2023 ACTUAL FINAL HESI OB PEDS Exam Test BANK LATEST UPDATE GRADED A
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2023HESI
2023 ACTUAL FINAL HESI OB PEDS Exam
Test BANK LATEST UPDATE GRADED A
1. A middle school male student was recently diagnosed with attention-deficit hyperactivity disorder
(ADHD) and is having trouble with his grades. He is referred to the school nurse by the teacher
because he continues to have ...
2023 actual final hesi ob peds exam test bank late
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2023 ACTUAL FINAL HESI OB PEDS Exam
Test BANK LATEST UPDATE GRADED A
1. A middle school male student was recently diagnosed with attention-deficit hyperactivity disorder
(ADHD) and is having trouble with his grades. He is referred to the school nurse by the teacher
because he continues to have learning problems. Which action should the school nurse take?
a. Ask the parents to have the child seen by a clinical psychologist
b. Ask the parents to become involved in helping the child with his homework
c. Refer the child to the school counselor for educational testing
d. Seek the advice of the school principle regarding the child’s learning needs
2. A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child
is irritable, refuses to eat,
and has skin peeling on both his hands and feet. Which intervention should the nurse instruct the
mother to implement first? *
a. Place the child in a quiet environment
b. Make a list of foods that the child likes
c. Encourage the parents to rest when possible
d. Apply lotion to hands and feet
3. The nurse is preparing a teaching plan for the parents of a 6 month-old infant with GERD. What
instruction should the nurse
include when teaching the parents measures to promote adequate nutrition?
a. Alternate glucose water with formula
b. Mix the formula with rice cereal
c. Add multivitamins with iron to the formula
d. Use water to dilute the formula25. A child with pertussis is receiving azithromycin (Zithromax
Injection) IV. Which intervention is most important for the nurse to include in the child’s plan of care?
a. Obtain vital signs at onset of fluid overload
b. Change IV site dressing q3 days and PRN
c. Monitor for signs of facial swelling or urticartia
d. Assess for abdominal pain and vomiting
26. The nurse is conducting an admission assessment of an 11-month old infant with CHF who is
scheduled for repair of restenosis of coarction of the aorta hat was repaired 4 days after birth. Findings
include blood pressure higher in the arms than the lower extremities, pounding brachial pulses, and
slightly palpable femoral pulses. What pathophysiologic mechanisms support these findings?
a. The aortic semilunar valve obstructs blood flow into the systemic circulation
b. The lumen of the aorta reduces the volume of the blood flow to the
lower extremities
c. The pulmonic valve prevents adequate blood volume into the pulmonary circulation
d. An opening in the atrial septum causes a murmur due to a turbulent left to right shunt
27. A child who is admitted to the hospital with anemia is anxious, fearful, and hyperventilating. The
nurse anticipates the child developing which acid base imbalance?
a. Metabolic acidosis
b. Respiratory acidosis
c. Respiratory alkalosis
d. Metabolic alkalosis
28. The mother of a toddler reports to the nurse working in the pediatric clinic that her child has had a
fever and sore throat for the past two days. The nurse observes several swollen red spots in the child’s
body, a few of which are fluid filled blisters. Which action should the nurse implement?
a. Obtain fluid culture from blisters
b. Administer a fever reducing salicylate
c. Cover drainage vesicles with a dressing
d. Implement transmission precautions
,29. The mother of a 14-year old who had a below-the-knee amputation for osteosarcoma tells the
nurse that her child is angry and blaming her for allowing the amputation to occur. Which response is
best for the nurse to provide?
a. “I will ask the HCP for a psychiatric consult for your child”
b. “This type of acting out behavior is normal for adolescents”
c. “It is important to focus on your child’s needs at this difficult time”
d. “A reaction of anger is your child’s attempt to cope with this loss”
30. The nurse provides information about the human papilloma virus (HPV) vaccine to the mother of a
14-year-old adolescent who came to the clinic this morning complaining of menstrual cramping. Which
explanation should the nurse provide to support administering the HPV vaccine to the adolescent who
came to the clinic this morning complaining of menstrual cramping. Which explanation should the
nurse provide to support administering the HPV vaccine to the adolescent at this visit?
