associated with ritodrine administration.
C
Suppress uterine contractions.
D
Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 44 of 96
Which of the following is the most common cause of jaundice in newborns?
A
Breast milk jaundice
B
Hemolytic disease
C
Physiological jaundice
D
Infection
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 45 of 96
The nurse should plan to assess the neonate's physical condition...
A
Midway between feedings.
B
Immediately after a feeding.
C
After the neonate has been NPO for three hours.
D
Immediately before a feeding.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 46 of 96
The infant of a substance-abusing mother is at risk for developing a sense of which of the following?
A
Mistrust
B
Shame
C
Guilt
D
Inferiority
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 47 of 96
Which of the following is a common complication of premature birth?
A
Cerebral palsy
B
Sudden infant death syndrome (SIDS)
C
Brachial plexus injury
D
Intraventricular hemorrhage (IVH)
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 48 of 96
The mother reports that her child creates quite a scene every night at bedtime and asks what she can do to make bedtime a little more pleasant. The nurse should suggest that the mother...
A
Allow the child to stay up later one or two nights a week.
B
Establish a set bedtime and follow a routine.
C
Let the child play with toys just before bedtime.
D
Give the child a cookie if bedtime is pleasant.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 49 of 96
New parents are asked to sign the consent for their son to be circumcised. They ask for the nurse's opinion of the procedure. How should the nurse respond?
A
You should talk to the health care provider about this if you have any questions.'
B
Let's talk about it, because there are advantages and disadvantages.'
C
It's a safe procedure, and it's best for male infants to be circumcised.'
D
Although it may be a somewhat painful experience for the baby, I would allow it if I were you.'
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 50 of 96
What is the most appropriate management for a neonate born with a single umbilical artery?
A
Cardiac ultrasound
B
Renal ultrasound
C
Close monitoring for developmental delays
D
Folic acid supplementation
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 51 of 96
Which of the following is characteristic of a preschooler with mild mental retardation?
A
Slow to feed self
B
Lack of speech
C
Marked motor delays
D
Gait disability
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 52 of 96
A nurse is educating the parents of a child with type 1 diabetes. The nurse should explain that the primary treatment for this condition is
A
Diet and exercise
B
Insulin injections
C
Oral medications
D
Pancreatic transplant
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 53 of 96
A nurse is caring for a child who is receiving chemotherapy. Which of the following is a priority nursing assessment for this child?
A
Monitoring for signs of infection
B
Monitoring nutritional intake
C
Assessing pain levels
D
Monitoring for signs of bleeding
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 54 of 96
A nurse is caring for a child diagnosed with meningitis. Which of the following assessment findings would be of most concern to the nurse?
A
Headache
B
Nausea and vomiting
C
Altered level of consciousness
D
Neck stiffness
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 55 of 96
A woman with a long history of smoking is now in the last part of the third trimester of her pregnancy. She is at high risk for which of the following conditions?
A
Premature rupture of membranes
B
Placental abruption
C
Placenta previa
D
Sudden infant death syndrome
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 56 of 96
The MOST common etiology of pulmonary infiltrates with eosinophilia (PIE) is:
A
simple pulmonary eosinophilia
B
acute eosinophilic pneumonia
C
chronic eosinophilic pneumonia
D
allergic bronchopulmonary aspergillosis
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 57 of 96
How can nurses prevent evaporative heat loss in the newborn?
A
Placing the baby away from the outside wall and the windows
B
Keeping the baby out of drafts and away from air conditioners
C
Drying the baby after birth and wrapping the baby in a dry blanket
D
Warming the stethoscope and nurse's hands before touching the baby
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 58 of 96
All of the following are true about streptococcal pharyngitis EXCEPT
A
reculturing is not necessary if signs have abated
B
once-a-day amoxicillin is ineffective therapy
C
the carrier state is not a risk for rheumatic fever
D
treatment within 10 days of onset prevents rheumatic fever
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 59 of 96
Which of the following is a common complication in neonates with intrauterine growth restriction (IUGR)?
A
Hyperglycemia
B
Hypoglycemia
C
Polycythemia
D
Hydrocephalus
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 60 of 96
SITUATION: Mr. & Mrs. Cua's first child, Homer, was born with a unilateral cleft lip & cleft palate. The lip defect extended through the floor of the nostril & communicated with the defect in the anterior palate. For Homer's parents, the most painful aspect of his deformity is probably the fact that it:
A
Interferes with feeding
B
Can't be wholly corrected
C
Affect his face
D
Requires lengthy repair
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 61 of 96
A nurse is caring for a child who is receiving a blood transfusion. The nurse should be most concerned if the child develops which of the following?
A
A mild rash
B
Fever and chills
C
Mild nausea
D
Hypotension and tachycardia
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 62 of 96
A parent calls the pediatric clinic and reports that her child has a temperature of 101°F (38.3°C). What is the most appropriate nursing action?
A
Assess for other signs of illness and follow-up within 24 hours.
B
Encourage the child to rest and increase fluid intake.
