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2024 PEDS HESI & NCLEX PREP EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 PEDS HESI & NCLEX PREP EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 PEDS HESI & NCLEX PREPEXAM QUESTIONS WITH CORRECT
ANSWERS
A mother brings her school-aged daughter to the pediatric clinic for
evaluation of her epileptic medication regimen. What information should the
nurse provide to the mother? - CORRECT ANSWERS-The medication does will
be tapered over a period of 2 weeks when being discontinued
A child receives a prescription for amantadine 42 mg PO BID. Amantadine is
available as a 50 mg/5mL syrup. Using a supplied calibrated measuring
device, how many mL should the nurse administer per dose? (round to the
nearest tenth) - CORRECT ANSWERS-0.5 mL
A male toddler is brought to the emergency center approximately three
hours after swallowing tablets from his grandmother's bottle of digoxin
(Lanoxin). What prescription should the nurse implement first? - CORRECT
ANSWERS-Give IV digoxin immune fab (Digibind)
An 8-year-old male client with nephrotic syndrome is receiving salt-poor
human albumin IV. Which findings indicate to the nurse that the child is
manifesting a therapeutic response? - CORRECT ANSWERS-Decreased
periorbital edema
A mother of a 3-year-old boy has just given birth to a new baby girl. The little
boy asks the nurse, "Why is my baby sister eating my mommy's breast?"
How should the nurse respond? (Select all that apply) - CORRECT ANSWERS--
Remind him that his mother breastfed him too
- Reassure the older brother that it does not hurt his mother
- Explain that newborns get milk from their mothers in this way
A middle school male student was recently diagnosed with attention-deficit
hyperactivity disorder (ADHD) and is having trouble with his grades. He is
referred to the school nurse by the teacher because he continues to have
learning problems. Which action should the school nurse take? - CORRECT
ANSWERS-Ask the parents to have the child seen by a clinical psychologist
A child diagnosed with Kawasaki disease is brought to the clinic. The mother
reports that her child is irritable, refuses to eat, and has skin peeling on both
his hands and feet. Which intervention should the nurse instruct the mother
,to implement first? - CORRECT ANSWERS-Place the child in a quiet
environment
The nurse is preparing a teaching plan for the parents of a 6-month-old
infant with GERD. What instruction should the nurse include when teaching
the parents measures to promote adequate nutrition? - CORRECT ANSWERS-
Mix the formula with rice cereal
A mother brings her 8 mo. old baby boy to clinic because he has been
vomiting and had diarrhea for the last 3 days. Which assessment is most
important for the nurse to make? - CORRECT ANSWERS-Measure the infant's
pulse
While obtaining the vital signs of a 10 year old boy who had a tonsillectomy
this morning, the nurse observes the child swallowing every 2-3 minutes.
Which assessment should the nurse implement? - CORRECT ANSWERS-
Inspect the posterior oropharynx
The parents of a 3-year-old boy who has Duchenne muscular dystrophy ask,
"How can our son have this disease? We are wondering if we should have
any more children." What information should the nurse provide to the
parents? - CORRECT ANSWERS-This is an inherited X-linked recessive
disorder, which primarily affects male children in the family
A 2-week-old female infant is hospitalized for the surgical repair of an
umbilical hernia. After returning to the postoperative neonatal unit, her RR
and HR have increased during the last hour. Which intervention should the
nurse implement? - CORRECT ANSWERS-Administer a PRN analgesic
prescription
A 2-year-old girl is brought to the clinic by her 17 year old mother. When the
nurse observes that the child is drinking sweetened soda from her bottle,
what information should the nurse discuss with this mother? (Select all that
apply) - CORRECT ANSWERS-- Dental caries are associated with drinking
soda
- Drinking soda is related to childhood obesity
- Toddlers should be drinking from a cup by age 2
A mother brings her 3 month old infant to the clinic because the baby does
not sleep through the night. Which finding is most significant in planning
care for this family? - CORRECT ANSWERS-The diaper area shows severe skin
breakdown
The nurse determines that an infant admitted for surgical repair of an
inguinal hernia voids a urinary stream from the ventral surface of the penis.