a. Use of protective barriers during sexual activity prevents most strains
of HPV infection
b. Most adolescents are not honest about being sexually active
c. Not all strains of HPV will be covered if given at a later date
d. Immunity must be established to prevent future HPV infection and risk for cervical cancer
31. An adolescent’s mother calls the primary HCP’s office to inquire about the results of her
daughter’s serum test results that were drawn last week. Since it is the teenager’s 18 th birthday, how
should the nurse respond to this mother’s inquiry?
a. Ask when the adolescent was last seen in the clinic
b. Tell the mother to have the teenager call the clinic
c. Since the serum samples were drawn last week provide the mother with the findings
d. Explain that the information cannot be released without the 18-year
olds permission
32. The parents of 15-month old boy tell the nurse that they are concerned because their son brings his
spoon to his mouth but does not turn it over. What action should the nurse implement first?
a. Discuss referral to an occupational therapist
b. Question the parents about their concernc. Tell the parents to hold the spoon
correctly in the child’s hand
d. Suggest longer mealtimes so the child can finish eating
33. 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. Decreased heart rate
c. Reduce headaches
d. Diminished fatigue
34. A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse
that she would like to use a pump instead of insulin injections to manage her diabetes. Which
assessment of the girl is most important for the nurse to obtain?
a. Understanding of quality control process used to troubleshoot the pump
b. Interpretation of fingerstick glucose levels that influence diet selections
c. Knowledge of her glycosylated hemoglobin A1c levels for past year
d. Ability to perform the pump for basal insulin with mealtime boluses
35. In developing a behavior modification program for an extremely aggressive 10 year old boy, what
should the nurse do first?
a. Determine what activities, foods, and toys the child enjoys
b. Evaluate the child’s previous reactions to punishment
, c. Provide the child with positive feedback
d. Encourage other children on the unit to describe the token system
36. In assessing a 10-year old newly diagnosed with osteomyelitis, which information s most
important for the nurse to obtain?
a. Family history of bone disorders
b. Recent occurrence of infection
c. Cultural heritage and beliefs
d. Occurrence of increased fluid intake
37. A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden
aimless movements of the arms and legs). Which information should the nurse provide to the parents?
a. Permanent life style changes need to be made to promote safety in the home
b. The chorea or movements are temporary and will eventually
disappear
c. Muscle tension is decreased with fine motor project skills, so these activities should be encouraged
d. Consistent discipline is needed to help the child control the movements
38. A 3 year-old boy is receiving a weekly chemotherapy treatment. Which toy is best for the nurse to
provide for this child? *SC
a. Bouncy ball
b. Coloring book with crayons
c. Duck that squeaks
d. Remote-controlled care
39. A 9-week-old infant is scheduled for cleft lip repair. Which information is most important for the
nurse to convey to the
surgeon before transporting the infant to the surgical suite?
a. Red blood cell count of 2.3 million/mm3
b. White blood cell count of 10,000/mm3
c. Weight gain of 2 pounds since birth
d. Urine specific gravity is 1.011
40. The nurse is caring for a 3-year old child who has been recently diagnosed with cystic fibrosis,
which discharge instruction by the nurse is most important to promote pulmonary function?
41. a. Chest physiotherapy should be performed before meals and at
bedtime
b. Cough suppressants can be used up to four times a day for relief
c. Oxygen should be given through a nasal cannula between 4-6 L/min
d. Exercise is discouraged in order to preserve pulmonary vital capacity
41. An adolescent who is taking antiretroviral therapy for HIV infection arrives at the clinic for a
follow up visit. Which information is most important for the nurse to obtain?
a. Missed medication dosesb. A 24-hour dietary recall
c. Barrier contraceptive use
d. Ingestion of illicit drugs
42. A 5-year-old boy with leukemia is receiving chemotherapy through a peripherally inserted central
catheter (PICC). Twenty minutes after the infusion is begun, the child feels dizzy and complains of
itching. Which intervention should the nurse implement first? **SEE SCREEN SHOT FOR
RATIONALE**
a. Discontinue the medication infusion
b. Flush IV line with saline
c. Obtain emergency resuscitation equipment
d. Measure current blood pressure and pulse
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