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HESI PEDS EXPERT REAL EXAM WITH RATIONALES GUARANTEED PASS MANUAL UPDATED 2024/2025 GRADED A+
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HESI PEDS EXPERT REAL EXAM WITH RATIONALES GUARANTEED PASS MANUAL UPDATED 2024/2025 GRADED A+
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HESI PEDS EXPERT REAL EXAM WITHRATIONALES GUARANTEED PASS MANUAL
UPDATED 2024/2025 GRADED A+
Which menu selection by a child with celiac disease indicates to the nurse that the
childunderstands necessary dietary considerations?
• Oven-baked potato chips and cola.
• Peanut butter and banana sandwich.
• Oatmeal-raisin cookies and milk.
• Graham crackers and fruit juice.
A - (Celiac disease causes an intolerance to the protein gluten found in oats, rye, wheat, and
barley. The child should avoid any products containing these ingredients to avoid symptoms
suchas diarrhea. A, is the selection which avoids all of these ingredients.)
To take the vital signs of a 4-month-old child, which order provides the most accurate results?
• Respiratory rate, heart rate, then rectal temperature.
• Heart rate, rectal temperature, then respiratory rate.
• Rectal temperature, heart rate, then respiratory rate.
• Rectal temperature, respiratory rate, then heart rate.
A - (The respiratory rate should be taken first, A, in infants, since touching them or
performing unpleasant procedures usually makes them cry, elevating the heart rate and
making respirationsdifficult to count.)
The nurse is assessing the neurovascular status of a child in Russell's traction. Which
findingshould the nurse report to the healthcare provider?
• Pale bluish coloration of the toes.
• Skin is warm and dry to the touch.
• Toes are wiggled upon command.
• Capillary refill less than 3 seconds.
A - (Russell's skin traction is used for fractures of the femur in young children and adolescents
whose growth plates remain open and is applied to the lower leg using moleskin and elastic
wrapbandages, which can compress the peroneal nerve and arteries that supply the foot.
Assessment of adequare circulation, movement, and sensation of the toes and skin distal to the
application is made to identify compromised blood flow, so cyanosis, A, should be reported
immediately.) Surgery is being delayed for an infant with undescended testes. In collaboration
with the healthcare provider and the family, which prescription should the nurse anticipate?
• A trial of adrenocorticotrophic hormone injections.
• Frequent stimulation of the cremasteric reflex.
• A trial of human chorionic gonadotrophic hormone.
• Frequent warm baths to gently dilate the scrotal area.
C - (A trial of HCG,human chorionic gonadotrophic hormone, C, may aid in testicular descent,
but does not replace surgical repair for true undescended testes. Undescended testes,
cryptorchidism, may be found in the inguinal canal due to exaggerated cremasteric reflex. A, is
not indicated. Stimulation of the cremasteric reflex causes the testes to ascend rather than
,descend in the scrotum, B. D, may relax the cremasteric muscle, but may not cause the testes
to descend.)
The nurse is teaching a 12-year-old male adolescent and his family about taking injections of
growth hormone for idiopathic hypopituitarism. Which adverse symptoms, commonly
associatedwith growth hormone therapy, should the nurse plan to describe to the child and his
family?
• Polyuria and polydipsia.
• Lethargy and fatigue.
• Increased facial hair.
• Facial bone structure changes.
A - (Signs and symptoms of diabetes or hyperglycemia, A, need to be reported. Those
receivinggrowth hormone should be monitored to detect elevated blood sugars and glucose
intolerance.) The nurse is caring for a 12-year-old with Syndrome of Inappropriate
Antidiuretic Hormone (SIADH). This child should be carefully assessed for which
complication?
• Poor skin turgor resulting from dehydration.
• Changes in level of consciousness.
• Premature aging as the disease progresses.
• Severe edema from an excess of water and sodium.
D - (The child must be monitored for signs and symptoms of hyponatremia, which creates
secondary central nervous system alterations such as changes in level of consciousness,
seizure, and coma.)
The nurse is giving preoperative instructions to a 14-year-old female client who is scheduled
forsurgery to correct a spinal curvature. Which statement by the client best demonstrates that
learning has taken place?
• I will read all the literature you gave me before surgery.
• I have had surgery before when I broke my wrist in a bike accident, so I know what to
expect.
• All the things people have told me will help me take care of my back.
• I understand that I will be in a body cast and I will show you how you taught me to
turn. D - (Outcome of learning is best demonstrated when the client not only verbalizes
an understanding but can also provide a return demonstration, D.)
The clinic nurse is taking the history for a new 6-month-old client. The mother reports that
shetook a great deal of aspirin while pregnant. Which assessment should the nurse obtain?
• Type of reaction to loud noises.
• Any surgeries on the ears since birth.
• Drainage from the infant's ears.
• Number of ear infections since birth.
A - (Ototoxicity diminishes hearing acuity and causes symptoms of tinnitus and vertigo in
older children who can express subjective symptoms, so assessing an infant's reaction to loud
noises, A, helps to determine an infant's risk for a hearing deficit related to a history of the
mother takingan ototoxic drug, such as aspirin, while pregnant.)
A 12-month-old boy is admitted with a respiratory infection and possible pneumonia. He is
placed in a mist tent with oxygen. Which nursing intervention has the greatest priority for
this infant?
, • Give small, frequent feedings of fluids.
• Accurately chart observations regarding breath sounds.
• Have a bulb syringe readily available to remove secretions.
• Encourage older siblings to visit.
C - (A patent airway has the highest priority. Humidification will liquefy the nasal
secretions thereby increasing the amount of secretions and making, C, the highest priority.
When asked "priority" questions, REMEMBER MASLOW! Physical needs usually have a
higher priority than psychosocial needs and an open airway is the highest physiological
need!)
Which measurements should be used to accurately calculate a pediatric medication
dosage?(Select all that apply.)
• Child's height and weight.
• Adult dosage of medication.
• Body surface area of child.
• Average adult's body surface area.
• Average pediatric dosage of medication.
• Nomogram determined mathematical constant.
A, C, F - (The most accurate calculations of pediatric dosages use the child's height and weight,
• The child's BSA is calculated using the square root of weight in kg times height in cm
divided by 3600 or the square root of weight in lb times height in inches divided by 3131, C,
then the child's BSA is multiplied by the recommended published dose per BSA. The
nomogram, F, is used to plot the child's height and weight, and the point at which they
intersect is the BSA mathematical constant used to calculate the child's dose.)
The nurse is preparing a health teaching program for parents of toddlers and preschoolers
and plans to include information about prevention of accidental poisonings. It is most
important forthe nurse to include which instruction?
• Tell children they should not taste anything but food.
• Store all toxic agents and medicines in locked cabinets.
• Provide special play areas in the house and restrict play in other areas.
• Punish children if they open cabinets that contain household chemicals.
B - ( The only reliable way to prevent poisonings in young children is to make them
inaccessible,
• Teaching children not to taste is important, A, but ineffective for young children. C and
D,will not control a child's curiosity.)
When assessing a child with asthma, the nurse should expect intercostal retractions during
• inspiration.
• coughing.
• apneic episodes.
• expiration.
A - (Intercostal retractions result from respiratory effort to draw air into restricted airways,
A) When planning the care for a child who has had a cleft lip repair, the nurse knows that
crying should be minimized because it
• increases salivation.
• increases the respiratory rate.
• leads to vomiting.
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