2022-23 HESI RN PEDS EXAM Version one (V1) with complete solution
A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had
... [Show More] diarrhea for last 3 days. Which assessment is most important for nurse to make?
A.Assess infant abdomen for tenderness
b.Determine if the infant was exposed to a virus
C. Measure the infant's pulse
d. Evaluate the infant's cry
{{Correct Ans- C. Measure the infant's pulse
While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning, the nurse observes the child swallowing every 2-3 minutes. Which assessment should the nurse implement?
{{Correct Ans- Inspect the posterior oropharynx
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 parents?
{{Correct Ans- This is an inherited X-linked recessive disorder, which primarily affects male children in the family
2-weck-old female infant is hospitalized for the surgical repair of an umbilical hernia. After resuming to the postoperative neonatal unit, her R and HR have increased during the last hour. Which intervention should the nurse implement?
{{Correct Ans- Administer a PRN analgesic prescription
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?
{{Correct Ans- -Dental caries is associated with drinking soda
-Toddlers should be drinking from a cup by age 2
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?
a.The mother is a single parent and lives with her parents
b.The mother states the baby is irritable during feedings
C the infant's formula has been changed twice
D.The diaper area shows severe skin breakdown
{{Correct Ans- D.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?
{{Correct Ans- Document the finding
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?
{{Correct Ans- Flush mediport w/ saline and heparin solution
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?
{{Correct Ans- Irregular palpable pulse
Nurse is performing a routine assessment of a &-year old at a sommunity health center. Which behavior by the child should alert she nurse to request a follow up for a posaible autism spectrum disorder?
{{Correct Ans- Perform 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?
{{Correct Ans- Contact their HCP immediately
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?
{{Correct Ans- Ask the mother if the child has had a runny nose
13. During a follow up olinical visit a mother tells tia nurse that her 5-monih-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?
{{Correct Ans- 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?
{{Correct Ans- Giving pain medication around the clock helps control the pain [Show Less]