,What action should the nurse take? - CORRECT ANSWERS-Document the
finding
A 16 year old with acute myelocytic leukemia is receiving chemotherapy (CT)
via an implanted medication port at the out-patient oncology clinic. What
action should the nurse implement when the infusion is complete? -
CORRECT ANSWERS-Flush mediport w/saline and heparin solution
A mother brings her 3-week-old infant to the clinic because the baby vomits
after eating and always seems hungry. Further assessment indicates that the
infant's vomiting is projectile, and the child seems listless. Which additional
assessment finding indicates the possibility of a life threatening
complication? - CORRECT ANSWERS-Irregular palpable pulse
The nurse is performing a routine assessment of a 3-year old at a community
health center. Which behavior by the child should alert the nurse to request
a follow-up for a possible autistic spectrum disorder? - CORRECT ANSWERS-
Performs odd repetitive behaviors
Following admission for cardiac catheterization, the nurse is providing
discharge teaching to the parents of a 2-year-old toddler with tetralogy of
Fallot. What instruction should the nurse give the parents if their child
becomes pale, cool, lethargic? - CORRECT ANSWERS-Contact their HCP
immediately
A mother brings her 2 year old son to the clinic because he has been crying
and pulling on his earlobe for the past 12 hours. The child's oral temperature
is 101.2 F. Which intervention should the nurse implement? - CORRECT
ANSWERS-Ask the mother if the child has had a runny nose
During a follow up clinical visit a mother tells the nurse that her 5 month old
son who had surgical correction for tetralogy of Fallot has rapid breathing,
often takes a long time to eat, and requires frequent rest periods. The infant
is not crying while being held and his growth is in the expected range. Which
intervention should the nurse implement? - CORRECT ANSWERS-Auscultate
heart and lungs while infant is held
The mother of an 11-year old boy who has juvenile arthritis tells the nurse, "I
really don't want my son to become dependent on pain medication, so I only
allow him to take it when he is really hurting." Which information is most
important for the nurse to provide this mother? - CORRECT ANSWERS-Giving
pain medication around the clock helps control the pain
The mother of a 4-month old baby girl asks the nurse when she should
introduce solid foods to her infant. The mother states, "My mother says I
should put rice cereal in the baby's bottle now." The nurse should instruct
, the mother to introduce solid foods when her child exhibits which behavior? -
CORRECT ANSWERS-Opens mouth when food comes her way
A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist
agent albuterol (Proventil). The child's mother tells the nurse that she uses
this medication to open her son's airway when he is having trouble
breathing. What is the nurse's best response? - CORRECT ANSWERS-Assure
the mother that she is using the medication correctly
A child with pertussis is receiving azithromycin (Zithromax Injection) IV.
Which intervention is most important for the nurse to include in the child's
plan of care? - CORRECT ANSWERS-Assess for abdominal pain and vomiting
The nurse is conducting an admission assessment of an 11-month old infant
with CHF who is scheduled for repair of restenosis of coarction of the aorta
hat was repaired 4 days after birth. Findings include blood pressure higher in
the arms than the lower extremities, pounding brachial pulses, and slightly
palpable femoral pulses. What pathophysiologic mechanisms support these
findings? - CORRECT ANSWERS-The lumen of the aorta reduces the volume
of the blood flow to the lower extremities
A child who is admitted to the hospital with anemia is anxious, fearful, and
hyperventilating. The nurse anticipates the child developing which acid base
imbalance? - CORRECT ANSWERS-Respiratory alkalosis
The mother of a toddler reports to the nurse working in the pediatric clinic
that her child has had a fever and sore throat for the past two days. The
nurse observes several swollen red spots in the child's body, a few of which
are fluid blisters. Which action should the nurse implement? - CORRECT
ANSWERS-Implement transmission precautions
The mother of a 14-year-old who had a below-the-knee amputation for
osteosarcoma tells the nurse that her child is angry and blaming her for
allowing the amputation to occur. Which response is best for the nurse to
provide? - CORRECT ANSWERS-"A reaction of anger is your child's attempt to
cope with this loss"
The nurse provides information about the human papilloma virus (HPV)
vaccine to the mother of a 14-year-old adolescent who came to the clinic this
morning complaining of menstrual cramping. Which explanation should the
nurse provide to support administering the HPV vaccine to the adolescent
who came to the clinic this morning complaining of menstrual cramping.
Which explanation should the nurse provide to support administering the
HPV vaccine to the adolescent at this visit? - CORRECT ANSWERS-Use of
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