Peds Hesi
The nurse is conducting an admission assessment of an 11-months old infant with congestive heart
failure who is scheduled repair of restenosis of coarctation of the aorta that was repaired 4 days after
birth. Findings include blood pressure higher in the arms than the lower, with pat...
Peds Hesi
The nurse is conducting an admission assessment of an 11-months old infant with congestive heart
failure who is scheduled repair of restenosis of coarctation of the aorta that was repaired 4 days after
birth. Findings include blood pressure higher in the arms than the lower, with pathophysiologic
mechanism support these findings? Ans- The lumen of the aorta reduces the volume of flow to the
lower extremities
A child is to receive vancomycin (Vancocin) 20 mg/kg IV one hour before a scheduled procedure. The
child weight 77 pounds. How many mg of the medication should the nurse prepare to administer? (Enter
numeric value only) Ans- 700mg
A toddler with hemophilia is being discharged from the hospital. Which teaching should the nurse
include in the discharge instructions to the mother? Ans- Apply padding on the sharp corners of the
furniture
The nurse is using the Stage Questionnaire (b) to assess a 24 - month-old child. What is the best
intervention for the nurse to initiate after the assessment is completed? Ans- Provide the parents with a
list of stimulating activities
When caring for a child sickle cell disease, the nurse knows that the child will most likely exhibit which
sign when experiencing a sickle cell crisis? Ans- Pain
The nurse is administering an oral medication to a reluctant preschool-age boy. Which intervention
should the nurse implement? Ans- Use straightforward approach with the child
The nurse is planning care for a newborn infant scheduled for a cardiac catheterization. Which
occurrence poses the greatest risk for this child? Ans- Acute hemorrhage from the entry site of the
catheter after the procedure
The school nurse is presenting a seminar to parents about child safety that focuses on prevention of
spinal cord injuries. What information is most important for the nurse include in the teaching plan? Ans-
Seat belt and car seat laws for use in motor vehicles should be reinforced
,A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe
for the past 12 hours. The child's oral temperature is 101.2 F (38 C). Which intervention should the nurse
implement? Ans- Ask the mother if the child has had a runny nose
A mother is concerned that her 3-year-old son wants to play with female doll figures. The child is not
interested in building blocks, trucks, or other typical "boy" toys. How should the nurse respond to the
mother's concern? Ans- Exploring different roles in imaginary play is typical at this age
Which nursing intervention is most important to assist in detecting hypopituitarism and
hyperpituitarism in children? Ans- Carefully recording the height and weight of children to detect
inappropriate growth rates
The parents of a 4 week-old infant phone the pediatric clinic to report that their infant eats well but
vomits after each feeding. To differentiate between normal regurgitation and pyloric stenosis, which
information is most important for the nurse to obtain? Ans- Degree of forcefulness of vomiting episodes
A 4-month-old boy has an inguinal hernia that is visible when he cries, but it does not cause him
discomfort. His parents ask if the hernia should be repaired now. The nurse's response should be based
on what information? Ans- Surgical correction is indicated if the hernia is incarcerated
A 2-year-old child with heart failure (HF) is admitted for replacement of a graft for coarctation of the
aorta. Prior to administering the dose of digoxin (Lanoxin), the nurse obtains an apical heart rate of 128
beast| minute. What action should the nurse implement? Ans- Administer the scheduled dose
The nurse is assisting the mother of child with phenylketonuria (PKU) to select foods that are in keeping
with the child's dietary restrictions. Which foods are contraindicated for this child? Ans- Foods
sweetened with aspartame
During a routine physical exam, a male adolescent client tell the nurse, " Sometimes, my mother gets
angry because I want to be with my own friends". What is the best initial response by the nurse? Ans-
Ask about client's response to his mother's age
Which response demonstrates that the mother of a young girl with a urinary tract infection (UTI)
understands home care for the child? Ans- I will bring her back to the doctor's office for another urine
test
, The nurse is caring for a one-year-old boy who has type 1 diabetes mellitus (DM). His mother asks how
will she recognize hypoglycemia in her infant who cannot tell her how he feels. Which information
should the nurse provide? Ans- Hypoglycemia in infants causes changes in behavior and cold clammy
skin
An 8 year-old child is admitted to the Emergency Department because of lower right quadrant pain,
nausea, and vomiting. Which assessment of the abdomen should the nurse conduct after all other
assessments are complete? Ans- Palpation
An infant is admitted for surgery who has a Wilms' tumor. What nursing intervention should the nurse
implement during the preoperative period? Ans- Careful bathing and handling that avoids abdominal
manipulation
A female of child - bearing age receives a rubella vaccination. She has two children at home, ages 13
months and 3 years. Which instruction is most important for the nurse to provide to this client? Ans-
Encourage the client to immunize the children
The teacher notifies the school nurse that a child's nose is bleeding for no apparent reason. What action
should the nurse implement first? Ans- Pinch the nose using thumb and finger for 10 minutes
A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of thyroxine
(T4) and high levels of thyroid stimulating hormone (TSH). What is the best explanation for this finding?
Ans- The TSH is high because of the low production of T4 by the thyroid
When administering indomethacin (Indocin) to a premature infant who has patent ductus arteriosus,
the nurse should anticipate which outcome? Ans- Decreased cardiac murmur
A hospitalized child stiffens and stars to seize as the nurse enters the room. What actions should the
nurse take? (Select all apply) Ans- • Turn client to the side if possible
• Pad side rails with available pillows and blankets
• Monitor duration and progress of the seizure
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