2022
HESI
RN
PEDS
EXAM
V1
A
mother
brings
her
8
mo.
old
baby
boy
to
clinic
because
he
has
been
vomiting
and
had
diarrhea
for
last
3
days.
Which
assessment
is
most
important
for
nurse
to
make?
A.Assess
infant
abdomen
for
tenderness
b.Determine
if
the
infant
was
exposed
to
a
virus
C.
Measure
the
infant's
pulse
d.
Evaluate
the
infant's
cry
-
ANSC.
Measure
the
infant's
pulse
While
obtaining
the
vital
signs
of
a
10-year-old
who
had
a
tonsillectomy
this
morning,
the
nurse
observes
the
child
swallowing
every
2-3
minutes.
Which
assessment
should
the
nurse
implement?
-
ANSInspect
the
posterior
oropharynx
parents
of
a
3-year
old
boy
who
has
Duchenne
muscular
dystrophy
ask,
"How
can
our
son
have
this
disease?
We
are
wondering
if
we
should
have
any
more
children."
What
information
should
the
nurse
provide
to
parents?
-
ANSThis
is
an
inherited
X-linked
recessive
disorder,
which
primarily
affects
male
children
in
the
family
2-weck-old
female
infant
is
hospitalized
for
the
surgical
repair
of
an
umbilical
hernia.
After
retuming
to
the
postoperative
neonatal
unit,
her
R
and
HR
have
increased
during
the
last
hour.
Which
intervention
should
the
nurse
implement?
-
ANSAdminister
a
PRN
analgesic
prescription
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?
-
ANS-Dental
caries
is
associated
with
drinking
soda
-Toddlers
should
be
drinking
from
a
cup
by
age
2
mother
brings
her
3-month-old
infant
to
the
clinic
because
the
baby
does
not
sleep
through
the
night.
Which
finding
is
most
significant
in
planning
care
for
this
family?
a.The
mother
is
a
single
parent
and
lives
with
her
parents
b.The
mother
states
the
baby
is
irritable
during
feedings
C
the
infant's
formula
has
been
changed
twice
D.The
diaper
area
shows
severe
skin
breakdown
-
ANSD.The
diaper
area
shows
severe
skin
breakdown The
nurse
determines
that
an
infant
admitted
for
surgical
repair
of
an
inguinal
hernia
voids
a
urinary
stream
from
the
ventral
surface
of
the
penis.
What
action
should
the
nurse
take?
-
ANSDocument
the
finding
16-year-old
with
acute
myelocytic
leukemia
is
receiving
chemotherapy
(CT)
via
an
implanted
medication
port
at
the
out-patient
oncology
clinic.
What
action
should
the
nurse
implement
when
the
infusion
is
complete?
-
ANSFlush
mediport
w/
saline
and
heparin
solution
mother
brings
her
3-week
old
infant
to
the
clinic
because
the
baby
vomits
after
eating
and
always
seems
hungry.
Further
assessment
indicates
that
the
infant's
vomiting
is
projectile,
and
the
child
seems
listless.
Which
additional
assessment
finding
indicates
the
possibility
of
a
life-threatening
complication?
-
ANSIrregular
palpable
pulse
nurse
is
performing
a
routine
assessment
of
a
&-year
old
at
a
sommunity
health
center.
Which
behavior
by
the
child
should
alert
she
nurse
to
request
a
follow
up
for
a
posaible
autism
spectrum
disorder?
-
ANSPerform
odd
repetitive
behaviors
Following
admission
for
cardiac
catheterization,
the
nurse
is
providing
discharge
teaching
to
the
parents
of
a
2-year-old
toddler
with
tetralogy
of
Fallot.
What
instruction
should
the
nurse
give
the
parents
if
their
child
becomes
pale,
cool,
lethargic?
-
ANSContact
their
HCP
immediately
mother
brings
her
2-year-old
son
to
the
clinic
because
he
has
been
crying
and
pulling
on
his
earlobe
for
the
past
12
hours.
The
child's
oral
temperature
is
101.2
F.
Which
intervention
should
the
nurse
implement?
-
ANSAsk
the
mother
if
the
child
has
had
a
runny
nose
13.
During
a
follow
up
olinical
visit
a
mother
tells
tia
nurse
that
her
5-monih-old
son
who
had
surgical
correction
for
tetralogy
of
fallot
has
rapid
breathing,
often
takes
a
long
time
to
eat,
and
requires
frequent
rest
periods.
The
infant
is
not
crying
while
being
held
and
his
growth
is
in
the
expected
range.
Which
intervention
should
the
nurse
implement?
-
ANSAuscultate
heart
and
lungs
while
infant
is
held
The
mother
of
an
11-year
old
boy
who
has
juvenile
arthritis
tells
the
nurse,
"I
really
don't
want
my
son
to
become
dependent
on
pain
medication,
so
I
only
allow
him
to
take
it
when
he
is
really
hurting."
Which
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