Exam (elaborations)
PEDIATRICS PRACTICE HESI QUESTIONS WITH CORRECT ANSWERS
- Course
- Institution
PEDIATRICS PRACTICE HESI QUESTIONS WITH CORRECT ANSWERS
[Show more]
Content preview
PEDS HESI PRACTICE QUESTIONS"A6mother6tells6the6nurse6that6her6child6does6not6want6anything6to6do6with6toilet6training6a
nd6yells6"NO!"6consistently6when6she6tries6to6toilet6train.6The6child6is626years6old.6Accordi
ng6to6Erikson,6the6nurse6interprets6that6the6child6is6experiencing6which6psychosocial6crisi
s?"
a.6autonomy6vs6shame6and6doubt
b.6initiative6vs6guilt
c.6industry6vs6inferiority
d.6trust6vs6mistrust6-6ans--Autonomy6vs6shame6and6doubt
A62-year-
old6child6is6admitted6to6the6hospital6with6juvenile6rheumatoid6arthritis6(JRA).6During6the6fo
cused6assessment,6the6nurse6makes6it6a6priority6to6note6the6presence6of6which6of6the6foll
owing?"
a.6increased6irritability6and6the6child's6insistence6to6be6carried6out
b.6complaints6of6joint6stiffness
c.6history6of6daily6temperature6elevations
d.6description6of6how6difficult6it6is6to6move6around6after6periods6of6inactivity6-6ans--
increased6irritability6and6the6child's6insistence6to6be6carried6out
A6mother6of6a6toddler6who6is6hospitalized6with6mild6dehydration6must6leave6her6child6to6g
o6to6work.6Which6behavior6would6the6nurse6expect6to6observe6in6the6toddler6immediately6
after6the6mother's6departure?
a.6silently6curled6in6bed6with6a6blanket
b.6loudly6crying6and6kicking6both6legs
c.6playing6quietly6with6a6favorite6toy
d.6sucking6thumb6and6rocking6back6and6forth6-6ans--loudly6crying6and6kicking6both6legs
"A6newborn6infant6is6diagnosed6with6hypospadias,6and6the6mother6asks6the6nurse6about6
the6disorder.6The6nurse6bases6the6response6on6which6of6the6following?"
a.6it6is6a6congenital6anomaly6in6which6the6actual6opening6of6the6urethra6meatus6is6below6t
he6normal6placement6on6the6glans6penis
b.6it6occurs6when6one6or6both6testes6fail6to6descend6through6the6inguinal6canal6into6the6s
crotal6sac
c.6it6is6a6congenital6anomaly6in6which6the6actual6opening6of6the6urethral6meatus6is6dorsal6
to6the6urethral6opening
d.6it6is6a6congential6anomaly6characterized6by6the6extrusion6of6the6urinary6bladder6to6the6
outside6of6the6body6-6ans--
it6is6a6congenital6anomaly6in6which6the6actual6opening6of6the6urethra6meatus6is6below6the
6normal6placement6on6the6glans6penis
,A6home6care6nurse6is6providing6instructions6to6a6child6with6cystic6fibrosis6about6how6to6p
erform6the6"huff"6maneuver;6the6child6asks6the6nurse6about6the6purpose6of6this6type6of6br
eathing.6The6nurse6makes6which6response6to6the6child?
