2024 HESI PEDIATRICS (PEDS) PRACTICE EXAM
400 PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |
Practice questions for this set
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ANS: C
Contact their healthcare provider immediately.
Give this one a try later!
Following admission for a 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, and
lethargic?
A. Encourage oral electrolyte solution intake.
B. Assist the child to a recumbent position.
C. Contact their healthcare provider immediately.
D. Provide a quiet time by holding or rocking the toddler.
, An infant with developmental dysplasia of the hip is placed in a Pavlik harness. What
instructions should the nurse include in a teaching plan for the parents?
Apply lotion or powder to minimize skin irritation.
2
Put clothing over harness for maximum effectiveness.
Check for red areas under the straps three times a day.
Use a thin absorbent disposable diaper over the harness.
47. The nurse reviews the latest laboratory results for a child who received
3 chemotherapy last week and identifies a reduced neutrophil count. Which nursing
diagnosis has the highest priority for this child?
18. As part of the physical assessment of children, the nurse observes and palpates the
4 fontanels. Which child's fontanel finding should be reported to the healthcare
provider?
Don't know?
Terms in this set (366)
,A 6-month-old infant with Apical heart rate of 60.
congestive heart failure
(CHF) is receiving digoxin A heart rate of 60 (A) is much lower than normal for a 6-
elixir. Which observation by month-old and warrants immediate intervention. The
the nurse warrants normal heart rate for a 6-month-old is 80 to 150 BPM
immediate intervention? when awake, and a rate of 70 while sleeping is
Apical heart rate of 60. considered within normal limits. (B and C) are expected
Sweating across the symptoms of heart failure in an infant. (D) is within
forehead. normal limits for an infant.
Doesn't suck well.
Respiratory rate of 30
breaths per minute.
The nurse is teaching the Administer aerosol therapy followed by postural
parents of a 5-year-old with drainage before meals.
cystic fibrosis about
respiratory treatments. Postural drainage for a child with cystic fibrosis is most
Which statement indicates effective when performed after nebulization and before
to the nurse that the parents meals (C) or at least 1 hour after eating to prevent nausea
understand? and vomiting. Postural drainage uses gravity to promote
Perform postural drainage mucous removal after nebulization (A) treatments which
before starting aerosol open the airways. Pulmonary toileting or respiratory
therapy. treatments should be given 3 to 4 times daily, not
Give respiratory treatments episodically (B and D).
when the child is coughing
a lot.
Administer aerosol therapy
followed by postural
drainage before meals.
Ensure respiratory therapy
is done daily during any
respiratory infection.
, A female teenager is taking Use sunscreen when lying by the pool.
oral tetracycline HCL
(Achromycin V) for acne Photosensitivity is a common side effect of tetracycline
vulgaris. What is the most HCL (Achromycin V) therapy. Severe sunburn can occur
important instruction for the with minimal sun exposure and clients should be
nurse to include in this instructed to avoid sunlight and to use sunscreen (A). (B
client's teaching plan? and D) are not related to tetracycline HCL (Achromycin
Use sunscreen when lying V) therapy. (C) should be avoided because dairy
by the pool. products interfere with the absorption of tetracyclines.
Cleanse the skin at least 4
times a day.
Take the medication with a
glass of milk.
Menstrual periods may
become irregular.
What preoperative nursing Observe for projectile vomiting.
intervention should be
included in the plan of care Projectile vomiting (D), which contributes to metabolic
for an infant with pyloric alkalosis (A), is the classic sign of pyloric stenosis. (B) is
stenosis? not indicated. (C) is dangerous, due to the potential for
Monitor for signs of aspiration with frequent vomiting.
metabolic acidosis.
Estimate the quantity of
diarrhea stools.
Place in a supine position
after feeding.
Observe for projectile
vomiting.
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