100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
EVOLVE HESI PEDS PRACTICE QUESTIONS WITH CORRECT ANSWERS $11.99   Add to cart

Exam (elaborations)

EVOLVE HESI PEDS PRACTICE QUESTIONS WITH CORRECT ANSWERS

 4 views  0 purchase
  • Course
  • PEDIATRICS HESI
  • Institution
  • PEDIATRICS HESI

EVOLVE HESI PEDS PRACTICE QUESTIONS WITH CORRECT ANSWERS

Preview 3 out of 28  pages

  • November 1, 2024
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PEDIATRICS HESI
  • PEDIATRICS HESI
avatar-seller
AGRADEPROMASTER
EVOLVE HESI PEDS PRACTICE
QUESTIONS WITH CORRECT ANSWERS



A66-month-
old6infant6with6congestive6heart6failure6(CHF)6is6receiving6digoxin6elixir.6Which6observati
on6by6the6nurse6warrants6immediate6intervention?
6Apical6heart6rate6of660.

6Sweating6across6the6forehead.

6Doesn't6suck6well.

6Respiratory6rate6of6306breaths6per6minute.6-6ans--Apical6heart6rate6of660.



A6heart6rate6of6606(A)6is6much6lower6than6normal6for6a66-month-
old6and6warrants6immediate6intervention.6The6normal6heart6rate6for6a66-month-
old6is6806to61506BPM6when6awake,6and6a6rate6of6706while6sleeping6is6considered6within6
normal6limits.6(B6and6C)6are6expected6symptoms6of6heart6failure6in6an6infant.6(D)6is6within
6normal6limits6for6an6infant.



The6nurse6is6teaching6the6parents6of6a65-year-
old6with6cystic6fibrosis6about6respiratory6treatments.6Which6statement6indicates6to6the6nu
rse6that6the6parents6understand?
6Perform6postural6drainage6before6starting6aerosol6therapy.

6Give6respiratory6treatments6when6the6child6is6coughing6a6lot.

6Administer6aerosol6therapy6followed6by6postural6drainage6before6meals.

6Ensure6respiratory6therapy6is6done6daily6during6any6respiratory6infection.6-6ans--

Administer6aerosol6therapy6followed6by6postural6drainage6before6meals.

Postural6drainage6for6a6child6with6cystic6fibrosis6is6most6effective6when6performed6after6n
ebulization6and6before6meals6(C)6or6at6least616hour6after6eating6to6prevent6nausea6and6v
omiting.6Postural6drainage6uses6gravity6to6promote6mucous6removal6after6nebulization6(
A)6treatments6which6open6the6airways.6Pulmonary6toileting6or6respiratory6treatments6sho
uld6be6given636to646times6daily,6not6episodically6(B6and6D).

A6female6teenager6is6taking6oral6tetracycline6HCL6(Achromycin6V)6for6acne6vulgaris.6Wh
at6is6the6most6important6instruction6for6the6nurse6to6include6in6this6client's6teaching6plan?
6Use6sunscreen6when6lying6by6the6pool.6

6Cleanse6the6skin6at6least646times6a6day.

6Take6the6medication6with6a6glass6of6milk.

6Menstrual6periods6may6become6irregular.6-6ans--

Use6sunscreen6when6lying6by6the6pool.6

,Photosensitivity6is6a6common6side6effect6of6tetracycline6HCL6(Achromycin6V)6therapy.6Se
vere6sunburn6can6occur6with6minimal6sun6exposure6and6clients6should6be6instructed6to6a
void6sunlight6and6to6use6sunscreen6(A).6(B6and6D)6are6not6related6to6tetracycline6HCL6(A
chromycin6V)6therapy.6(C)6should6be6avoided6because6dairy6products6interfere6with6the6a
bsorption6of6tetracyclines.

What6preoperative6nursing6intervention6should6be6included6in6the6plan6of6care6for6an6infa
nt6with6pyloric6stenosis?
6Monitor6for6signs6of6metabolic6acidosis.

6Estimate6the6quantity6of6diarrhea6stools.

6Place6in6a6supine6position6after6feeding.

6Observe6for6projectile6vomiting.6-6ans--Observe6for6projectile6vomiting.



Projectile6vomiting6(D),6which6contributes6to6metabolic6alkalosis6(A),6is6the6classic6sign6of
6pyloric6stenosis.6(B)6is6not6indicated.6(C)6is6dangerous,6due6to6the6potential6for6aspiratio

n6with6frequent6vomiting.

An6infant6is6born6with6a6ventricular6septal6defect6(VSD)6and6surgery6is6planned6to6correct
6the6defect.6The6nurse6recognizes6that6surgical6correction6is6designed6to6achieve6which6

outcome?
6Stop6the6flow6of6unoxygenated6blood6into6systemic6circulation.

6Increase6the6flow6of6unoxygenated6blood6to6the6lungs.6

6Prevent6the6return6of6oxygenated6blood6to6the6lungs.6

6Reduce6peripheral6tissue6hypoxia6and6nailbed6clubbing6-6ans--

Prevent6the6return6of6oxygenated6blood6to6the6lungs.6

Closure6of6VSDs6stops6oxygenated6blood6from6being6shunted6from6the6left6ventricle6to6th
e6right6ventricle6(C).6VSDs6are6acyanotic6defects,6which6means6that6no6unoxygenated6bl
ood6enters6the6systemic6circulation6(A6and6B).6(D)6is6common6with6Tetrology6of6Fallot,6w
hich6is6a6cyanotic6defect.