C
Administer acetaminophen for fever management.
D
Recommend a visit to the emergency department.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 63 of 96
False negative results on sweat testing is seen in
A
Edema
B
Eczema
C
Hypothyroidism
D
Dehydration
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 64 of 96
Following a vaginal birth, a patient has lost a significant amount of blood and is starting to experience signs of hypovolemic shock. Which clinical signs would be consistent with this diagnosis?
A
Decrease in blood pressure, with an increase in pulse pressure
B
Compensatory response of tachycardia and decreased pulse pressure
C
Decrease in heart rate and an increase in respiratory effort
D
Flushed skin
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 65 of 96
Which condition in the newborn is most commonly associated with transient tachypnea of the newborn (TTN)?
A
Cesarean section delivery
B
Prematurity
C
Maternal diabetes
D
Intrauterine growth restriction
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 66 of 96
A parent reports to the nurse that her child has inflamed conjunctivae of both eyes with purulent drainage and crusting of the eyelids, especially on awakening. These manifestations suggest
A
Viral conjunctivitis
B
Bacterial conjunctivitis
C
Conjunctivitis caused by foreign body
D
Allergic conjunctivitis
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 67 of 96
Parents tell the nurse that their child keeps scratching the areas where he has bed bugs. The nurse's response would be based on which statement?
A
Scratching the lesions will not cause a problem.
B
The parasitic bugs do not cause itching and needs further investigation.
C
Scratching the lesions will cause the bed bugs to spread.
D
Scratching the lesions may cause them to become secondarily infected.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 68 of 96
An infant at 39 weeks' gestation was just delivered; included in the protocol for a term infant is an initial blood glucose assessment. The nurse obtains the blood sample and the reading is 58 mg/dL. What is the priority nursing action based upon this reading?
A
Document the finding in the newborn's chart
B
Double-wrap the newborn under a warming unit
C
Feed the newborn a 10% dextrose solution
D
Notify the neonatal intensive care unit (NICU) of the pending admission
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 69 of 96
Which of the following mechanisms is (are) responsible for the possible association between oligohydramnios and lung hypoplasia?
A
I and III only
B
II and III only
C
I, II, and IV only
D
II, III, and IV only
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 70 of 96
The clinic nurse overhears school-age siblings tell their 6-year-old sister who is chronically ill, 'It isn't fair that you get everything just because you are sick'. Which is the nurse's best assessment of this situation?
A
Jealousy is a common reaction to the illness or hospitalization of a sibling.
B
The siblings need to better understand their sister's illness and needs.
C
The siblings are immature and probably spoiled.
D
Family has ineffective coping mechanisms to deal with chronic illness.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 71 of 96
The mother of the 9-month-old says, 'It is difficult to add new foods to his diet; he spits everything out.' The nurse should teach the mother to...
A
Mix new foods with formula.
B
Mix new foods with more familiar foods.
C
Offer new foods one at a time.
D
Offer new foods after formula has been offered.
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 72 of 96
Vitamin A supplementation may be recommended for the young child who has which disease?
A
Erythema infectiosum
B
Mumps
C
Measles (rubeola)
D
Rubella
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 73 of 96
Which of the following is the most likely diagnosis in an otherwise normal adolescent with the sudden onset of respiratory distress, cyanosis, retractions, and markedly decreased breath sounds over his left lung?
A
Empyema
B
Chylothorax
C
Pneumothorax
D
Staphylococcal pneumonia
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 74 of 96
What is the most common cause of persistent pulmonary hypertension (PPHN) in neonates?
A
Meconium aspiration syndrome
B
Infection
C
Hypoxia
D
Congenital heart disease
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 75 of 96
Which would be an early sign of distress in a 2-month-old child?
A
Shallow respirations
B
Tachypnea
C
Tachycardia
D
Bradycardia
Select an option. Use Strike to cross one out.
HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 76 of 96
A six-week-old is admitted to the pediatric floor with influenza. The child is crying and the father tells the nurse his son is hungry. The nurse explains that the child is not to have anything by mouth. The parent does not understand why the child cannot eat. What is the best response by the nurse?
A
"We are giving your child intravenous fluids, so there is no need for anything by mouth."
B
"The shorter and narrower airway of the infants increases their chances of aspiration, so your child should not have anything to eat now."
C
"When your child eats, he burns too many calories. We want to conserve your child's energy."
D
"Your child has too much nasal congestion. If we feed the child by mouth, the distress will likely increase."
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 77 of 96
Assessment of a newborn reveals uneven gluteal (buttocks) skin creases and a 'clunk' when Ortolani maneuver is performed. What would the nurse suspect?
A
overriding of the pelvic bone
B
normal newborn variation
C
slipping of the periosteal joint
D
developmental hip dysplasia
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 78 of 96
How should the nurse respond to a parent concerned about their child’s lack of appetite during nasopharyngitis?
A
Do not be concerned; it is common for children to have a decreased appetite during a respiratory illness.
B
Be sure your child is taking an adequate amount of fluids; the appetite should return soon.
