PEDS HESI COMPLETE EXAM

PEDS HESI COMPLETE EXAM QUESTIONS WITH CORRECT ANSWERS ALREADY GRADED The nurse working on the pediatric unit takes two 8-year old girls to the playroom. Which activity is best for the nurse to plan for these girls? A. Selecting a board game B. Playing Doctor and nurse C. Watching cartoon on TV D. Coloring, cutting and pasting - ANSWER A. Selecting a board game The nurse is developing the plan of care for a hospitalized child with von Willebrand disease. What priority nursing intervention should be included in this child plan of care A. Reduce exposure to infection B. Eliminate contact with cold grafts (crafts? Is not legible) C. Guard against bleeding injuries D. Reduce contact with other children - ANSWER C. Guard against bleeding injuries How should the nurse instruct the parents of a 4 month old with seborrheic dermatitis (cradle cap) to shampoo the child's hair? A. Use a soft brush and gently scrub the area B. B. Avoid scrubbing the scalp until the scales disappear C. Avoid washing the child's hair more than once a week D. Use soap and water and avoid shampoos - ANSWER A. Use a soft brush and gently scrub the area 1 Prior to discharge, the parents of a child with cystic fibrosis are demonstrating chest physiotherapy (CPT) that they will perform for their child at home. Which action requires intervention by the nurse? A. Plan to perform CPT when the child awakens in the morning B. A Copped hand is used when percussing the lung field C. A bronchodilator is administered before starting CPT D. The child is placed in a supine position to begin percussion - ANSWER D. The child is placed in a supine position to begin percussion When assessing the breath sounds of an 18 month old child who is crying, what action should the nurse take? A. Document that the assessment is not available because the child is crying B. Ask the parents to quiet the child so breath sounds can be auscultated C. Allow the child to initially play with stethoscope, and distract during auscultation D. Auscultate and document breath sounds, noting that the child was crying at the time - ANSWER C. Allow the child to initially play with stethoscope, and distract during auscultation The mother of a one month old calls the clinic to report that the back of her infant is flat. How should the nurse respond A. Turn the infant on the left side braced against the crib when sleeping B. Prop the infant in a sitting position with a cushion when no sleeping C. Place a small pillow under the infant's head while lying on the back 2 D. Position the infant on the stomach occasionally when awake and active - ANSWER D. Position the infant on the stomach occasionally when awake and active Which nursing intervention is most important to assist in detecting hypopituitarism and hyperpituitarism in children A. Carefully recording the height and weight of children to detect inappropriate growth B. Performing head circumference measurements on infants under one year of age C. Assessing for behavioral problems at home and school by interviewing the parents D. Noting a tracked weight gain without a gain in height on a growth chart - ANSWER A. Carefully recording the height and weight of children to detect inappropriate growth A 7 year old child is admitted to the hospital with acute glomerulonephritis (AGN). When obtaining the nursing history which finding should the nurse expect to obtain? A. High blood cholesterol level on routine screening B. Increased thirst and urination C. A recent strep throat infection D. A recent DPT immunization - ANSWER C. A recent strep throat infection The nurse plans to screen only the highest risk children for scoliosis. Which group of children should the nurse screen first A. Girls between ages 10 and 14 B. Boys between ages 10 and 14 3 C. Boys and girls between 12 and 14 D. Boys and girls between 8 and 12 - ANSWER A. Girls between ages 10 and 14 In assessing a 10 year old newly diagnosed with osteomyelitis, which information is most for the nurse to obtain A. Recent recurrence of infections B. Cultural heritage and belief C. Family history of bone disorder D. Occurrence of increased fluid intake - ANSWER A. Recent recurrence of infections A 3 year old boy in a daycare facility scratches his head frequently and the nurse confirms the presence if head lice. The nurse washes the child's hair with permethrin (Nix) shampoo and call his parents. What instructions should the nurse provide to the parents about treatment of head lice? A. Wash the child's bed linens and clothing In hot soapy water B. Dispose of the child's brushes, comb's and other hair accessories C. Rewash the child's hair following a 24 hour isolation period D. Take the child to a hair salon for a shampoo and shorter haircut - ANSWER A. Wash the child's bed linens and clothing In hot soapy water The nurse on a pediatric unit observes a distraught mother in the hallway scolding her 3 year old son for wetting his pants. What initial action should the nurse take? A. Suggest that the mother consult a pediatric nephrologists B. Provide disposable training pants while calming the mother C. Refer the mother to a community parent education program 4 D. Inform the mother that toilet training is slower for boys - ANSWER D. Inform the mother that toilet training is slower for boys The nurse is caring for a 3 year old child who is 2 hours postop from a catheriticardiac zation via the right femoral artery. Which assessment finding is an indication of arterial obstruction? - ANSWER Right foot is cool to the touch and appears pale and blanched Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which toy is best for the nurse for this 3 year old child? - ANSWER Set of cloth and hand puppets An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse implement first? - ANSWER Place the infant in a knee-chest position A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration? - ANSWER Metabolic Acidoses A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare provider? - ANSWER Serum potassium of 3.0 mg/dL The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing which food indicates that the teaching has been effective? - ANSWER Creamed corn During a well-baby check, the nurse hides a block under the 5 baby's blanket, and the baby looks for the block. Which normal growth and development milestone is the baby developing? - ANSWER Object Permanence The nurse is measuring he frontal occipital circumference (FOC) of a 3 month old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears large in relation to body size. Which action is most important for the nurse to take next? - ANSWER Cfontanel for tension and bulging The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both parents and 12 years old sibling are at the child's bedside. Which instruction best supports family? - ANSWER Please decide who will stay when the healthcare provider begins suturing The nurse is planning for a 5 month old with gastroesophageal reflux disease whose weight has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease vomiting, what instructions should the nurse provide this mother? - ANSWER Thicken formula with cereal for each feeding While teaching a parenting class to new parents the nurse describes the needs of infants and toddlers regarding discipline and limit setting. What is the most important reason for implementing such parenting behaviors? - ANSWER They provide the child with a sense of security The parents of a newborn infant with hypospadia are concerned about when the surgical correction should occur. What inf