A63-week-old6newborn6is6brought6to6the6clinic6for6follow-
up6after6a6home6birth.6The6mother6reports6that6her6child6bottle6feeds6for656minutes6only6a
nd6then6falls6asleep.6The6nurse6auscultates6a6loud6murmur6characteristic6of6a6ventricular
6septal6defect6(VSD),6and6finds6the6newborn6is6acyanotic6with6a6respiratory6rate6of6646bre

aths6per6minute.6What6instruction6should6the6nurse6provide6the6mother6to6ensure6the6infa
nt6is6receiving6adequate6intake?6(Select6all6that6apply.)
A.6Monitor6the6the6infant's6weight6and6number6of6wet6diapers6per6day.6
B.6Increase6the6infant's6intake6per6feeding6by616to626ounces6per6week.6
C.6Mix6the6dose6of6prophylactic6antibiotic6in6a6full6bottle6of6formula.
D.6Allow6the6infant6to6rest6and6refeed6on6demand6or6every626hours.
E.6Use6a6softer6nipple6or6increase6the6size6of6the6nipple6opening.6-6ans--
A.6Monitor6the6the6infant's6weight6and6number6of6wet6diapers6per6day.
B.6Increase6the6infant's6intake6per6feeding6by616to626ounces6per6week.6
D.6Allow6the6infant6to6rest6and6refeed6on6demand6or6every626hours.

, E.6Use6a6softer6nipple6or6increase6the6size6of6the6nipple6opening.

Antibiotic6prophylaxis6is6recommended6for6infants6with6VSDs,6but6should6not6be6mixed6in
6a6bottle6of6formula6(C)6because6it6is6difficult6to6ensure6that6the6total6dose6is6consumed.



They6should6be6monitored6for6weight6gain6and6at6least666wet6diapers6per6day6(A).6A6one-
month6old6infant6should6ingest626to646ounces6of6formula6per6feeding6and6progress6to6abo
ut6306ounces6per6day6by64-months6of6age6(B)

Preoperative6nursing6care6for6a6child6with6Wilms'6tumor6should6include6which6interventio
n?
6Gently6percuss6the6abdomen6for6evidence6of6trapped6air.

6Observe6the6abdomen6for6any6noticeable6discolorations.

6Apply6cold6compresses6to6the6abdomen6to6reduce6edema.

6Put6a6sign6on6the6bed6reading,6"DO6NOT6PALPATE6ABDOMEN."6-6ans--

Put6a6sign6on6the6bed6reading,6"DO6NOT6PALPATE6ABDOMEN."

Prevention6of6abdominal6palpation6(D)6minimizes6the6risk6of6rupturing6the6encapsulated6t
umor6and6subsequent6metastasis.6(A)6is6unnecessary,6and6this6action6could6traumatize6t
he6tumor6in6the6same6manner6as6palpation.6(B6and6C)6are6incorrect6since6the6abdomen6i
s6not6discolored6and6cold6compresses6are6not6indicated.

At686a.m.6the6unlicensed6assistive6personnel6(UAP)6informs6the6charge6nurse6that6a6fem
ale6adolescent6client6with6acute6glomerulonephritis6has6a6blood6pressure6of6210/110.6Th
e646a.m.6blood6pressure6reading6was6170/88.6The6client6reports6to6the6UAP6that6she6is6u
pset6because6her6boyfriend6did6not6visit6last6night.6What6action6should6the6nurse6take6firs
t?
6Give6the6client6her696a.m.6prescription6for6an6oral6diuretic6early.

6Administer6PRN6prescription6of6nifedipine6(Procardia)6sublingually.6

6Notify6the6healthcare6provider6and6inform6the6nursing6supervisor6of6the6client's6condition

.
6Attempt6to6calm6the6client6and6retake6the6blood6pressure6in6thirty6minutes.6-6ans--

Administer6PRN6prescription6of6nifedipine6(Procardia)6sublingually.

Sublingual6Procardia6(B)6lowers6blood6pressure6very6quickly,6and6this6should6be6done6fir
st.6(A)6may6also6be6done,6but6oral6diuretics6do6not6work6as6rapidly6as6the6sublingual6anti
hypertensive.6When6notifying6the6healthcare6provider,6the6first6thing6he/
she6will6want6to6know6is6if6the6PRN6antihypertensive6has6been6administered6(C).6(D)6doe
s6not6consider6the6seriousness6of6this6finding.6The6nurse6should6stay6with6the6client6until6
the6blood6pressure6is6reduced.

The6nurse6is6assessing6an68-month-
old6child6who6has6a6medical6diagnosis6of6Tetrology6of6Fallot.6Which6symptom6is6this6clien
t6most6likely6to6exhibit?
6Bradycardia.

6Machinery6murmur.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller AGRADEPROMASTER. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $11.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67096 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$11.99
  • (0)
  Add to cart