PEDS
Hesi
final
The
nurse
is
caring
for
a
3
year
old
child
who
is
2
hours
postop
from
a
cardiac
catheritization
via
the
right
femoral
artery.
Which
assessment
finding
is
an
indication
of
arterial
obstruction?
-
ANSRight
foot
is
cool
to
the
touch
and
appears
pale
and
blanched
Following
a
motor
vehicle
collision,
a
3
year
old
girl
has
a
spica
cast
applied.
Which
toy
is
best
for
the
nurse
for
this
3
year
old
child?
-
ANSSet
of
cloth
and
hand
puppets
An
infant
with
tetralogy
of
fallot
becomes
acutely
cyanotic
and
hyperpneic.
Which
action
should
the
nurse
implement
first?
-
ANSPlace
the
infant
in
a
knee-chest
position
A
child
admitted
with
diabetic
ketoacidosis
is
demonstrating
Kussmaul
respirations.
The
nurse
determines
that
the
increased
respiratory
rate
is
a
compensatory
mechanism
for
which
acid
base
alteration?
-
ANSMetabolic
Acidoses
A
7
year
old
is
admitted
to
the
hospital
with
persistent
vomiting,
and
a
nasogastric
tube
attached
to
low
intermittent
suction
is
applied.
Which
finding
is
most
important
for
the
nurse
to
report
to
the
healthcare
provider?
-
ANSSerum
potassium
of
3.0
mg/dL
The
nurse
is
evaluating
diet
teaching
for
a
client
who
has
nontropical
sprue
(celiac
disease).
Choosing
which
food
indicates
that
the
teaching
has
been
effective?
-
ANSCreamed
corn
During
a
well-baby
check,
the
nurse
hides
a
block
under
the
baby's
blanket,
and
the
baby
looks
for
the
block.
Which
normal
growth
and
development
milestone
is
the
baby
developing?
-
ANSObject
Permanence
The
nurse
is
measuring
he
frontal
occipital
circumference
(FOC)
of
a
3
month
old
infant,
and
notes
that
the
FOC
has
increased
5
inches
since
birth
and
the
child's
head
appears
large
in
relation
to
body
size.
Which
action
is
most
important
for
the
nurse
to
take
next?
-
ANSPalpate
the
anterior
fontanel
for
tension
and
bulging
The
nurse
is
preparing
a
10
year
old
with
a
lacerated
forehead
for
suturing.
Both
parents
and
12
years
old
sibling
are
at
the
child's
bedside.
Which
instruction
best
supports
family?
-
ANSPlease
decide
who
will
stay
when
the
healthcare
provider
begins
suturing
The
nurse
is
planning
for
a
5
month
old
with
gastroesophageal
reflux
disease
whose
weight
has
decreased
by
3
ounces
since
the
last
clinic
visit
one
month
ago.
To
increase
caloric
intake
and
decrease
vomiting,
what
instructions
should
the
nurse
provide
this
mother?
-
ANSThicken
formula
with
cereal
for
each
feeding While
teaching
a
parenting
class
to
new
parents
the
nurse
describes
the
needs
of
infants
and
toddlers
regarding
discipline
and
limit
setting.
What
is
the
most
important
reason
for
implementing
such
parenting
behaviors?
-
ANSThey
provide
the
child
with
a
sense
of
security
The
parents
of
a
newborn
infant
with
hypospadia
are
concerned
about
when
the
surgical
correction
should
occur.
What
information
should
the
nurse
provide?
-
ANSRepairs
typically
should
be
done
before
the
child
is
potty
trained
Which
drink
choice
on
a
hot
day
indicates
to
the
nurse
that
a
teenager
with
sickle
cell
anemia
understands
dietary
considerations
related
to
the
disease?
-
ANSLemonade
The
nurse
is
assessing
an
infant
with
diarrhea
and
lethargy.
Which
finding
should
the
nurse
identify
that
is
consistent
with
early
dehydration?
-
ANSTachycardia
While
auscultating
the
lung
sounds
of
a
5
year
old
Chinese
boy
who
recently
completed
antibiotic
therapy
for
pneumonia,
the
nurse
notices
symmetrical,
round,
bruise-like
blemishes
on
his
chest.
What
action
is
best
for
the
nurse
to
take?
-
ANSInquire
about
the
use
of
alternative
methods
of
treatment
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?
-
ANSObtain
specimen
for
blood
cultures
A
child
who
weighs
25
kg
is
receiving
IV
ampicillin
300mg/kg/24
hours
in
equally
divided
doses
every
4
hours.
How
many
mg
should
the
nurse
administer
to
the
child
for
each
dose?
-
ANS1875mg
The
nurse
is
caring
for
an
infant
scheduled
for
reduction
of
intussusceptions.
The
day
before
the
scheduled
procedures
the
infant
passes
a
soft-formed
brown
stool.
Which
intervention
should
the
nurse
implement?
-
ANSNotify
the
healthcare
provider
of
the
passage
of
brown
stool
The
mother
of
a
4
month
old
asks
the
nurse
to
advice
in
preventing
diaper
rash.
What
suggestion
should
the
nurse
provide?
-
ANSUse
a
barrier
cream,
such
as
zinc
oxide,
which
does
not
have
to
be
completely
removed
with
each
diaper
change
Which
statement
by
a
school
aged
client
going
o
summer
camp
indicates
the
best
understanding
of
the
mode
of
transmission
of
Lyme
disease?
-
ANSI
have
to
wear
long
sleeves
and
pants
when
we're
hiking
around
the
pond
The
nurse
is
evaluating
the
effects
of
thyroid
therapy
used
to
treat
a
5
month
old
with
hypothyroidism.
Which
behavior
indicates
hat
the
treatment
has
been
effective?
-
ANSLaughs
readily,
turns
from
back
to
side
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