a.6"this6type6of6breathing6is6used6to6mobilize6secretions6so6that6they6can6be6easily6cough
ed6out"
b.6"this6type6of6breathing6prolongs6inspiration6time"
c.6"this6type6of6breathing6moves6air6out6of6the6lower6lungs"
d.6"this6type6of6breathing6moves6air6through6the6lungs"6-
6ans--"this6type6of6breathing6is6used6to6mobilize6secretions6so6that6they6can6be6easily6co
ughed6out"
A6home6care6nurse6is6instructing6the6mother6of6a6child6with6cystic6fibrosis6(CF)6about6the6
appropriate6dietary6measures.6The6nurse6tells6the6mother6that6the6child6needs6to6consu
me6a:
a.6low6calorie,6low6fat6diet
b.6high6calorie,6high6protein6diet
c.6low6calorie,6low6protein6diet
d.6high6calorie,6restricted6fat6-6ans--high6calorie,6high6protein6diet
Breathing6exercises6and6postural6drainage6is6prescribed6for6a6child6with6cystic6fibrosis.6A
6nurse6implements6these6procedures6by6telling6the6child6to:
a.6perform6the6postural6drainage,6then6the6breathing6exercises
b.6perform6the6breathing6exercises,6then6the6postural6drainage
c.6schedule6the6procedures6so6they6are646hours6apart
d.6perform6postural6drainage6in6the6morning6and6breathing6exercises6in6the6evening6-
6ans--perform6the6postural6drainage,6then6the6breathing6exercises
A6nurse6is6reviewing6the6results6of6a6sweat6test6performed6on6a6child6with6cystic6fibrosis6(
CF).6The6nurse6would6expect6to6note6which6finding?
a.6a6sweat6sodium6concentration6less6than6406mEq/L
b.6a6sweat6potassium6concentration6less6than6406mEq/L
c.6a6sweat6potassium6concentration6greater6than6406mEq/L
d.6a6sweat6sodium6concentration6greater6than6606mEq/L6-6ans--
a6sweat6sodium6concentration6greater6than6606mEq/L
Methylphenidate6(Ritalin)6is6prescribed6for6a6child6with6a6diagnosis6of6attention6deficit6hy
peractivity6disorder6(ADHD).6The6nurse6provides6instructions6to6the6mother6regarding6the
6administration6of6the6medication6and6tells6the6mother6to6administer6the6medication:
a.6before6dinner6and6at6bedtime
b.6before6breakfast6and6before6the6noontime6meal
c.6in6the6morning6after6breakfast6and6at6bedtime
d.6at6the6noontime6and6evening6meals6-6ans--
before6breakfast6and6before6the6noontime6meal
"Methylphenidate6hydrochloride6(Ritalin)6is6prescribed6for6a610-year-
old6child6diagnosed6with6attention6deficit6hyperactivity6disorder,6and6the6nurse6provides6i
,nstructions6to6the6mother6about6administration6of6the6medication.6The6nurse6determines6
that6the6mother6understands6the6instructions6when6the6mother6states:"
a.6I6will6give6my6child6the6medication6at6bedtime6so6that6he6will6be6rested6and6alert6for6sc
hool6the6next6day
b.6I6will6give6my6child6the6medication6after6meals6to6obtain6the6full6effects6of6the6medicati
on
c.6I6will6give6my6child6the6medication6at6breakfast6and6lunch6to6prevent6insomnia
d.6I6will6give6my6child6the6medication6with6water6to6prevent6kidney6damage6-6ans--
I6will6give6my6child6the6medication6at6breakfast6and6lunch6to6prevent6insomnia
Methylphenidate6(Ritalin)6is6prescribed6for6a6child6with6attention6deficit6hyperactivity6disor
der6(ADHD).6The6nurse6provides6instructions6to6the6mother6regarding6the6administration6
of6the6medication.6Which6statement6by6the6mother6would6indicate6a6need6for6further6instr
uctions?
a.6I6will6administer6the6medication6with6the6noontime6meal6
b.6I6will6keep6the6medication6tightly6capped6and6away6from6direct6heat
c.6I6should6inform6the6school6nurse6that6my6child6is6taking6this6medication
d.6I6should6avoid6giving6the6medications6on6Saturdays6and6Sundays6to6provide6a6medica
tion6holiday6-6ans--
I6should6avoid6giving6the6medications6on6Saturdays6and6Sundays6to6provide6a6medicatio
n6holiday
A6client6with6diplopia6has6been6given6an6eye6patch6to6promote6better6vision6and6prevent6i
njury.6The6nurse6teaches6the6client6to6do6which6of6the6following6as6part6of6correct6use6of6t
his6item?
