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2024 EVOLVE HESI PEDS PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 EVOLVE HESI PEDS PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 EVOLVE HESI PEDS PRACTICEEXAM QUESTIONS WITH CORRECT
ANSWERS
A 16-year-old is brought to the Emergency Center with a crushed leg after
falling off a horse. The adolescent's last tetanus toxoid booster was received
eight years ago. What action should the nurse take?
Dispense a tetanus antitoxin.
Prepare human tetanus immune globulin.
Administer tetanus toxoid booster.
Delay the tetanus toxoid booster until due. - CORRECT-ANSWERSAdminister
tetanus toxoid booster.
After the completion of the initial tetanus immunization schedule, the
recommended booster for an adolescent or adult is every ten years or less if
a traumatic injury occurs that is contaminated by dirt, feces, soil, or saliva,
such as puncture or crushing injuries, avulsions, wounds from missiles,
burns, or frostbite. The adolescent's injury is considered a contaminated
wound requiring prophylactic therapy, so the tetanus toxoid booster should
be administered (C). (A, B, and D) are not indicated.
The mother of a 4-year-old child asks the nurse what she can do to help her
other children cope with their sibling's repeated hospitalizations. Which is the
best response that the nurse should offer?
Inform the parent that the child is too young to visit the hospital.
Suggest that the child visit a grandmother until the sibling returns home.
Ask the mother if the child asks when the sibling will be discharged.
Encourage the mother to have the children visit the hospitalized sibling. -
CORRECT-ANSWERSEncourage the mother to have the children visit the
hospitalized sibling.
Needs of a sibling will be better met with factual information and contact
with the ill child, so sibling visitation should be encouraged (D). Parents are
experts on their children and should determine when their children are old
enough to visit (A) in the hospital. Separation from family and home (B) may
intensify fear and anxiety. Children may have difficulty expressing questions
(C), so the support of parents and other caregivers are needed to help
alleviate their fears.
,Which growth and development characteristic should the nurse consider
when monitoring the effects of a topical medication for an infant?
A lower sensitivity reactions to skin irritants.
A thin stratum corneum that increases topical absorption.
A smaller percentage of muscle mass.
A greater body surface area that requires larger dosages. - CORRECT-
ANSWERSA thin stratum corneum that increases topical absorption.
Infants have a thin outer skin layer (stratum corneum), so the nurse should
monitor the infant for a prompt onset and response to the application of
topical medication (B). (A, C, and D) are unrelated to topical medication
administration.
The clinic nurse is taking the history for a new 6-month-old client. The
mother reports that she took a great deal of aspirin while pregnant. Which
assessment should the nurse obtain?
Type of reaction to loud noises.
Any surgeries on the ears since birth.
Drainage from the infant's ears.
Number of ear infections since birth. - CORRECT-ANSWERSType of reaction
to loud noises.
Ototoxicity diminishes hearing acuity and causes symptoms of tinnitus and
vertigo in older children who can express subjective symptoms, so assessing
an infant's reaction to loud noises (A) helps to determine an infant's risk for a
hearing deficit related to a history of the mother taking an ototoxic drug,
such as aspirin, while pregnant. (B, C, and D) are not associated with
exposure to aspirin in utero.
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin
elixir. Which observation by the nurse warrants immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute. - CORRECT-ANSWERSApical heart
rate of 60.
A heart rate of 60 (A) is much lower than normal for a 6-month-old and
warrants immediate intervention. The normal heart rate for a 6-month-old is
80 to 150 BPM when awake, and a rate of 70 while sleeping is considered
within normal limits. (B and C) are expected symptoms of heart failure in an
infant. (D) is within normal limits for an infant.
, The nurse is teaching the parents of a 5-year-old with cystic fibrosis about
respiratory treatments. Which statement indicates to the nurse that the
parents understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments 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. -
CORRECT-ANSWERSAdminister aerosol therapy followed by postural
drainage before meals.
Postural drainage for a child with cystic fibrosis is most effective when
performed after nebulization and before meals (C) or at least 1 hour after
eating to prevent nausea and vomiting. Postural drainage uses gravity to
promote mucous removal after nebulization (A) treatments which open the
airways. Pulmonary toileting or respiratory treatments should be given 3 to 4
times daily, not episodically (B and D).
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne
vulgaris. What is the most important instruction for the nurse to include in
this client's teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
Menstrual periods may become irregular. - CORRECT-ANSWERSUse
sunscreen when lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin V)
therapy. Severe sunburn can occur with minimal sun exposure and clients
should be instructed to avoid sunlight and to use sunscreen (A). (B and D)
are not related to tetracycline HCL (Achromycin V) therapy. (C) should be
avoided because dairy products interfere with the absorption of
tetracyclines.
What preoperative nursing intervention should be included in the plan of
care for an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
Observe for projectile vomiting. - CORRECT-ANSWERSObserve for projectile
vomiting.
Projectile vomiting (D), which contributes to metabolic alkalosis (A), is the
classic sign of pyloric stenosis. (B) is not indicated. (C) is dangerous, due to
the potential for aspiration with frequent vomiting.
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