l HESI OB PEDS EXAM 2023 TEST BANK
(REVISED) 2 VERSIONS EACH WITH 55
QUESTIONS WITH VERIFIEDCORRECT
ANSWERS/A+
1. A mother brings her 8 mo. old baby boy to clinic bc he has been
vomitting and had diarrhea for last 3 days. Which assessment is most
important for nurse to make?
a. Assess infant abdomen for tenderness
b. Determine if the infant was exposed to a virus
c.Measure the infant’s pulse
d.Evaluate the infant’s cry
2. While obtaining the vital signs of a 10 year old who had a
tonsillectomy this morning, the nurse observes the child swallowing
every 2-3 minutes. Which assessment should the nurse implement?
a.Inspect the posterior oropharynx
b. Assess for teeth clenching or grinding
c. Touch the tonsillar pillars to stimulate the gag reflex
d. Ask the child to speak to evaluate change in voice tone
3. The parents of a 3-year old boy who has Duchenne muscular
dystrophy ask, “How can our son have this disease? We are
wondering if we should have any more children.” What information
should the nurse provide to parents?
a.This is an inherited X-
linked recessive disorder, which primarily affects male
children in the family
b. The striated muscle groups of males can be impacted by a lack
of the protein dystrophin in their mothers
c. The male infant had a viral infection that went unnoticed and
untreated so muscle damage was incurred
d. Birth trauma with a breech vaginal birth causes damage to the
spinal cord, thus weakening the muscles
, 4. A 2-week-old female infant is hospitalized for the surgical repair of
an umbilical hernia. After returning to the postoperative neonatal
unit, her RR and HR have increased during the last hour. Which
intervention should the nurse implement?
a. Notify the HCP of these findings
b.Administer a PRN analgesic prescription
c. Record the findings in the child’s record
d. Wrap the infant tightly and rock in rocking chair
5. A 2-year-old girl is brought to the clinic by her 17 year old mother.
When the nurse observes that the child is drinking sweetened soda
from her bottle, what information should the nurse discuss with this
mother?
a. A 2-year old should be speaking in 2 word phrases
b. Dental caries are associated with drinking soda
c. Drinking soda is related to childhood obesity
d.Toddlers should be sleeping 10 hours a night
e.Toddlers should be drinking from a cup by age 2
6. A mother brings her 3 month old infant to the clinic because the baby
does not sleep through the night. Which finding is most significant in
planning care for this family?
a. The mother is a single parent and lives with her parents
b. The mother states the baby is irritable during feedings
c. The infant’s formula has been changed twice
d.The diaper area shows severe skin breakdown
7. The nurse determines that an infant admitted for surgical repair of an
inguinal hernia voids a urinary stream from the ventral surface of the
penis. What action should the nurse take?
a.Document the finding
b. Palpate scrotum for testicular descent
c. Assess for bladder distension
d. Auscultate bowel sounds
8. A 16 year old with acute myelocytic leukemia is receiving
chemotherapy (CT) via an implanted medication port at the
, outpatient oncology clinic. What action should the nurse
implement when the infusion is complete?
a. Administer Zofran
b.Obtain blood samples for RBCs, WBCs, and platelets
c.Flush mediport w/ saline and heparin solution
d.Initiate an infusion of normal saline
9. A mother brings her 3-week old infant to the clinic because the baby
vomits after eating and always seems hungry. Further assessment
indicates that the infant’s vomiting is projectile, and the child seems
listless. Which additional assessment finding indicates the possibility
of a life threatening complication?
a. Irregular palpable pulse
b. Hyperactive bowel sounds
c. Underweight for age
d. Crying without tears
10. The nurse is performing a routine assessment of a 3-year old at a
community health center. Which behavior by the child should alert
the nurse to request a follow-up for a possible autistic spectrum
disorder?
a.Performs odd repetitive behaviors
b. Shows indifference to verbal stimulation
c. Strokes the hair of a hand held doll
d. Has a history of temper tantrums
11. Following admission for cardiac catheterization, the nurse is
providing discharge teaching to the parents of a 2-year-old toddler
with tetralogy of Fallot. What instruction should the nurse give the
parents if their child becomes pale, cool, lethargic?
a. Encourage oral electrolyte solution intake
b.Assess the child to a recumbent position
c.Contact their HCP immediately
d.Provide a quiet time by holding or rocking the toddler
12. 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. Which intervention should the nurse
implement?
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