2024 HESI 7TH EDITION PEDS
PART 1 EXAM WITH CORRECT
ANSWERS
The nurse is conducting an initial admission assessment of a 12-month-old
child in celiac crisis. Which action is most important for the nurse to take
first? - CORRECT ANSWERS-Assess the child's mucous membranes and skin
turgor.
When inserting a nasogastric tube into the stomach of a 3-month-old infant,
which action is most important for the nurse to take first? - CORRECT
ANSWERS-Monitor the infant's heart rate.
The nurse assigns an unlicensed assistive personnel (UAP) to provide
morning care to a newly admitted child with bacterial meningitis. What is the
most important instruction for the nurse to review with the UAP? - CORRECT
ANSWERS-Use designated isolation precautions.
When caring for a child with congenital heart disease and polycythemia,
which nursing action has the highest priority? - CORRECT ANSWERS-
Maintaining adequate hydration
The nurse is preparing a teaching plan for the mother of a child who has
been diagnosed with celiac disease. Choosing which lunch will be within the
therapeutic management of a child with celiac disease? - CORRECT
ANSWERS-Baked chicken, coleslaw, soda, and frozen fruit dessert
The nurse is assessing a male adolescent client's knowledge of
contraception. The teen states, "I have all the info I need." What is the best
response by the nurse? - CORRECT ANSWERS-"Tell me what you know about
birth control."
The nurse is examining a male child experiencing an exacerbation of juvenile
rheumatoid arthritis (JRA) and notes that mobility is greatly reduced. What is
the most likely cause of the child's impaired mobility? - CORRECT ANSWERS-
Joint inflammation
A father of a 5-year-old calls the nurse to report that his child, who has had
an upper respiratory infection, is complaining of a headache, with a rectal
, temperature of 103°F/39.4°C. Which action has the highest priority? -
CORRECT ANSWERS-Tell the parent to take the child to the emergency
department.
A child comes to the school nurse complaining of itching. Further assessment
reveals that the child has impetigo. What action should the nurse take? -
CORRECT ANSWERS-Send the child home with the parents to see the
healthcare provider before returning to school.
An infant is receiving digoxin for congestive heart failure. The apical heart
rate is assessed at 80 beats/min. What action should the nurse take first? -
CORRECT ANSWERS-Obtain a therapeutic drug level.
A 7-month-old male infant diagnosed with spastic cerebral palsy is seen by
the nurse in the clinic. Which statement by the parent warrants immediate
intervention by the nurse? - CORRECT ANSWERS-"My son often chokes while
I am feeding him."
The nurse is caring for a child with intussusception who is scheduled for a
barium enema prior to a surgical procedure. Which action should the nurse
take first? - CORRECT ANSWERS-Place the child on a clear liquid diet.
The nurse should teach the parents of a child with a cyanotic heart defect to
perform which action when a hypercyanotic spell occurs? - CORRECT
ANSWERS-Allow the child to assume a knee-chest position, with the head and
chest slightly elevated.
The nurse is teaching the parents of a 2-year-old child with a congenital
heart defect about signs and symptoms of congestive heart failure. Which
information about the child is most important for the parents to report to the
healthcare provider? - CORRECT ANSWERS-Exhibits a sudden and
unexplained weight gain.
Prophylactic antibiotics are prescribed for a child who has mitral valve
damage. The nurse should advise the parents to give the antibiotics prior to
which occurrence? - CORRECT ANSWERS-Urinary catheterization
A 7-month-old infant with a rotavirus causing severe diarrhea is admitted for
treatment. Which action should the nurse take first? - CORRECT ANSWERS-
Insert an intravenous (IV) line and begin IV fluids.
The nurse admits a child to the intensive care unit with a possible diagnosis
of Wilms tumor. What is the most important safety precaution for child? -
CORRECT ANSWERS-Place a do not palpate abdomen sign on head of bed.
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