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2024 PEDS HESI VERSION 2 EXAM WITH CORRECT ANSWERS
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2024 PEDS HESI VERSION 2 EXAM WITH CORRECT ANSWERS
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2024 PEDS HESI VERSION 2EXAM WITH CORRECT
ANSWERS
Methylphenidate (Ritalin) is prescribed for a child with a diagnosis of
attention deficit hyperactivity disorder (ADHD). The nurse provides
instructions to the mother regarding the administration of the medication
and tells the mother to administer the medication:
a. before dinner and at bedtime
b. before breakfast and before the noontime meal
c. in the morning after breakfast and at bedtime
d. at the noontime and evening meals - CORRECT ANSWERS-before breakfast
and before the noontime meal
"A mother tells the nurse that her child does not want anything to do with
toilet training and yells "NO!" consistently when she tries to toilet train. The
child is 2 years old. According to Erikson, the nurse interprets that the child
is experiencing which psychosocial crisis?"
a. autonomy vs shame and doubt
b. initiative vs guilt
c. industry vs inferiority
d. trust vs mistrust - CORRECT ANSWERS-Autonomy vs shame and doubt
A home care nurse is instructing the mother of a child with cystic fibrosis
(CF) about the appropriate dietary measures. The nurse tells the mother that
the child needs to consume a:
a. low calorie, low fat diet
b. high calorie, high protein diet
c. low calorie, low protein diet
d. high calorie, restricted fat - CORRECT ANSWERS-high calorie, high protein
diet
Breathing exercises and postural drainage is prescribed for a child with cystic
fibrosis. A nurse implements these procedures by telling the child to:
a. perform the postural drainage, then the breathing exercises
b. perform the breathing exercises, then the postural drainage
c. schedule the procedures so they are 4 hours apart
,d. perform postural drainage in the morning and breathing exercises in the
evening - CORRECT ANSWERS-perform the postural drainage, then the
breathing exercises
A nurse is reviewing the results of a sweat test performed on a child with
cystic fibrosis (CF). The nurse would expect to note which finding?
a. a sweat sodium concentration less than 40 mEq/L
b. a sweat potassium concentration less than 40 mEq/L
c. a sweat potassium concentration greater than 40 mEq/L
d. a sweat sodium concentration greater than 60 mEq/L - CORRECT
ANSWERS-a sweat sodium concentration greater than 60 mEq/L
A 2-year-old child is admitted to the hospital with juvenile rheumatoid
arthritis (JRA). During the focused assessment, the nurse makes it a priority
to note the presence of which of the following?"
a. increased irritability and the child's insistence to be carried out
b. complaints of joint stiffness
c. history of daily temperature elevations
d. description of how difficult it is to move around after periods of inactivity -
CORRECT ANSWERS-increased irritability and the child's insistence to be
carried out
A mother of a toddler who is hospitalized with mild dehydration must leave
her child to go to work. Which behavior would the nurse expect to observe in
the toddler immediately after the mother's departure?
a. silently curled in bed with a blanket
b. loudly crying and kicking both legs
c. playing quietly with a favorite toy
d. sucking thumb and rocking back and forth - CORRECT ANSWERS-loudly
crying and kicking both legs
"A newborn infant is diagnosed with hypospadias, and the mother asks the
nurse about the disorder. The nurse bases the response on which of the
following?"
a. it is a congenital anomaly in which the actual opening of the urethra
meatus is below the normal placement on the glans penis
b. it occurs when one or both testes fail to descend through the inguinal
canal into the scrotal sac
c. it is a congenital anomaly in which the actual opening of the urethral
meatus is dorsal to the urethral opening
d. it is a congential anomaly characterized by the extrusion of the urinary
bladder to the outside of the body - CORRECT ANSWERS-it is a congenital
anomaly in which the actual opening of the urethra meatus is below the
normal placement on the glans penis
, A home care nurse is providing instructions to a child with cystic fibrosis
about how to perform the "huff" maneuver; the child asks the nurse about
the purpose of this type of breathing. The nurse makes which response to
the child?
a. "this type of breathing is used to mobilize secretions so that they can be
easily coughed out"
b. "this type of breathing prolongs inspiration time"
c. "this type of breathing moves air out of the lower lungs"
d. "this type of breathing moves air through the lungs" - CORRECT
ANSWERS-"this type of breathing is used to mobilize secretions so that they
can be easily coughed out"
"Methylphenidate hydrochloride (Ritalin) is prescribed for a 10-year-old child
diagnosed with attention deficit hyperactivity disorder, and the nurse
provides instructions to the mother about administration of the medication.
The nurse determines that the mother understands the instructions when the
mother states:"
a. I will give my child the medication at bedtime so that he will be rested and
alert for school the next day
b. I will give my child the medication after meals to obtain the full effects of
the medication
c. I will give my child the medication at breakfast and lunch to prevent
insomnia
d. I will give my child the medication with water to prevent kidney damage -
CORRECT ANSWERS-I will give my child the medication at breakfast and
lunch to prevent insomnia
Methylphenidate (Ritalin) is prescribed for a child with attention deficit
hyperactivity disorder (ADHD). The nurse provides instructions to the mother
regarding the administration of the medication. Which statement by the
mother would indicate a need for further instructions?
a. I will administer the medication with the noontime meal
b. I will keep the medication tightly capped and away from direct heat
c. I should inform the school nurse that my child is taking this medication
d. I should avoid giving the medications on Saturdays and Sundays to
provide a medication holiday - CORRECT ANSWERS-I should avoid giving the
medications on Saturdays and Sundays to provide a medication holiday
A client with diplopia has been given an eye patch to promote better vision
and prevent injury. The nurse teaches the client to do which of the following
as part of correct use of this item?
a. wear the patch continuously, alternating eyes each day
b. wear the patch continuously, alternating eyes each week
c. use the patch only when vision is exceptionally blurry
d. put the patch on for an hour, and then take it off for an hour - CORRECT
ANSWERS-wear the patch continuously, alternating eyes each day
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