NGN HESI PEDIATRIC PROCTORED EXAM 2020 WITH
VERIFIED SOLUTIONS/A+ GRADE
1. The nurse is planning care for a 5 - month-old with gastroesophageal reflux
... [Show More] disease whose weight has
decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease
vomiting, what instruction should the nurse provide this mother?
•Dilute the child's formula with equal parts of water
•Offer 10% dextrose in water between most feeding
•Give small amounts of baby food with each feeding
•Thicken formula with cereal for each feeding
2. A 4-years-old boy was recently diagnosed with Duchenne muscular dystrophy (DMD). Which characteristic
of the disease is most important for the nurse to focus on during the initial teaching?
•Muscular strength can be regained with physical exercise and therapy
•Growth and development have been abnormal since birth
•Respiratory dysfunction and aspiration are prime concerns at this stage of the disease
•Lower legs become progressively weaker, causing a wedding, unsteady gait
3. In caring for an client with acute epiglottitis, which nursing action takes priority?
•Obtain a stat CBC
•Prepare for endotracheal intubation
•Auscultate breath sounds
•Apply ice packs to the neck
4. Which client requires immediate intervention by the nurse?
•A toddler with chickenpox who is scratching
•An adolescent with a migraine and photophobia
•A child with cystic fibrosis who is constipated
•A Child with acute renal failure and hyperkalemia
5. The nurse is conducting an admission assessment of an 11-months old infant with congestive heart failure
who is scheduled repair of restenosis of coarctation of the aorta that was repaired 4 days after birth. Findings
include blood pressure higher in the arms than the lower, with pathophysiologic mechanism support these
findings?
•The aortic semi lunar valve obstructs blood flow into the systemic circulation
•An opening in the atrial septum causes a murmur due to a turbulent left to right shunt
•The lumen of the aorta reduces the volume of flow to the lower extremities
•The pulmonic valve prevents adequate blood volume
6. A child is to receive vancomycin (Vancocin) 20 mg/kg IV one hour before a scheduled procedure. The child
weight 77 pounds. How many mg of the medication should the nurse prepare to administer? (Enter numeric
value only)
700 mg
NGN HESI PEDIATRIC PROCTORED EXAM 2020 WITH
VERIFIED SOLUTIONS/A+ GRADE
7. A toddler with hemophilia is being discharged from the hospital. Which teaching should the nurse include in
the discharge instructions to the mother?
• Apply padding on the sharp corners of the furniture
• Prevent the child from running inside the house
• Give an 81 mg tablet of aspirin for pain relief
• Use a soft toothbrush for frequent cleaning
8. The nurse is using the Stage Questionnaire (b) to assess a 24 - month-old child. What is the best intervention
for the nurse to initiate after the assessment is complete [Show Less]