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2024 EXIT HESI PEDIATRICS EVOLVE EXAM WITH ANSWERS
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2024 EXIT HESI PEDIATRICS EVOLVE EXAM WITH ANSWERS
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2024 EXIT HESI PEDIATRICSEVOLVE EXAM WITH ANSWERS
The nurse is reviewing the primary health care provider's documentation in
the record of a child admitted with a diagnosis of intussusception. The nurse
expects to note that the primary health care provider has documented which
manifestation?
1.Scleral jaundice 2.Projectile vomiting 3.Currant jelly-like stools 4.Pale-
colored and hard stools - CORRECT ANSWERS-3.Currant jelly-like stools
An infant has just returned to the nursing unit after surgical repair of a cleft
lip on the right side. The nurse should place the infant in which best position
at this time?
1.Prone position 2.On the stomach 3.Left lateral position 4.Right lateral
position - CORRECT ANSWERS-3.Left lateral position
The nurse is preparing an infant for surgery to treat Hirschsprung's disease.
Which assessment finding is priority to identify and treat?
1.Vomiting and irritability 2.Malnourishment and lethargy 3.Abdominal
distension and tenderness 4.Decreased blood pressure and tachycardia -
CORRECT ANSWERS-4.Decreased blood pressure and tachycardia
A primary health care provider has prescribed oxygen as needed for an
infant with heart failure. In which situation should the nurse administer the
oxygen to the infant?
1.During sleep 2.When changing the infant's diapers 3.When the mother is
holding the infant 4.When drawing blood for electrolyte level testing -
CORRECT ANSWERS-4.When drawing blood for electrolyte level testing
The nurse is reviewing the immunization schedule for a child with human
immunodeficiency virus (HIV) infection with the mother. Which instruction
should the nurse provide to the mother?
1.Immunizations will not be given to the child with HIV infection. 2.The
immunization schedule is altered because of the HIV infection. 3.The child
and the siblings will need to receive inactivated polio vaccine. 4.The child
with HIV infection will start immunizations when 3 years old. - CORRECT
ANSWERS-3.The child and the siblings will need to receive inactivated polio
vaccine
, A child who is 4 years old is seen for a well-child checkup. He has been
regularly receiving immunizations. Which immunizations should the child
receive at this visit? Select all that apply.
1.Varicella vaccine 2.Rotavirus vaccine 3.Inactivated polio vaccine
4.Meningococcal conjugate vaccine 5.Haemophilus influenzae type B vaccine
6.Measles, mumps, and rubella (MMR) vaccine - CORRECT ANSWERS-1, 3, 6
A child is seen in the health care clinic, and the nurse suspects the presence
of pinworm infection (enterobiasis). The nurse instructs the mother as to how
to obtain a cellophane tape rectal specimen. Which statement by the mother
indicates an understanding of the correct procedure to obtain the specimen?
1."I need to collect the specimen after I give my child a bath." 2."I need to
collect the first bowel movement of the day and place it in a sealed
container." 3."I need to place a piece of transparent cellophane tape lightly
over the anal area as soon as my child awakens and bring it to the clinic for
examination." 4."I need to place a piece of transparent cellophane tape
lightly over the anal area after my child has a bowel movement and bring it
to the clinic for examination." - CORRECT ANSWERS-3."I need to place a
piece of transparent cellophane tape lightly over the anal area as soon as my
child awakens and bring it to the clinic for examination."
In caring for a child diagnosed with Hodgkin's disease, which oncologic
emergency should the nurse be most concerned about?
1.Hyperleukocytosis 2.Spinal cord compression 3.Superior vena cava
syndrome 4.Disseminated intavascular coagulation - CORRECT ANSWERS-
3.Superior vena cava syndrome
A child seen in the clinic is found to have rubeola (measles), and the mother
asks the nurse how to care for the child. The nurse should tell the mother to
implement which action?
1.Keep the child in a room with dim lights. 2.Give the child warm baths to
help prevent itching. 3.Allow the child to play outdoors because sunlight will
help the rash. 4.Take the child's temperature every 4 hours and administer 1
baby aspirin for fever. - CORRECT ANSWERS-1.Keep the child in a room with
dim lights.
The nurse is collecting data on a child with a diagnosis of rheumatic fever.
Which question should the nurse initially ask the mother of the child?
1."Has the child been vomiting?" 2."Has the child had any diarrhea?" 3."Does
the child complain of chest pain and numbness in the right arm?" 4."Has the
child complained of a sore throat within the past few months?" - CORRECT
ANSWERS-4."Has the child complained of a sore throat within the past few
months?"
Which interventions should the nurse include when creating a care plan for a
child with hepatitis? Select all that apply.
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