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2024 PEDIATRICS - HESI PRACTICE EXAM WITH CORRECT ANSWERS
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2024 PEDIATRICS - HESI PRACTICE EXAM WITH CORRECT ANSWERS
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2024 PEDIATRICS - HESIPRACTICE EXAM WITH CORRECT
ANSWERS
A premature newborn girl, born 24 hours ago, is diagnosed with a patent
ductus arteriosus (PDA) and placed under an oxygen hood at 35%. The
parents visit the nursery and ask to hold her. Which response should the
nurse provide to the parents? - CORRECT ANSWERS-B. the oxygen hood is
holding the baby's oxygen level just at the point which is needed. You may
stroke and talk to her.
The nurse is giving preoperative instructions to a 14-year old female client
who is scheduled for surgery to correct a spinal curvature. Which statement
by the client best demonstrates that learning has taken place? - CORRECT
ANSWERS-D. I understand that I will be in a body cast and I will show you
how you taught me to turn.
To take the vital signs of a 4-month old child, which order will give the most
accurate results? - CORRECT ANSWERS-A. Respiratory rate, heart rate, then
rectal temperature
The nurse is assessing an 8-month old child who has a medical diagnosis of
Tetrology of Fallot. Which symptom is this client most likely to exhibit? -
CORRECT ANSWERS-D. clubbed fingers
As part of the physical assessment of children, the nurse observes and
palpates the fontanels. Which child's fontanel finding should be reported to
the healthcare provider? - CORRECT ANSWERS-A. A 5-month old with failure
to thrive that has a closed anterior fontanel
A preschool-age child who is hospitalized for hypospadias repair is most
strongly influenced by which behavior? - CORRECT ANSWERS-C. concern for
body integrity
An infant is born with a ventricular septal defect (VSD) and surgery is
planned to correct the defect. The nurse recognizes that surgical correction
is designed to achieve which outcome? - CORRECT ANSWERS-C. prevent the
return of oxygenated blood to the lungs.
, A three-month old boy weighing 10 lbs, 15 oz has an axillary temperature of
98.9 degrees F. The nurse determines the daily caloric need for this child is
approximately: - CORRECT ANSWERS-C. 600 cal/day
10 lbs, 15 oz = 10.9 lbs. Convert lbs to kg by dividing pounds by 2.2
(10.9/2.2) = 4.954 kg rounded to 5 kg. an infant requires 108 cal/kg/day (108
x 5 = 540 cal/day). However this infant requires 10% more calories because
he has one degree temperature elevation. 10% of 540 is 54 and 54 + 540 =
594. This infant will require approximately 600 calories/day. Remember that
a temperature elevation necessitates consumption of more calories.
The nurse is preparing a health teaching program for parents of toddlers and
preschoolers and plans to include information about prevention of accidental
poisonings. It is most important for the nurse to include which instructions? -
CORRECT ANSWERS-B. store all toxic agents and medicines in locked
cabinets.
A 6-month old infant with congestive heart failure (CHF) is receiving digoxin
elixer. Which observation by the nurse warrants immediate intervention? -
CORRECT ANSWERS-A. apical heart rate of 60.
At 8am, the unlicensed assistive personnel (UAP) informs the charge nurse
that a female adolescent client with acute glomerulonephritis has a blood
pressure of 210/110. The 4am BP reading was 170/88. The client reports to
the UAP that she is upset because her boyfriend did not visit last night. What
action should the nurse take? - CORRECT ANSWERS-B. administer PRN
prescription of nifedipine (Procardia) sublingually.
During routine screening at a school clinic, an otoscope examination of a
child's ear reveals a tympanic membrane that is pearly gray, slightly bulging,
and not movable. What action should the nurse take next? - CORRECT
ANSWERS-B. Ask the child if he/she has had a cold, runny nose, or any ear
pain lately.
Which restraint should be used for a toddler after a cleft palate repair? -
CORRECT ANSWERS-C. elbow restraints
What preoperative nursing intervention should be included in the plan of
care for an infant with pyloric stenosis? - CORRECT ANSWERS-D. observe for
projectile vomiting.
A six-month-old returns from surgery with elbow restraints in place. What
nursing care should be included when caring for any restrained child? -
CORRECT ANSWERS-B. remove restraints one at a time and provide range of
motion exercises
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