2024 HESI MATERNITY PEDIATRICS EXAM
VERSION 1,2 & 3 ACTUAL EXAM EACH VERSION
CONTAINS 360 QUESTIONS AND CORRECT
DETAILED ANSWERS
Terms in this set (366)
1. A 5-month-old is Serum BUN and creatinine levels.
admitted to the hospital
with vomiting and adding potassium = need adequate renal function +
diarrhea. The pediatrician urine output
prescribes dextrose 5%
and 0.25% normal saline
with 2 mEq KCl/100 ml to
be infused at 25 ml/hour.
Prior to initiating the
infusion, the nurse should
obtain which assessment
finding?
,A 2-week-old female ANS: B
infant is hospitalized for Administer a PRN analgesic prescription
the surgical repair of an
umbilical hernia. After
returning to the
postoperative neonatal
unit, her respiratory rate
and heart rate have
increased during the last
hour. Which intervention
should the nurse
implement?
A. Notify the healthcare
provider of these findings.
B. Administer a PRN
analgesic prescription.
C. Record the findings in
the child's record.
D. Wrap the infant tightly
and rock in rocking chair.
2. Which menu selection Oven-baked potato chips and cola
by a child with celiac
disease indicates to the avoid: oats, wheat, rye and barley; intolerance to
nurse that the child protein gluten
understands necessary
dietary considerations?
,A 2-year-old child Apply pressure and ice for bleeding while elevating
recently diagnosed with and resting the extremity.
hemophilia A is discharged
home. What information Hemophilia, a blood disorder, causes joint bleeding
should the nurse include which is treated with rest, ice, compression, and
in a teaching plan about elevation (RICE) (D). (A, B, and C) are inaccurate.
home care?
Minimize interactive play
with other children to
lessen chances for injury.
Give low-dose children's
chewable aspirin in
orange flavor for joint
discomfort.
Use a firm and dry
toothbrush to clean teeth
at least twice per day.
Apply pressure and ice for
bleeding while elevating
and resting the extremity.
A 2-year-old child with Congenital heart disease.
Down syndrome is
brought to the clinic for Congenital heart disease (A) is the most common
his regular physical associated defect in children with Down syndrome.
examination. The nurse (C) might have seemed possible since Down
knows which problem is syndrome is a trisomal chromosomal abnormality of
frequently associated with chromosome 21. (B) is a sex-linked abnormality also
Down syndrome? causing mental retardation. (D) is not associated with
Congenital heart disease. Down syndrome.
Fragile X chromosome.
Trisomy 13.
Pyloric stenosis.
, A 2-year-old child with Consistently follow a set mealtime routine.
gastro-esophageal reflux
has developed a fear of A 2-year-old child is comforted by consistency (D).
eating. What instruction (A) is contraindicated because two-year-olds may
should the nurse include participate in parallel activities with other children but
in the parents' teaching are too young to feel comfort and support by the
plan? presence of other children when anxious or afraid. (B)
Invite other children home may or may not be true and does not address the
to share meals. child's fears. The child with reflux should remain
Accept that he will eat upright at least two hours after eating (C) to reduce
when he is hungry. symptoms.
Reward the child with a
nap after eating.
Consistently follow a set
mealtime routine.
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