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PEDS HESI & NCLEX Prep Questions and Answers
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PEDS HESI & NCLEX Prep Questions and Answers
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PEDS HESI & NCLEX Prep Questionsand Answers
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?
- Answer -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? - Answer -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? - Answer -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? - Answer -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) - Answer -- 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? -
Answer -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? - Answer -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? - Answer -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? - Answer -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? - Answer -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? - Answer -
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? - Answer -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? -
Answer -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? - Answer -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? - Answer -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? - Answer -Assure the mother that she is using the medication correctly
,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?
- Answer -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) - Answer -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? - Answer -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? - Answer -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) - Answer -- 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? - Answer -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? - Answer -
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? - Answer -Mix the formula with rice cereal
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? -
Answer -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? - Answer -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? - Answer -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? - Answer -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? - Answer -"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? - Answer -Use of
protective barriers during sexual activity prevents most strains of HPV infection
An adolescent's mother calls the primary HCP's office to inquire about the result of her
daughter's serum test results that were drawn last week. Since it is the teenager's 18th
birthday, how should the nurse respond to this mother's inquiry? - Answer -Explain that
the information cannot be released without the 18-year olds permission
The parents of a 15-month old boy tell the nurse that they are concerned because their
son brings his spoon to his mouth but does not turn it over. What action should the
nurse implement first? - Answer -Questions the parents about their concern
A child with Grave's disease who is taking propranolol (Inderal) is seen in the clinic. The
nurse should monitor the child for which therapeutic response? - Answer -Decreased
heart rate
A 10-year-old girl who has type 1 diabetes mellitus (DM) for the past two years tells the
nurse that she would like to use a pump instead of insulin injections to manage her
diabetes. Which assessment of the girl is most important for the nurse to obtain? -
Answer -Ability to perform the pump for basal insulin with mealtime boluses
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