10/8/24, 2:29 PM HESI PEDIATRIC EXAM 2024 NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (…
HESI PEDIATRIC EXAM 2024 NEWEST ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
AND RATIONALES |ALREADY GRADED
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Terms in this set (50)
The nurse is planning D. Crying stresses the suture line
postoperative care for a
child who has had a cleft Rationale:
lip repair. What is the Prevention of stress on the lip suture line is essential
most important reason to for optimum healing and the cosmetic appearance
minimize this child's of a cleft lip repair.
crying during the
recovery period?
A. Tear formation
increases salivation.
B. This behavior increases
respirations.
C. Excessive hysteria can
lead to vomiting.
D. Crying stresses the
suture line
,10/8/24, 2:29 PM HESI PEDIATRIC EXAM 2024 NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (…
An infant is receiving B. Obtain a therapeutic drug level.
digoxin for congestive
heart failure. The apical Rationale:
heart rate is assessed at Sinus bradycardia (heart rate <90 to 110 beats/min in
80 beats/min. What an infant) is an indication of digoxin toxicity, so
intervention should the assessment of the client's digoxin level has the
nurse implement? highest priority
A. Call for a portable
chest radiograph.
B. Obtain a therapeutic
drug level.
C. Reassess the heart rate
in 30 minutes.
D. Administer digoxin
immune Fab stat.
The nurse admits a child C. Place a do not palpate abdomen sign on head of
to the intensive care unit bed
with a possible diagnosis
of Wilms tumor - What is Rationale:
the most safety Protect child from injury; place a sign on bed stating
precaution for child? "no abdominal palpation" (to prevent accidental
A. maintain NPO status fragmentation and dislodging into the abdominal
B. Limit visitors to the cavity).
immediate family
C. Place a do not palpate
abdomen sign on head
of bed
D. Encourage ambulation
in the pre-operative
period
,10/8/24, 2:29 PM HESI PEDIATRIC EXAM 2024 NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (…
The nurse is preparing a B. Baked chicken, coleslaw, soda, and frozen fruit
teaching plan for the dessert
mother of a child who
has been diagnosed with Rationale:
celiac disease. Choosing A child with celiac disease is managed on a gluten-
which lunch will be within free diet, which eliminates food products containing
the therapeutic oats, wheat, rye, or barley.
management of a child
with celiac disease?
A. Turkey salad, milk, and
oatmeal cookies
B. Baked chicken,
coleslaw, soda, and
frozen fruit dessert
C. Tuna salad sandwich
on whole wheat bread,
milk, and ice cream
D. Turkey sandwich on
rye bread, orange juice,
and fresh fruit
, 10/8/24, 2:29 PM HESI PEDIATRIC EXAM 2024 NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (…
A 6-month-old male B. Remove restraints one at a time and provide
infant is admitted to the range-of-motion
postanesthesia care unit
with elbow restraints in Rationale:
place. He has an Removing restraints one at a time is safer than
endotracheal tube and is option C. The infant should have the restrained
ventilator-dependent but extremities assessed frequently for signs of
will be extubated soon neurologic or vascular impairment, and range-of-
following recovery from motion exercises should be performed with these
anesthesia. Which nursing assessments. Under no circumstances should
intervention should be restraints be applied to the client continuously.
included in this child's Documentation of assessment findings regarding
plan of care? the restrained extremities must occur much more
A. Keep restraints on at frequently than every 72 hours; however, the reason
all times to prevent for using restraints must be justified and should be
unplanned extubation. stated in the medical record
B. Remove restraints one
at a time and provide
range-of-motion
exercises. C. Remove all
restraints simultaneously
and provide play
activities.
D. Document the reason
for application of the
restraints every 72 hours.
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