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HESI 2023 7th edition PEDS part 1 EXAM QUESTIONS AND ANSWERS
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HESI 2023 7th edition PEDS part 1 EXAM
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HESI 2023 7th edition PEDS part 1When caring for a child with congenital heart disease and polycythemia, which nursing
action has the highest priority? - ANSWERMaintaining adequate hydration
The nurse is preparing a teaching plan for the mother of a child who has been
diagnosed with celiac disease. Choosing which lunch will be within the therapeutic
management of a child with celiac disease? - ANSWERBaked chicken, coleslaw, soda,
and frozen fruit dessert
A 7-month-old male infant diagnosed with spastic cerebral palsy is seen by the nurse in
the clinic. Which statement by the parent warrants immediate intervention by the nurse?
- ANSWER"My son often chokes while I am feeding him."
The nurse is caring for a child with intussusception who is scheduled for a barium
enema prior to a surgical procedure. Which action should the nurse take first? -
ANSWERPlace the child on a clear liquid diet.
The nurse should teach the parents of a child with a cyanotic heart defect to perform
which action when a hypercyanotic spell occurs? - ANSWERAllow the child to assume a
knee-chest position, with the head and chest slightly elevated.
The nurse is teaching the parents of a 2-year-old child with a congenital heart defect
about signs and symptoms of congestive heart failure. Which information about the child
is most important for the parents to report to the healthcare provider? -
ANSWERExhibits a sudden and unexplained weight gain.
Prophylactic antibiotics are prescribed for a child who has mitral valve damage. The
nurse should advise the parents to give the antibiotics prior to which occurrence? -
ANSWERUrinary catheterization
A 7-month-old infant with a rotavirus causing severe diarrhea is admitted for treatment.
Which action should the nurse take first? - ANSWERInsert an intravenous (IV) line and
begin IV fluids.
The nurse admits a child to the intensive care unit with a possible diagnosis of Wilms
tumor. What is the most important safety precaution for child? - ANSWERPlace a do not
palpate abdomen sign on head of bed.
, The nurse is taking the family history of a 2-year-old child with atopic dermatitis
(eczema). Which statement by the mother is most important in formulating a plan of
care for this child? - ANSWER"My husband and our daughter are both lactose-
intolerant."
A mother calls the clinic because her 6-year-old son, who has been taking prescribed
antibiotics for 7 of the previous 10 days, continues to have a cough that she reports is
worsening. Further questioning by the nurse reveals that the cough is nonproductive.
What is the nurse's best instruction to the mother? - ANSWERBring the child to the
clinic today for an examination related to the cough.
The nurse is assessing a male adolescent client's knowledge of contraception. The teen
states, "I have all the info I need." What is the best response by the nurse? -
ANSWER"Tell me what you know about birth control."
The nurse is examining a male child experiencing an exacerbation of juvenile
rheumatoid arthritis (JRA) and notes that mobility is greatly reduced. What is the most
likely cause of the child's impaired mobility? - ANSWERJoint inflammation
A father of a 5-year-old calls the nurse to report that his child, who has had an upper
respiratory infection, is complaining of a headache, with a rectal temperature of
103°F/39.4°C. Which action has the highest priority? - ANSWERTell the parent to take
the child to the emergency department.
A child comes to the school nurse complaining of itching. Further assessment reveals
that the child has impetigo. What action should the nurse take? - ANSWERSend the
child home with the parents to see the healthcare provider before returning to school.
An infant is receiving digoxin for congestive heart failure. The apical heart rate is
assessed at 80 beats/min. What action should the nurse take first? - ANSWERObtain a
therapeutic drug level.
The nurse is conducting an initial admission assessment of a 12-month-old child in
celiac crisis. Which action is most important for the nurse to take first? -
ANSWERAssess the child's mucous membranes and skin turgor.
When inserting a nasogastric tube into the stomach of a 3-month-old infant, which
action is most important for the nurse to take first? - ANSWERMonitor the infant's heart
rate.
The nurse assigns an unlicensed assistive personnel (UAP) to provide morning care to
a newly admitted child with bacterial meningitis. What is the most important instruction
for the nurse to review with the UAP? - ANSWERUse designated isolation precautions.
The nurse is helping a family prepare to send their 7-year-old child to school for the first
time. The child is wheel-chair bound, and has a permanent tracheostomy. What
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