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2023/2024 Hesi Pediatric Exam Questions & Answers
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2023/2024 Hesi Pediatric Exam Questions & Answers
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Hesi Pediatric Exam Questions & Answers 2023 Guide 1-A 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? (Select all that apply.) A. Drinking soda is related to childhood obesity. B. Toddlers should be drinking from a cup by age 2. C. Dental caries are associated with drinking soda. D. A 2-year -old should be speaking in 2 word phrases. E. Toddlers should be sleeping 10 hours a night 2-After receiving a single fluid bolus of 20 mg / kg of normal saline, a child's heart rate is 140 beats/ minute, blood pressure is 70/50, and capillary refill is 6 seconds. The child is anxious and crying. Which intervention should the nurse implement first? A. Encourage the caregiver to remain at bedside B. Repeat the normal saline bolus as prescribed C. Allow the child to assist with caregiving D. Recommend age-appropriate activities 3-A breastfeeding infant, screened for congenital hypothyroidism,is found to have low levels of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is the best explanation for this finding? A. The TSH is high because of the low production of T4 by the thyroid B. High thyroxine levels normally occur in breastfeeding infants C. The thyroxine levels low because the TSH level is high D. The thyroid gland does not produce normal levels of thyroxine for several weeks after birth 4-A breast feeding mother returns to work when her infant is 5 months old. She is having difficulty pumping enough milk to meet her infant's dietary requirements. Which suggestion should the nurse provide to this mother? A. Mix infant formula with breast milk B. Supplement with an iron-rich formula C. Introduce baby food for one meal daily D. Offer a follow -up transitional formula 5- A child admitted with diabetic ketoacidosis is demonstrating Kussmaul's respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration? A. Metabolic alkalosis. B. Respiratory acidosis. C. Respiratory alkalosis. D. Metabolic acidosis 6- A child who is preparing to enter the first grade has recurring atopic dermatitis (eczema) and is brought to the clinic because of a recent exacerbation. Which suggestion should the nurse provide this child's parent? A. Ensure that the child's lunch at school is a hypoallergic diet. B. Encourage the child to wear cotton gloves while at school. C. Keep the child at home during exacerbations of the dermatitis. D. To prevent the scorn of classmate, consider home schooling. 7-A child with acute laryngotracheobronchitis (croup)received epinephrine 2 hours ago in the emergency room, and is now being prepared for d ischarge to the home. The nurse should instruct the parents to take which action if the child's uncontrolled coughing reoccurs? A. Sit with the child in the bathroom with hot steam B. Call for emergency transportation to hospital C. Administer a dose of the prescribed cough medicine D. Increase the fluid intake to liquefy the secretions 8-A child with acute lymphocytic leukemia (ALL) who is receiving chemotherapy via a subclavian IV infusion, has an oral temperature of 103 degrees. In assessing the IV site, the nurse determines that there are no signs of infection at the site. Which intervention is the most important for the nurse to implement? A. Obtain specimen for blood cultures B. Assess the CBC. C. Monitor the oral temperature every hour. D. Administer acetaminophen as prescribed. 9-A child with Grave's Disease who is taking propranolol (Inderal) is seen in the clinic. The nurse should monitor the child for which therapeutic response? A. Increased weight gain. B. Diminished fatigue. C. Reduce headaches. D. Decreased heart rate. 10-A child with hemophilia arrives at the clinic with a swollen knee after falling off a bicycle. What action should the nurse implement first? A. Initiate an IV site and begin infusing normal saline B. Type and cross for possible transfusion C. Monitor the child's vital signs frequently D. Apply ice pack and compression dressing to knee 11-A child with leukemia is admitted for Chemotherapy and the nursing diagnosis "altered nutrition, less those body requirements related to anorexia, nausea and vomiting" is identified. Which intervention the nurse included in this child plan of care? A. Encourage a variety of large portions of food at every meal B. Allow the child to eat any food desired and tolerated 12-A child with possible Duchenne muscular dystrophy ( MD) undergoes an electromyogram (EMG). Following the procedure, the child's parents tell the nurse that the child is complaining of sore muscle. How should the nurse respond? C. Recommended eating the food as sibling eat at home D. Restrict food brought form fast food restaurants A. Explain that muscle aches and pain are commonly experienced by children with this form of muscular dystrophy B. Avise the parents that children with chronic diseases may seek attention by reporting pain or other unpleasant symptoms C. Encourage the parents to motor the child's body temperature for the next 24 hours and report a rinse above 101 F D. Offer reassurance that muscle soreness following this procedures is temporary and does not indicate a problem 13-The clinic nurse is assessing a 3-year -old child with sudden onset of irritability, thick muffled voice, and barking on inspiration. The child is febrile and leaning forward to breathe with tongue protruding, is drooling, and has suprasternal retractions. Which intervention should the nurse implement first? A. Alert the emergency response team B. Examine the child's throat for edema C. Collect a sputum specimen D. Prepare the child for X-ray 14-A clinic nurse is assessing infants and toddlers for fine and gross motor development. Which child should the nurse refer to a healthcare provider for further evaluation? A. 5-month -old with use of whole hand grasp. B. 1 ½-year -old attempting to scribble on paper. C. 3-year -old preferring to walk on the tip toes. D. 3 ½-month -old with diminished Moro reflex.The benefits of buying summaries with Stuvia:
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