HESI PEDIATRIC EXAM TEST
REVIEWS
The nurse is giving pre-op instructions to a 14 yr old female
scheduled for surgery to correct a spinal curvature. Which stmt
best demonstrates that leaning has taken place? - CORRECT
ANSWER-"I understand that I will be in a body cast and I will
show you ...
The nurse is giving pre-op instructions to a 14 yr old female
scheduled for surgery to correct a spinal curvature. Which stmt
best demonstrates that leaning has taken place? - CORRECT
ANSWER-"I understand that I will be in a body cast and I will
show you how you taught me to turn"
To take the v/s of a 4 month old, which ordered will give the
most accurate results? - CORRECT ANSWER-RR - HR - rectal
temp
During routine screening at a school clinic, an otoscope exam
reveals a tympanic mb that is pearly gray, slightly bulging, and
not movable. What action should the nurse take next? -
CORRECT ANSWER-Ask the child if they have had a cold,
runny nose, or any ear pain lately
Which restraint should be used for a toddler after a cleft palate
repair? - CORRECT ANSWER-Elbow
What pre-op nsg intervention should be included in the POC for
an infant w/ pyloric stenosis? - CORRECT ANSWER-Observe
for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
,A 6 month old returns from surgery w/ elbow restraints in place.
What nsg care should be included when caring for any
restrained child? - CORRECT ANSWER-Remove the restraints
one at a time and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
A 2 yr old w/ Down syndrome is brought to the clinic for his
regular physical exam. The nurse knows which problem is
requently associated w/ Downs? - CORRECT ANSWER-
Congenital heart disease
(CHD is the most common associated defect w/ Downs. - also,
remember Professor Moore said that heart and ear problems
go hand in hand)
When assessing a child w/ asthma, the nurse should expect
intercostal retractions during - CORRECT ANSWER-Inspriation
When planning the care for a child who has had a cleft lip
repair, the nurse know that crying should be minimized
because it - CORRECT ANSWER-Stresses the suture line
A full-term infant is admitted to the newborn nursery. After
careful assessment, the nurse suspects that the infant may
have an esophageal atresia. Which sx's is this newborn likely to
have exhibited? - CORRECT ANSWER-Choking , coughing,
and cyanosis
(this answer includes the 3 "C"s of esophageal atresia caused
by the overflow of secretions to the trachea)
Which behavior would the nurse expect a 2 yr old to exhibit? -
CORRECT ANSWER-Display possessiveness of toys
(they are egocentric and unable to share w/ others)
, the other 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 her to check the label of all OTC
meds for the presence of ASA, which instruction should the
nurse include when replying to the mom's question? -
CORRECT ANSWER-Do not give if they have chicken pox, the
flue, or any other viral illness
(ASA can cause Reye's syndrome)
the nurse observes a 4 yr old boy in a daycare. Which behavior
should the nurse consider normal for this child? - CORRECT
ANSWER-Demonstrates aggressiveness by boasting when
telling a story
A burned child is brought to the ER. In estimating the % of body
burned, the nurse uses a modified "Rule of Nines." Which part
of the body is calculated as a larger % of total body surface
than an adult? - CORRECT ANSWER-Head and neck
(a child's head and neck are proportionately larger to their body
than an adult's)
The nurse receives a lab report stating a child w/ asthma has a
theophylline level of 15mcg/dL. What action will the nurse take?
- CORRECT ANSWER-Pass the info on in the report
(therapeutic level is 10-20)
A 12 month old is admitted w/ a respiratory infection and
possible pneumonia. He is placed in a mist tent w/ O2. Which
nsg intervention has the greatest priority? - CORRECT
ANSWER-Have a bulb syringe readily available to remove
secretions
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