Exam (elaborations)
Pediatric HESI V1 Questions and Answers
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Exam of 9 pages for the course pediatrics HESI at pediatrics HESI (Pediatric HESI V1)
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Pediatric HESI V1The nurse is assessing a 6-month-old infant. Which response requires further
evaluation by the nurse?
A. Turns head to locate sound.
B. Has double birth weight
C. Plays "peek-a-boo"
D. Demonstrates startle reflex – answer D. Demonstrates startle reflex
The nurse is caring for an adolescent with scoliosis who is recovering after a surgical
spinal instrumentation. Which technique should the nurse use when moving this client?
A. Perform a log roll
B. Raise the hips
C. Flex the knees
D. Cross the arms and legs – answer A. Perform a log roll
The patients of a child who is diagnosed with Wilm's tumor ask the nurse why surgery is
necessary before a biopsy is performed. What information should the nurse provide?
A. The surgery provides a visualization of other pathology and dysfunction of the kidney
B. Metal clips are surgically applied at the tumor site for exact marking for radiation.
C. Biospy may rupture the encapsulated tumor and cause the cancer cells to spread.
D. Surgery is necessary to stage the tumor and determine metastasis to other sites. -
answerC. Biopsy may rupture the encapsulated tumor and cause the cancer cells to
spread.
During her sports physical examination, a 15-year -old female requests oral
contraceptives. She explains that she is sexually active and does not want her parents
to know. What action should the nurse take?
A. Explain that she needs parental approval to receive contraceptives
B. Encourage the client to discuss her need for contraceptives with her parents
C. Counsel the client about the risks and benefits of using oral contraceptives
D. Tell the client how to receive a variety of oral contraceptives from the clinic -
answerC. Counsel the client about the risks and benefits of using oral contraceptives
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports
that her child is irritable, refuses to eat, and has skin peeling on both hands and feet.
Which intervention should the nurse instruct the mother to implement first?
, A. Place the child in a quiet environment
B. Encourage the parents rest while possible
C. Apply lotion to hands and feet
D. Make a list of foods that the child likes - answerA. Place the child in a quiet
environment
A child who weighs 30 kg is experiencing a grand mal seizure. The healthcare provider
prescribes diazepam 0.3 mg/kg/dose intravenous (IV) STAT. The medication is
available in 5 mg/mL vials. How many mL should the nurse administer? - answer1.8 mL
A mother brings her 3-month-old infant to the clinic because the baby does not sleep
through the night. Which finding is most significant in planning care for this family?
A. The diaper area shows severe skin breakdown.
B. The infant's formula has been changed twice.
C. The mother states the baby is irritable during feedings
D. The mother is a single parent and lives with her parents. - answerA. The diaper area
shows severe skin breakdown.
A male adolescent arrives at the clinic and reports intense pain in the testicular area
that occurred during football practice at high school. The nurse observes the scrotum
and identifies significant erythema and swelling. Which action should the nurse take?
A. Obtain a swab of secretions from the penis and urethra.
B. Provide the adolescent with a urinal for urinary hesitancy.
C. Collect a sterile urine sample for culture and sensitivity.
D. Report the findings immediately to the healthcare provider. - answerD. Report the
findings immediately to the healthcare provider.
The nurse is assessing a preschool-aged child who presents with flank pain, dysuria,
and low-grade fever. Which additional information should the nurse gather from the
parent to determine a possible a urinary tract infection?
A. increased fluid intake
B. pale urine
C. voiding every 4 hours
D. new onset bedwetting - answerD. new onset bedwetting
The parents of a 14-month-old child who is hospitalized due to febrile seizures tell the
nurse that they fear their child will have lifelong seizures. Which information should the
nurse convey to these parents?
A. Reassure the parents that febrile seizures decrease as the child grows older.
B. Avoid excessive visual stimuli because it can precipitate seizure activity.
C. Ibuprofen should be used prophylactically
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