HESI MATERNITY/PEDIATRIC REMEDIATION EXAM EACH VERSION CO
TAINS 70 QUESTIONS AND CORRECT DETAILED ANSWERS
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the nurse suspects that an adolescent
have anorexia nervosa. Which charac-
teristics may have been observed in the Denying illness, dismissing food, main-
adolescent? taining rigid body control
A. Denying illness
B. Dismissing food Bulimia Nervosa: seeking intimacy and
C. Seeking intimacy being extroverted
D. Being extroverted
E. Maintaining rigid body control
The parents of a gifted child note that
They need boundaries like any other
their child has been showing signs of
child
rebellion and acting out. Which is one im-
portant thing to teach the parents about
Gifted children need discipline like any
gifted children?
other child to feel loved and safe. Pun-
A. They need boundaries like any other
ishment is appropriate for behavior that
child
is unsafe or falls outside set boundaries.
B. Intense emotions require an outlet
Discipline appropriately applied does not
C. All discipline models approve physical
lead to physical aggression. Free expres-
aggression
sion does not mean overstepping the
D. Gifted children should be allowed to
boundaries of appropriate behavior.
freely express themselves
Long-lasting active immunity
The parent of an adolescent who is going
Toxoids are modified toxins that stimulate
to be a foreign exchange student asks
the body the body to form antibodies that
the nurse why the child must have a
can last up to 10 years against the spe-
tetanus toxoid immunization. The nurse
cific disease; because the adolescent will
provides which information?
be in a foreign country, the toxoid is given
prophylactically. The tetanus toxoid pro-
A. lifelong passive immunity
vides active, not passive, immunity; all
B. Longer-lasting active immunity
passive immunity is short acting. Only by
C. Temporary active natural immunity
having the disease can someone gain
D. Temporary passive natural immunity
natural immunity. Toxoids confer active,
not temporary passive, immunity.
A young adolescent reports abdomi-
nal bloating, pelvic fullness, menstrual
cramps, and breast tenderness. Which is
, HESI MATERNITY/PEDIATRIC REMEDIATION EXAM EACH VERSION CO
TAINS 70 QUESTIONS AND CORRECT DETAILED ANSWERS
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the primary responsibility of the nurse?
Client education
A. Client education
B. Preparation for surgery female adolescents often experience
C. Medication administration premenstrual syndrome in their lifetime.
D. Administration of IV fluids
While counseling the parents of an ado-
lescent with anemia related to an in- Folic acid
adequate diet, the nurse explains that
several different nutrients, including pro- Folic acid acts as a necessary coenzyme
tein, iron, and vitamin B12, are involved. in the formation of heme, the iron-con-
Which other nutrient would the nurse in- taining protein in hemoglobin. Calcium
clude in the teaching? is not involved in the production of red
blood cells. Thiamine is a coenzyme in
A. Calcium carbohydrate metabolism. Riboflavin is a
B. Thiamine control agent for energy production and
C. Folic acid tissue formation.
D. Riboflavin
Impaired digestion and absorption be-
cause of the lack of pancreatic enzymes
Which pathophysiological process would
the nurse expect to account for growth
Obstruction of the pancreatic duct and
failure in a 4-year-old child with newly
the absence of enzymes (e.g., trypsin,
diagnosed cystic fibrosis?
amylase, and lipase) to aid fat digestion
and absorption lead to wasting of tissues
A. Impaired digestion and absorption be-
and failure to thrive. Currently it is recom-
cause of the lack of pancreatic enzymes
mended that children with cystic fibrosis
B. Dyspnea and shortness of breath,
consume 150% to 200% of the calories
which cause anorexia and disinterest in
recommended for their body weight. De-
food
spite dyspnea and shortness of breath,
C. Increased bowel motility and diarrhea,
these children have voracious appetites
which lead to inadequate absorption of
when feeling well; the difficulty involves
nutrients
poor digestion and malabsorption of fats
D. Pulmonary obstruction, which causes
and fat-soluble vitamins. Increased bow-
an oxygen deficit and inadequate tissue
el motility and diarrhea are not associ-
nourishment
ated with cystic fibrosis. The pulmonary
disease process leads to localized respi-
, HESI MATERNITY/PEDIATRIC REMEDIATION EXAM EACH VERSION CO
TAINS 70 QUESTIONS AND CORRECT DETAILED ANSWERS
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ratory dysfunction, not to retarded phys-
ical growth.
Try out cryotherapy if needed, wear
loose-fitted cotton clothes, take a bath
with oatmeal solution
An adolescent reports genital warts.
Which suggestions would the nurse pro- To reduce the irritation and discomfort of
vide to reduce the discomfort? genital warts, bathing with oatmeal so-
A. Try out cryotherapy if needed lution can be helpful. Wearing loose-fit-
B. Wear loose-fitted cotton clothes ted cotton clothes helps in reducing the
C. Take a bath with oatmeal solution irritation and friction. Depending on the
D. Use less water for cleaning the geni- severity of the warts, cryotherapy can
tals be an option to treat the warts. Proper
E. Anticipate a prescription of imiquimod cleaning and hygiene of the genital area
is necessary to reduce the growth of the
warts. Medications such as imiquimod
should not be used during pregnancy.
Ignore the stuttering, and try to prevent
situations that increase stuttering
Ignoring the stuttering and preventing sit-
Which education would the nurse pro- uations that induce stuttering will avoid
vide the parents of a preschooler who undue emphasis on the speech pat-
stutters? tern, thus preventing inadvertent rein-
forcement of the pattern. Avoiding look-
A. Avoid looking at the child when there ing at the child is demeaning; it may
is difficulty articulating words. decrease the child's self-esteem and
B. Ignore the stuttering, and try to pre- worsen the stuttering. Stuttering is com-
vent situations that increase stuttering. mon in preschoolers because they are
C. Help by supplying the correct word learning new vocabulary and are at-
when the child is experiencing a block. tempting to find the right words to ex-
D. Stop the conversation by telling the press themselves; hesitancy and dysflu-
child to speak slowly and to think before ency are typical speech characteristics
starting again. of preschoolers. Stopping the conversa-
tion and telling the child to slow down is
counterproductive; it may decrease the
child's self-esteem and worsen the stut-
tering.
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