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HESI RN PEDIATRICS EXAM COMPLETE 100 QUESTIONS WITH VERIFIED DETAILED AND 100% CORRECT ANSWERS AND RATIONALES BRAND NEW ALREADY GRADED A+$16.49
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HESI RN PEDIATRICS EXAM
COMPLETE 100 QUESTIONS WITH
VERIFIED DETAILED AND 100%
CORRECT ANSWERS AND
RATIONALES BRAND NEW ALREADY
GRADED A+
Ten days after cardiac surgery, an 18-month-old child is
recovering well. The child is alert and fairly active and is
playing well with the parents. Discharge is planned soon.
The nurse notes that the parents are still very reluctant to
allow the child to do anything without help. What is the
best initial action for the nurse to take?
1. Reemphasize the need for autonomy in toddlers
2. Provide opportunities for autonomy when the
parents are not present
3. Reassess the parent's needs and concerns
4. Discuss the success of the surgery and how well
the child is doing - ....ANSWER...3.
RATIONALE: Before the nurse can teach the parents, it
will be necessary to reassess their needs and concerns. The
question asks for the best initial action. Initially, the nurse
should assess. Later, the nurse may emphasize the toddler's
need for autonomy. The nurse may provide the child with
1
,opportunities to develop autonomy, although it would be
better to teach the parents. The nurse may also discuss the
success of the surgery and how well the child is doing, but
this is not the initial action.
Sodium salicylate is prescribed for a child with rheumatic
fever. What should the nurse assess the child for because
the child is on this medication?
1. Tinnitus and nausea
2. Dermatitis and blurred vision
3. Unconsciousness and acetone odor of breath
4. Chills and elevation of temperature - ....ANSWER...1.
Tinnitus and nausea are signs of toxicity to salicylate
drugs.
The nurse makes an initial assessment of a 4-year-old child
admitted with possible epiglottitis. Which observation is
most suggestive of epiglottitis?
1. Low-grade fever
2. Retching
3. Excessive drooling
4. Substernal retractions - ....ANSWER...3. Excessive
drooling is a sign of epiglottitis.
RATIONALE: A child with epiglottitis isapt to have a
high fever. Retching is not typical. Retractions could
occur if respiratory distress was great enough, but
drooling is the hallmark of epiglottitis.
2
,Which nursing action could be life-threatening for a child
with epiglottitis?
1. Examining the child's throat with a tongue blade
2. Placing the child in a semi-sitting position
3. Maintaining high humidity
4. Obtaining a nasopharyngeal culture - ....ANSWER...1.
RATIONALE: Examining the child's throat with a
tongue blade may cause the epiglottis to become so
irritated that it will closeoff completely and obstruct the
airway. The child should be placed in a semi-sitting to
upright position. Humidity isnot a problem. A
nasopharyngeal culture would not cause problems. The
nurse should get a throat culture, however.
The nurse is caring for a toddler who is six hours post
cardiac catheterization. The nurse is administering
antibiotics. The child's mother asks why the child needs to
have antibiotics. The nurse's response should indicate that
antibiotics are given to the client to prevent which type of
infection?
1. Urinary tract infection
2. Pneumonia
3. Otitis media
4. Endocarditis - ....ANSWER...4.
RATIONALE: During a cardiac catheterization, a
3
, 2|Page
catheter is inserted into the heart; therefore, the infection
2
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