a.6wear6the6patch6continuously,6alternating6eyes6each6day
b.6wear6the6patch6continuously,6alternating6eyes6each6week
c.6use6the6patch6only6when6vision6is6exceptionally6blurry
d.6put6the6patch6on6for6an6hour,6and6then6take6it6off6for6an6hour6-6ans--
wear6the6patch6continuously,6alternating6eyes6each6day
A6student6nurse6examines6an6Asian6American6infant's6eyes6and6notes6that6the6infant's6e
yes6are6crossed.6The6registered6nurse6asks6the6student6to6interpret6the6finding.6Which6st
atement6by6the6student6indicates6an6understanding6of6this6assessment6finding?
a.6it6probably6isn't6strabismus6but6appears6that6way6because6of6the6child;s6ethnic6backgr
ound
b.6you6will6want6to6call6the6pediatrician6immediately6because6this6could6lead6to6detached6
retina
c.6it6probably6is6strabismus6because6the6baby's6mother6has6abused6tranquilizers
d.6strabismus6isn't6life6threatening6but6it6requires6surgery6in6the6first626months6to6prevent6
the6crossed6eyes6from6being6a6life6long6condition6-6ans--
it6probably6isn't6strabismus6but6appears6that6way6because6of6the6child;s6ethnic6backgrou
nd
A6nurse6notes6that6a6client's6eyes6are6continuously6moving6back6and6forth6within6the6eye
6sockets.6The6nurse6documents6in6the6medical6record6that6the6client6has:
, a.6ataxia
b.6nystagmus
c.6pronator6drift
d.6hyperreflexia6-6ans--nystagmus
"A6nurse6is6providing6instructions6to6the6mother6of6a6child6with6a6diagnosis6of6strabismus6
of6the6left6eye,6and6the6nurse6reviews6the6procedure6for6patching6the6child.6The6nurse6de
termines6that6the6mother6understands6the6procedure6if6the6mother6makes6which6stateme
nt?"
a.6I6will6place6the6patch6on6the6right6eye
b.6I6will6place6the6patch6on6both6eyes
c.6I6will6place6the6patch6on6the6left6eye
d.6I6will6alternate6the6patch6from6the6right6to6the6left6eye6every6hour6-6ans--
I6will6place6the6patch6on6the6right6eye
A6nurse6develops6a6plan6of6care6for6a6one-month-
old6infant6hospitalized6for6intussusception.6Which6nursing6measure6would6be6most6effecti
ve6to6provide6psychosocial6support6for6the6parent-child6relationship?
a.6encourage6the6parents6to6go6home6and6get6some6sleep
b.6encourage6the6parents6to6room-in6with6their6infant
c.6provide6educational6materials
d.6initiate6home6nutritional6support6as6early6as6possible6-6ans--
encourage6the6parents6to6room-in6with6their6infant
"A612-year-
old6child6is6seen6in6the6health6care6clinic.6During6the6assessment,6which6finding6would6su
ggest6to6the6nurse6that6the6child6is6experiencing6a6disruption6in6the6development6of6self-
concept?"
a.6the6child6has6a6part-time6babysitting6job
b.6the6child6enjoys6playing6chess6and6mastering6new6skills6with6this6game
c.6the6child6has6many6friends
d.6the6child6has6an6intimate6relationship6with6a6significant6other6-6ans--
the6child6has6an6intimate6relationship6with6a6significant6other
A6nurse6is6preparing6to6care6for6a6child6from6a6culture6different6from6the6nurse's.6What6is6
the6best6way6to6address6the6cultural6needs6of6the6child6and6family6when6the6child6is6admi
tted6to6the6health6care6facility?
a.6ask6questions6and6explain6to6the6family6why6the6questions6are6being6asked
b.6explain6to6the6family6that6while6the6child6is6being6treated,6they6need6to6discontinue6cult
ural6practices6because6they6may6be6harmful6to6the6child
c.6ignore6cultural6needs6because6they6are6not6important6to6health6care6professionals
d.6only6address6those6issues6that6directly6affect6the6nurse's6care6of6the6child6-6ans--
ask6questions6and6explain6to6the6family6why6the6questions6are6being6asked
"A64-year-
old6child6with6cancer6is6admitted6to6the6hospital6for6radiation6therapy6and6surgery.6To6ass
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller AGRADEPROMASTER. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
