HESI PEDIATRICS EXAM/Latest 2022;2023/ Chamberlain College of Nursing

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A preschool-age child who is hospitalized for hypospadias repair is most strongly influenced by which behavior? A. Ability to communicate verbally. B. Response to separation from family. C. Concern... for body integrity. D. Socialization with other children. (ANS- C. Concern for body integrity. An infant is born with a ventricular septal defect (VSD) and surgery is planned to correct the defect. The nurse recognizes that surgical correction is designed to achieve which outcome? A. Stop the flow of unoxygenated blood into systemic circulation. B. Increase the flow of unoxygenated blood to the lungs. C. Prevent the return of oxygenated blood to the lungs. D. Reduce peripheral tissue hypoxia and nailbed clubbing. (ANS- C. Prevent the return of oxygenated blood to the lungs. A three-month old boy weighing 10 lbs 15 oz has an axillary temperature of 98.9 F. The nurse determines the daily caloric need for this child is approximately A. 400 calories per day. B. 500 calories per day. C. 600 calories per day. D. 700 calories per day. (ANS- C. 600 calories per day. The nurse is preparing a health teaching program for parents of toddlers and preschoolers and plans to include information about prevention of accidental poisonings. It is most important for the nurse to include which instruction? A. Tell children they should not taste anything but food. B. Store all toxic agents and medicines in locked cabinets. C. Provide special play areas in the house and restrict play in other areas. D. Punish children if they open cabinets that contain household chemicals. (ANS- B. Store all toxic agents and medicines in locked cabinets. A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurse warrants immediate intervention? A. Apical heart rate of 60. B. Sweating across the forehead. C. Doesn't suck well. D. Respiratory rate of 30 breaths per minute. (ANS- A. Apical heart rate of 60. At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female adolescent client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m. blood pressure reading was 170/88. The client reports to the UAP that she is upset because her boyfriend did not visit last night. What action should the nurse take first? A. Give the client her 9 a.m. prescription for an oral diuretic early. B. Administer PRN prescription of nifedipine (Procardia) sublingually. C. Notify the healthcare provider and inform the nursing supervisor of the client's condition. D. Attempt to calm the client and retake the blood pressure in thirty minutes. (ANS- B. Administer PRN prescription of nifedipine (Procardia) sublingually. A premature newborn girl, born 24 hours ago, is diagnosed with a patent ductus arteriosus (PDA) and placed under an oxygen hood at 35%. The parents visit the nursery and ask to hold her. Which response should the nurse provide to the parents? A. "Studies have shown that handling a sick newborn is not good for the baby and upsets the parents." B. "The oxygen hood is holding the baby's oxygen level just at the point which is needed. You may stroke and talk to her." C. "Since your baby has been doing well under oxygen for 24 hours, I can let you hold the baby without oxygen." D. "You can hold the baby with the oxygen blowing in the baby's face since the level is very close to room air." (ANS- B. "The oxygen hood is holding the baby's oxygen level just at the point which is needed. You may stroke and talk to her." [Show More]

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