C
Try offering your child some favorite foods; maybe that will improve his appetite.
D
You need to force your child to eat whatever you can; adequate nutrition is essential.
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 79 of 96
What is the most effective method of preventing necrotizing enterocolitis (NEC) in preterm neonates?
A
Probiotics
B
Antibiotics
C
Breast milk feeding
D
Steroid use
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 80 of 96
What should the new breastfeeding mother be instructed to do?
A
Feed her infant no more than every 4 hours.
B
Limit her intake of fluids for the first few days.
C
Apply cold packs to the breast prior to feeding.
D
Breast-feed frequently and for adequate lengths of time.
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 81 of 96
A newborn is diagnosed with persistent pulmonary hypertension (PPHN). Which of the following interventions is most commonly used to treat PPHN?
A
Inhaled nitric oxide
B
Magnesium sulfate
C
Surfactant therapy
D
Continuous positive airway pressure (CPAP)
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 82 of 96
The nurse is calling a new mother to schedule a routine home visit planned for 48 to 72 hours after discharge. What is the nurse's priority question to help determine the best time for the visit?
A
When will the baby's father be home?
B
Do you plan on having any visitors in the day or two?
C
At approximately what time do you think you will be nursing your baby?
D
When will your home be presentable enough for me to come and visit?
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 83 of 96
The MOST common presenting feature of cystic fibrosis is:
A
failure to thrive
B
persistent respiratory symptoms
C
abnormal stools
D
meconium ileus
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 84 of 96
A nurse is educating the parents of a child with asthma. Which of the following should the nurse explain is the purpose of a peak flow meter?
A
To measure the child's blood oxygen level
B
To monitor the severity of an asthma attack
C
To measure the child's lung volume
D
To monitor the child's daily respiratory function
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 85 of 96
What is the primary treatment for a neonate diagnosed with hypocalcemia?
A
Calcium supplementation
B
Phosphate supplementation
C
Vitamin D supplementation
D
Magnesium supplementation
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 86 of 96
The nurse is assessing a newborn delivered 24 hours ago for jaundice. What is the best way to evaluate for this finding?
A
Depress the tip of the nose
B
Stroke the outer aspect of the foot
C
Place a finger in the palm of the hand
D
Rotate the hips in an upward and outward direction
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 87 of 96
What is the most appropriate treatment for neonatal sepsis?
A
Antibiotics
B
Oxygen therapy
C
Surfactant therapy
D
Thermal support
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 88 of 96
As you receive a report, which assessment finding should you recognize as an indication of a vaginal laceration?
A
Fundus firm at the umbilicus
B
Pulse of 90 bpm, blood pressure of 110/78 mm Hg
C
Bright red continuous trickle of blood from vagina
D
Patient requested pain medication twice during last shift
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 89 of 96
Which of the following is a potential complication of early enteral feeding in preterm neonates?
A
Necrotizing enterocolitis
B
Hyperglycemia
C
Jaundice
D
Hyperkalemia
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 90 of 96
Which of the following is NOT TRUE about sickle cell disease?
A
Sickle cell anaemia (SCD) is an inherited disorder of the haemoglobin in blood
B
Sickle cell anaemia requires the inheritance of two sickle cell genes
C
Sickle cell trait almost never causes problems
D
Virtually all of the major symptoms of sickle cell anaemia are the direct result of the abnormally-shaped sickle red blood cells obstruction the flow of blood
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 91 of 96
What is the most appropriate management for a neonate diagnosed with necrotizing enterocolitis (NEC)?
A
Surgical resection
B
Antibiotics and supportive care
C
Oxygen therapy
D
Surfactant administration
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 92 of 96
A child with autism spectrum disorder (ASD) is admitted to the hospital with pneumonia. The nurse would plan which priority intervention when caring for the child?
A
Place child in a room with a roommate of the same age.
B
Take the child frequently to the playroom to play with other children.
C
Maintain frequent touch and eye contact with the child.
D
Maintain a structured routine and keep stimulation to a minimum.
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 93 of 96
What treatment will be provided for a child diagnosed with epiglottitis?
A
Your child will complete a course of intravenous antibiotics.
B
Your child will undergo surgery to remove the tonsils.
C
Your child will receive 10 days of aerosolized ribavirin.
D
No intervention is necessary.
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 94 of 96
Which nursing intervention should the nurse prepare for a child with stridor?
A
Immediate IV placement
B
Respiratory treatment with racemic epinephrine
C
Setting up a tracheostomy set at the bedside
D
Informing the child’s parents about a tonsillectomy
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 95 of 96
What is the recommended method for assessing pain in neonates?
A
Behavioral observation
B
Heart rate monitoring
C
Pulse oximetry
D
Blood gas analysis
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HESI LPN · LPN Pediatric Respiratory Assessment Nursing
Question 96 of 96
What is the primary concern for neonates born to mothers with diabetes?
A
Preterm birth
B
Hypoglycemia
C
Increased risk of infections
D
Respiratory distress syndrome
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