PEDIATRICS - HESI PRACTICE EXAM LATEST 2022 UPDATE (Q&A FULL TEST BANK) This is the best study guide for hesi pediatrics exams (100% verified)

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PEDIATRICS - HESI PRACTICE EXAM LATEST 2022 UPDATE (Q&A FULL TEST BANK) This is the best study guide for hesi pediatrics exams (100% verified) The nurse is giving preoperative instructions to a 14-... year old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place? Correct Answer- D. I understand that I will be in a body cast and I will show you how you taught me to turn. To take the vital signs of a 4-month old child, which order will give the most accurate results? Correct Answer- A. Respiratory rate, heart rate, and then rectal temperature During routine screening at a school clinic, an otoscope examination of a child's ear reveals a tympanic membrane that is pearly gray, slightly bulging, and not movable. What action should the nurse take next? Correct Answer- B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately. Which restraint should be used for a toddler after a cleft palate repair? Correct Answer- C. elbow restraints What preoperative nursing intervention should be included in the plan of care for an infant with pyloric stenosis? Correct Answer- D. observe for projectile vomiting. A six-month-old returns from surgery with elbow restraints in place. What nursing care should be included when caring for any restrained child? Correct Answer- B. remove restraints one at a time and provide range of motion exercises A 2-year old child with Down syndrome is brought to the clinic for his regular physical examination. The nurse knows which problem is frequently associated with Down syndrome? Correct Answer- A. congenital heart disease When assessing a child with asthma, the nurse should expect intercostal retractions during Correct Answer- A. inspirationWhen planning the care for a child who has had a cleft lip repair, the nurse knows that crying should be minimized because it Correct Answer- D. stresses the suture line A full-term infant is admitted to the newborn nursery. After careful assessment, the nurse suspects that the infant may have an esophageal atresia. Which symptoms is this newborn likely to have exhibited? Correct Answer- A. choking, coughing, and cyanosis Which behavior would the nurse expect a two-year-old child to exhibit? Correct Answer- C. display possessiveness of toys the mother of a preschool-aged client asks the nurse if it is all right to administer Pepto Bismal to her son when he 'has a tummy ache." After reminding the mother to check the label of all OTC drugs for the presence of aspirin, which instruction should the nurse include when replying to this mother's question? Correct Answer- B. do not give if the child has chickenpox, the flu, or any other viral illness. The nurse observes a 4-year old boy in a daycare setting. Which behavior should the nurse consider normal for this client? Correct Answer- C. demonstrates aggressiveness by boasting when telling a story A burned child is brought to the emergency room. In estimating the percentage of the body burned, the nurse uses a modified "Rule of Nines." Which part of a child's body is calculated as a larger percentage of total body surface than an adult? Correct Answer- A. head and neck The nurse receives a lab report stating a child with asthma has a theophylline level of 15 mcg/dl. What action will the nurse take? Correct Answer- A. pass the information on in the report A 12-month old boy is admitted with a respiratory infection and possible pneumonia. He is placed in a mist tent with oxygen. Which nursing intervention has the greatest priority for this infant? Correct Answer- C. have a bulb syringe readily available to remove secretions All of the following interventions can be used to evaluate the effectiveness of nursing and medical interventions used to treat diarrhea. Which intervention is least useful in the nurse's evaluation of a 20- month-old child? Correct Answer- B. assessing fontanelsA 5-month-old is admitted to the hospital with vomiting and diarrhea. The pediatrician prescribed dextrose 5% and 0.25% normal saline with 2 mEq KCI/100 mL to be infused at 25mL/hr. Prior to initiating the infusion, the nurse should obtain which assessment finding? Correct Answer- B. serum BUN and creatinine levels The nurse is assigning care for a 4-year old child with otitis media and is concerned about the child's increasing temperature over the past 24 hours. When planning care for this child, it is important for the nurse to consider that: Correct Answer- B. a tympanic measurement of temperature will provide the most accurate reading The nurse is assessing an 8-month old child who has a medical diagnosis of Tetrology of Fallot. Which symptom is this client most likely to exhibit? Correct Answer- D. clubbed fingers As part of the physical assessment of children, the nurse observes and palpates the fontanels. Which child's fontanel finding should be reported to the healthcare provider? Correct Answer- A. A 5-month old with failure to thrive that has a closed anterior fontanel A preschool-age child who is hospitalized for hypospadias repair is most strongly influenced by which behavior? Correct Answer- 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? Correct Answer- 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 degrees F. The nurse determines the daily caloric need for this child is approximately: Correct Answer- C. 600 cal/day 10 lbs, 15 oz = 10.9 lbs. Convert lbs to kg by dividing pounds by 2.2 (10.9/2.2) = 4.954 kg rounded to 5 kg. an infant requires 108 cal/kg/day (108 x 5 = 540 cal/day). However this infant requires 10% more calories because he has one degree temperature elevation. 10% of 540 is 54 and 54 + 540 = 594. This infant will require approximately 600 calories/day. Remember that a temperature elevation necessitates consumption of more calories.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 instructions? Correct Answer- B. store all toxic agents and medicines in locked cabinets. A 6-month old infant with congestive heart failure (CHF) is receiving digoxin elixer. Which observation by the nurse warrants immediate intervention? Correct Answer- A. apical heart rate of 60. At 8am, 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 4am BP 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? Correct Answer- 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? Correct Answer- 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. The nurse is developing a plan of care for a 3-year old who is scheduled for a cardiac catheterization. To assist in decreasing anxiety for the child on the day of the procedure, which intervention is best for the nurse to implement? Correct Answer- C. give the child a ride on a gurney to visit the cardiac catheterization lab and meet a nurse who works there. When taking the health history of a child, the nurse knows that which finding is an early indication of hypothyroidism in children? Correct Answer- D. cessation of growth in a child that had been normal. The nurse is teaching a 12-year old male adolescent and his family about taking injections of growth hormone for idiopathic hypopituitarism. Which adverse symptoms, commonly associated with growth hormone therapy should the nurse plan to describe to the child and his family? Correct Answer- A. polyuria and polydipsia [Show More]

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