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2024 HESI PEDIATRIC EVOLVE PEDS PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 HESI PEDIATRIC EVOLVE PEDS PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 HESI PEDIATRIC EVOLVEPEDS PRACTICE EXAM QUESTIONS
WITH CORRECT ANSWERS
A 4- year- old girl continues to interrupt her mother during a routine clinic
visit. The mother appears irritated w/ the child and asks the nurse, "Is this
normal behavior for a child this age?" The nurse's response should be based
on which information? - CORRECT ANSWERS-a. A- children need to retian a
sense of initiative w/o impinging on the rights and privileges others
a.i. Children aged 3-6 are in Erickson's initiative vs. guilt stage, which is
characterized by vigorous, intrusive behavior, enterprise, and strong
imagination. At this age, children develop a conscience and must learn to
retain a sense of initiative w/o impinging on the rights of others
When taking the health history of a child, the nurse know what which finding
is an early indication of hypothyroidism in children? - CORRECT ANSWERS-
Cessation of growth in a child that had been normal
The nurse received a lab report stating a child w/ asthma has theophyline
level of 15 mcg/dl. What action will the nurse take? - CORRECT ANSWERS-
Pass the information on in the report.
a.i. Therapeutic levels of theophylline is 10-20 mcg/dl, so the child's level is
w/in the therapeutic rage. this information evaluates the prescribed therapy
and should be communicated in the nurse's report.
During administration of a blood transfusion, a child complains of chills,
headache, and nausea. Which action should the nurse implement? -
CORRECT ANSWERS-a. Stop the infusion immediately and notify the
healthcare provider
a.i. The child is exhibiting signs of a reaction to the blood transfusion. The
blood transfusion should be stopped immediately and the healthcare
provider notified ©. After the transfusion is discontinused, IV access should
be maintained. (A) w/ fluids that do not introduce any more cellular products.
(B & D) place the child @ risk for further blood reactions
The clinic nurse is taking the hx for a new 6-month-old client. The mother
reports that she took a great deal of aspirin while pregnant. Which
assessment should the nurse obtain? - CORRECT ANSWERS-a. Type of
reaction to loud noises
,a.i. Ototoxicity diminishes hear acuity and causes symptoms of tinnitus and
vertigo in older children who can express subjective symptoms, so assessing
the infant's reation to loud noises (A) helps to determine an infant's risk for
hearing deficit r/t to a hx of the mother taking ototoxic drug, such as aspirin,
while pregnancy (B,C,D are not assoc w/ the exposure to aspirin in utero
The mother of a preschool aged child asks the nurse if it is all right to
administer Pepto Bismol 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 ANSWERS-a. Do not give if the child has
chickenpox, the flu, or any other viral illness
a.i. Pepto Bismol contains aspirin and there is the potential of Reye's
syndrome (B). (a) is a common effect of peptobismol and does not warrant
discontinuation. Pepto Bismol can be used by children (C). Pepto Bismol does
not cause rebound hyperacidity (D) complication of antacids containing
calcium
A 3 moth old infant develops oral thrush. Which pharmacologic agent should
the nurse plan to administer for treatment of this disorder? - CORRECT
ANSWERS-a. Nystatin (Mycostatin)
a.i. Nystatin (mycostatin) (A) is an antifungal drug that is effective in treating
thrush, an oral fungal infection
The nurse is developing a plan of care for a 3 yr old who is scheduled for a
cardiac catherization. To assist in decreasing anxiety for the child on the day
of the procedure, which intervention is best for the nurse to implement? -
CORRECT ANSWERS-a. C-give the child a ride on a gurney to visit the cardiac
catheterization lab and meet a nurse who works there
a.i. Familizaring the child and mother w/ the department will help decrease
anxiety of the child and mother (who may have more anxiety than the child).
Three is a difficult age to undergo a procedure that requires cooperation.
Restraints and possible sedation may be required
A 3 yr old boy is brought to the ER because he swallowed an entire bottle of
children's vitamin pills. Which intervention should the nurse implement first?
- CORRECT ANSWERS-a. B-determine the child's pulse and respirations
a.i. The most important principle in dealing w/ a poisoning is to treat the
child first, not the poison. Initiate immediate life support measures w/
assessment of VS (B), in particular, respirations. Inserting an airway or
initiating mechanical ventilation may be necessary. Assessment and
identification of the poison should occur prior to A. (C & D after assessing the
airway.)
Surgery is being delayed for an infant with undescended testes. In
collaboration w/ the health care provider and the family, which prescription
, should the nurse anticipapte? - CORRECT ANSWERS-trial of human chorionic
gonadotrophic hormone
a.i A trial of HCG may aid in testicular descent, but does not replace surgical
repair for true undescended testes. (cryptorchidism: may be found in the
inguinal canal due to exaggerated creamasteric reflex
Which menu selection by a child w/ celiac disease indicates to the nurse that
the child understands necessary dietary considerations? - CORRECT
ANSWERS-a. Oven baked potato chips & cola
a.i. Celiac disease causes an intolerance to the protein gluten found in oats,
rye, wheat, and barley. The child should avoid any produces containing these
indredients to avoid symptoms such as diarrhea.
The mother of a 2-year-old boy consults the nurse about her son's increased
temper tantrums. The mother states, "yesterday he threw a fit in the grocery
store, and I did not know what to do. I was so embarrassed. What can I do if
this occurs again?" Which recommendation is best for the nurse to provide
this mother? - CORRECT ANSWERS-a. Walk away from him and ignore the
behavior
a.i. The best approach for a toddler is to ignor the attention-seeking
behavior. The parents should be somewhat nearby, w/in view of the child but
should avoid reinforcing the behavior in any way. Tantrums can sometimes
be avoided by talking to the child before the situation occurs
Which restraint should be used for a toddler after a cleft palate repair? -
CORRECT ANSWERS-a. Elbow
a.i. Elbow restraints prevent children from bending their arms and brining
their hands to the oral surgical site, (A) restrains the hands but the child can
bend and bring their head to their ands. (B) is used during procedures
(mummy). (D)-jacket, restrains the body torso and is not appropriate
The mother of a 4-year-old child asks the nurse what she can do to help her
other children cope with their sibling's hospitalizations. Which is the best
response that the nurse should offer? - CORRECT ANSWERS-a. Encourage the
mother to have the children visit the hospitalized sibling.
a.i. Needs of a sibling will be better met with facture information and contact
w/ the ill child, so siblings visitation should be encouraged (D). Parents are
experts on their children and should determine when their children are old
enough to visit. (A) in the hospital/ Separation fr. a family & home (B) may
intensify fear & anxiety (suggest that the child visit a grandmother until the
sibling returns home. Children may have difficulty expressing questions (C)
ask the mother if the child asks when the sibling will be discharged, so the
support of parents & other caregivers are needed to help alleviate their
fears.
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