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OB PEDS HESI EXIT EXAM 2023
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OB PEDS HESI EXIT EXAM 2023
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OB PEDS HESI EXIT EXAM 2023 / HESI OB PEDS EXIT EXAMACTUAL EXAM VERSION 1, 2, 3 AND 4 ACTUAL EXAM
Which nutritional information should the nurse plan to provide the mother of a 6-
month-old regarding introduction of solid foods? - ANSWER: Food should be
introduced into a child's diet one at a time, at 4 to 7 day intervals
The nurse is conducting discharge teaching with the mother of a 22-month-old with
respiratory syncytial virus (RSV) who has one younger and one old sibling living in the
home. Which priority instruction should the nurse include in this teaching plan? -
ANSWER: Institute airborne precautions for the infected child
A 17-year-old male student with cystic fibrosis talks with the school nurse about his
disease and wonders how it will affect getting married and having children. Which
relevant information would the nurse include in this discussion? - ANSWER: He is
likely to have infertility problems and needs further evaluation
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. Which action is best for the nurse to take? -
ANSWER: Inquire about the use of alternative methods of treatment
The mother of a 6-year-old girl is concerned about her child's obesity. The child's
weight plots at the 75 percentile, and height at the 25 percentile. The child's body
mass index (BMI) is at the 85 percentile for age and gender. Which intervention
should the nurse implement? (Select all that apply) - ANSWER: -Determine the child's
usual physical activity pattern
-Obtain the child's 3-day diet history based on the mother's input
-Inquire as to whether or not the school has a physical education program
During a well baby clinic visit, the mother of a 6-month-old infant asks the nurse if
she can have a prescription for Poly VI Sol with fluoride. Though the infant is still
breast feeding, the mother provides the child with supplemental formula feedings.
Which assessment is most important for the nurse to obtain? - ANSWER: Water
source used with supplemental feedings
A mother of a one month old infant calls the clinic to report that the back of her
infant's head is flat. How should the nurse respond? - ANSWER: Position the infant
on the stomach occasionally when awake and active
A toddler with nephrotic syndrome receives a prescription from the healthcare
provider for enalapril. Which action should the nurse implement prior to
administering the medication? - ANSWER: Observe fait and balance while ambulating
,The healthcare provider prescribes Cephalexin 350 mg by mouth every 6 hours for a
child who weighs 88 pounds. The available suspension is labeled, "Cephalexin
Suspension 125 mg/5 mL." The recommended safe dose range is 25 to 50 mg/kg/24
hours in 4 divided doses. How many milliliters should the nurse administer based on
the child's weight? (enter numerical value only. If rounding is required, round to the
nearest whole number). - ANSWER: 14
A 16-year-old adolescent with acute myelocyte leukemia is receiving chemotherapy
via an implanted medication port at the outpatient oncology clinic. What action
should the nurse implement when the infusion is complete? - ANSWER: Flush the
mediport with saline and a heparin solution
An adolescent with pelvic inflammatory disease (PID) is admitted to the hospital
after 14 days of taking levofloxacin 500 mg orally daily and (medication) 500 mg
twice daily. She asks the nurse, "Why do I have to be in the hospital? Why can't I get
my treatment at home?" Which purpose should the nurse provide that supports an
effective outcome? - ANSWER: Detection of early symptoms of Jarisch-Hersheimer
reaction
To maintain patency of the ductus arteriosus, the nurse administers a prescribed
dose of prostaglandin IV to a week old infant diagnosed with transposition of the
greta vessels. Based on which assessment finding should the nurse stop the
medication administration immediately? - ANSWER: Blood pressure of 80/50
While obtaining the vital signs of a 10-year-old child who has a tonsillectomy this
morning, the nurse observes the child swallowing every 2 to 3 minutes. Which
assessment should the nurse implement? - ANSWER: Inspect the posterior
oropharynx
The nurse is admitting a child with a diagnosis of untreated hypoparathyroidism.
Which finding indicative of hypocalcemia should the nurse report to the healthcare
provider? - ANSWER: Positive Chvostek sign
How should the nurse instruct the parents of a 4-month-old with sebotheic
dermatitis (cradle cap) to shampoo the child's hair? - ANSWER: Use a soft brush and
gently scrub the area
Then ruse is caring for a child newly diagnosed with attention deficit hyperactive
disorder (ADHD). The child's mother asks about information of the treatment
options. Which information is most helpful for the nurse to provide? - ANSWER:
Explore the combination of medication and behavioral therapies
The nurse is conducting an admission assessment of an 11-month-old infant with
hear failure who is scheduled for repair of stenosis of concentration at the aorta that
was repaired 4 days after birth. Findings include blood pressure higher in the arms
than the lower extremities, pouncing brachial pulses, and slightly palatable femoral
, pulses. Which pathophysiologic mechanism supports these findings? - ANSWER: The
lumen of the aorta reduces the volume of blood flow to the lower extremities.
The nurse administers digoxin to a 9-month-old infant with an apical heart rate of
150 beats per minute. Which apical pulse rate indicates that the therapeutic effect of
the mediation has been achieved? - ANSWER: 120 beats per minute
The nurse is administering a secondary infusion of amilacin 600 mg IV in 100 mL of
D5W over 45 minutes every 8 hours for a child who weighs 40 kg. The nurse should
program the infusion pump to deliver how many mL/hour? (Enter numeric value
only. If rounding is required, round to the nearest whole number) - ANSWER: 133
The nurse plans to screen only the highest risk children for scoliosis. Which group of
children should the nurse screen first? - ANSWER: Girls between ages 10 and 114
A mother is concerned that her 3-year-old son wants to play with female doll figures.
The child is not interested in building blocks, trucks or other typical "boy" toys. How
should the nurse respond to the mother's concern? - ANSWER: Exploring different
roles in imaginary play is typical at this age
A 4-year-old girl returns to the pediatrician's office for a postoperative visit following
hospitalization for minor surgery. When observing the child in the waiting area,
which behavior should the nurse consider normal for this age child? - ANSWER:
"Talks" to an imaginary friend
When assessing an infant with severe diarrhea, the nurse should observe for which
potential change in breathing pattern? - ANSWER: Kussmaul respirations
A breastfeeding infant, screened for congenital hypothyroidism, is found to have
lowlives of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What
is the best explanation for this finding? - ANSWER: The TSH is high because of the
low production of T4 by the thyroid.
A 10-year-old girl who was bitten by a tick during a camping trip receives a
prescription for tetracycline for Lyme's disease. Which information should the nurse
provide to ensure the client understands? - ANSWER: Do not take tetracyclines with
milk or antacids
A clinic nurse is assessing infants and toddlers for fine and gross motor development.
Which child should the nurse refer to a healthcare provider for further evaluation? -
ANSWER: 3-year-old preferring to walk on the tip toes.
The nurse is caring for an infant scheduled for reduction of an Intussusception. The
day before the scheduled procedure the infant passes a soft-formed brown stool.
Which intervention should the nurse implement? - ANSWER: Notify the healthcare
provider of the passage of brown stool
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