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2024 HESI PEDIATRIC EXAM WITH CORRECT ANSWERS
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2024 HESI PEDIATRIC EXAM WITH CORRECT ANSWERS
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2024 HESI PEDIATRIC EXAM WITHCORRECT ANSWERS
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-
Hold the next dose of theophylline
a.i. Therapeutic levels of theophylline is 10-10 mcg/dl, so the child's level is
w/in the therapeutic rage.
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.)
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
The nurse is planning the care of a 2 year old w/ severe eczema on the face,
next, and scalp fr. scratching the affected areas. Which nursing intervention
is most effective in preventing further excoriation due to the purities? -
CORRECT ANSWERS-a. C- place elbow restraints on the child's arms.
a.i. Elbow restraints prevent arm flexion and scratching of involved area, but
do not inhibit use of the nads for play activities. Others can be removed
easily
a 6- year old admitted to the pediatric unit after falling of a bicycle. Which
intervention should the nurse implement to assist the child's adjustments to
hospitalization? - CORRECT ANSWERS-a.Explain hospital schedules to the
child, such as mealtimes. Altered daily schedules and loss of rituals are
upsetting to children and increase separation anxiety, and active sensitivity
to the needs of children can minimize the negative effects of hospitalization.
Explaining the hospital schedules (A) and establishing an individual schedule
familiarizes the child to the hospital environment and decreases anxiety.
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne
vulgaris. What is the most important instruction for the nurse to include in
this client's teaching plan? - CORRECT ANSWERS-a. A- Use sunscreen when
lying by the pool
a.i. Photosensitivity is a common side effect of tetracycline HCL
(AchromycinV) therapy. Severe sunburn can occur w/ minimal sun exposure
and clients should be instructed to avoid sunlight and to use sunscreen
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
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