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2024 PEDS HESI FINAL EXAM WITH CORRECT ANSWERS
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2024 PEDS HESI FINAL EXAM WITH CORRECT ANSWERS
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2024 PEDS HESI FINAL EXAMWITH CORRECT ANSWERS
The nurse is caring for a 3 year old child who is 2 hours postop from a
cardiac catheritization via the right femoral artery. Which assessment finding
is an indication of arterial obstruction? - CORRECT ANSWERS-Right foot is
cool to the touch and appears pale and blanched
Following a motor vehicle collision, a 3 year old girl has a spica cast applied.
Which toy is best for the nurse for this 3 year old child? - CORRECT
ANSWERS-Set of cloth and hand puppets
The parents of a newborn infant with hypospadia are concerned about when
the surgical correction should occur. What information should the nurse
provide? - CORRECT ANSWERS-Repairs typically should be done before the
child is potty trained
Which drink choice on a hot day indicates to the nurse that a teenager with
sickle cell anemia understands dietary considerations related to the disease?
- CORRECT ANSWERS-Lemonade
The nurse is assessing an infant with diarrhea and lethargy. Which finding
should the nurse identify that is consistent with early dehydration? -
CORRECT ANSWERS-Tachycardia
While auscultating the lung sounds of a 5 year old Chinese boy who recently
completed antibiotic therapy for pneumonia, the nurse notices symmetrical,
round, bruise-like blemishes on his chest. What action is best for the nurse to
take? - CORRECT ANSWERS-Inquire about the use of alternative methods of
treatment
A child with acute lymphocytic leukemia (ALL) who is receiving
chemotherapy via a subclavian IV infusion, has an oral temperature of 103
degrees. In assessing the IV site, the nurse determines that there are no
signs of infection at the site. Which intervention is the most important for the
nurse to implement? - CORRECT ANSWERS-Obtain specimen for blood
cultures
A child who weighs 25 kg is receiving IV ampicillin 300mg/kg/24 hours in
equally divided doses every 4 hours. How many mg should the nurse
administer to the child for each dose? - CORRECT ANSWERS-1875mg
, The nurse is caring for an infant scheduled for reduction of intussusceptions.
The day before the scheduled procedures the infant passes a soft-formed
brown stool. Which intervention should the nurse implement? - CORRECT
ANSWERS-Notify the healthcare provider of the passage of brown stool
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic.
Which action should the nurse implement first? - CORRECT ANSWERS-Place
the infant in a knee-chest position
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid base alteration? - CORRECT
ANSWERS-Metabolic Acidoses
A 7 year old is admitted to the hospital with persistent vomiting, and a
nasogastric tube attached to low intermittent suction is applied. Which
finding is most important for the nurse to report to the healthcare provider? -
CORRECT ANSWERS-Serum potassium of 3.0 mg/dL
The nurse is evaluating diet teaching for a client who has nontropical sprue
(celiac disease). Choosing which food indicates that the teaching has been
effective? - CORRECT ANSWERS-Creamed corn
During a well-baby check, the nurse hides a block under the baby's blanket,
and the baby looks for the block. Which normal growth and development
milestone is the baby developing? - CORRECT ANSWERS-Object Permanence
The nurse is measuring he frontal occipital circumference (FOC) of a 3 month
old infant, and notes that the FOC has increased 5 inches since birth and the
child's head appears large in relation to body size. Which action is most
important for the nurse to take next? - CORRECT ANSWERS-Palpate the
anterior fontanel for tension and bulging
The nurse is preparing a 10 year old with a lacerated forehead for suturing.
Both parents and 12 years old sibling are at the child's bedside. Which
instruction best supports family? - CORRECT ANSWERS-Please decide who
will stay when the healthcare provider begins suturing
The nurse is planning for a 5 month old with gastroesophageal reflux disease
whose weight has decreased by 3 ounces since the last clinic visit one month
ago. To increase caloric intake and decrease vomiting, what instructions
should the nurse provide this mother? - CORRECT ANSWERS-Thicken formula
with cereal for each feeding
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