EVOLVE HESI PEDS 2024
Which menu selection by a child with celiac disease indicates to the nurse that the
child understands necessary dietary considerations? - ANSWER: Oven baked potato
chips and cola
To take the vital signs of a 4-month-old child, which order provides the most
accurate results? - ANSWER: Resp rate heart rate then rectal temp
The nurse is assessing the neurovascular status of a child in Russell's traction. Which
finding should the nurse report to the healthcare provider? - ANSWER: Pale bluish
coloration of the toes
Surgery is being delayed for an infant with undescended testes. In collaboration with
the healthcare provider and the family, which prescription should the nurse
anticipate? - ANSWER: A trial of HCG,human chorionic gonadotrophic hormone
The nurse is teaching a 12-year-old male adolescent and his family about taking
injections of growth hormone for idiopathic hypopituitarism. Which adverse
symptoms, commonly associated with growth hormone therapy, should the nurse
plan to describe to the child and his family? - ANSWER: Polyuria and polydipsia
The nurse is caring for a 12-year-old with Syndrome of Inappropriate Antidiuretic
Hormone (SIADH). This child should be carefully assessed for which complication? -
ANSWER: Severe edema from excess of water and sodium
The nurse is giving preoperative instructions to a 14-year-old female client who is
scheduled for surgery to correct a spinal curvature. Which statement by the client
best demonstrates that learning has taken place? - ANSWER: I understand that i will
be in a body cast and i will show you how to turn
The clinic nurse is taking the history for a new 6-month-old client. The mother
reports that she took a great deal of aspirin while pregnant. Which assessment
should the nurse obtain? - ANSWER: Type of reaction to loud noises
A 12-month-old boy is admitted with a respiratory infection and possible pneumonia.
He is placed in a mist tent with oxygen. Which nursing intervention has the greatest
priority for this infant? - ANSWER: Have a bulb syringe readily available to remove
secretions
Which measurements should be used to accurately calculate a pediatric medication
dosage? (Select all that apply.) - ANSWER: Childs height and weight
Body surface area of child
Nomogram determined mathematical constant
The nurse is preparing a health teaching program for parents of toddlers and
preschoolers and plans to include information about prevention of accidental
, poisonings. It is most important for the nurse to include which instruction? -
ANSWER: Store all toxic agents and medicines in locked cabinets
When assessing a child with asthma, the nurse should expect intercostal retractions
during - ANSWER: Inspiration
When planning the care for a child who has had a cleft lip repair, the nurse knows
that crying should be minimized because it - ANSWER: Stresses the suture line
A 14-year-old female client tells the nurse that she is concerned about the acne she
has recently developed. Which recommendation should the nurse provide? -
ANSWER: Wash the hair and skin frequently with soap and water
A full term infant is admitted to the newborn nursery. After careful assessment, the
nurse suspects that the infant may have an esophageal atresia. Which symptoms are
this newborn likely to exhibit? - ANSWER: Choking coughing cyanosis
To assess the effectiveness of an analgesic administered to a 4-year-old, what
intervention is best for the nurse to implement? - ANSWER: Use a happy face /sad
face pain scale
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris.
What is the most important instruction for the nurse to include in this client's
teaching plan? - ANSWER: Use sunscreen when lying by the pool
A nurse who is working in the Poison Control Center receives several telephone calls
from parents whose children have ingested possible poisons. The nurse should
recommend inducing vomiting for which child? - ANSWER: 16 month old who drank
2 oz of Tylenol elixir
A burned child is brought to the emergency room. In estimating the percentage of
the body burned, the nurse uses a modified "Rule of Nines." Which part of a child's
body is calculated as a larger percentage of total body surface than an adult's? -
ANSWER: Head and neck
A three-month old boy weighing 10 lbs 15 oz has an axillary temperature of 98.9° F.
The nurse determines the daily caloric need for this child is approximately -
ANSWER: 600 calories per day
An important component of discussion with parents of a child in precocious puberty
is: - ANSWER: Dress and activities should be appropriate to chronologic age
A nurse is developing a plan of care for a child recently diagnosed with diabetes
insipidus. Which should be included? - ANSWER: Encourage the child to wear
medical identification
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