NUR HESI Pediatric Practice Exam With Solutions 100% Correct
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Course
HESI Pediatric Growth and Development
Institution
HESI Pediatric Growth And Development
NUR HESI Pediatric Practice Exam With
Solutions 100% Correct
3. A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The mother
reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse auscultates a
loud murmur characteristic of a ven...
NUR HESI Pediatric Practice Exam With
Solutions 100% Correct
3. A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The mother
reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse auscultates a
loud murmur characteristic of a ventricular septal defect (VSD), and finds the newborn is
acyanotic with a respiratory rate of 64 breaths per minute. What instruction should the nurse
provide the mother to ensure the infant is receiving adequate intake? (Select all that apply.)
A. Monitor the the infant's weight and number of wet diapers per day. - child should at
least have 6 wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.- child is always fatigue,
need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 hours.- child is always fatigue, this
will ensure adequate feeding.
E. Use a softer nipple or increase the size of the nipple opening.- this will save energy
33. A 15-year-old girl tells the school nurse that all of her friends have started their periods and
she feels abnormal because she has not. Which response is best for the nurse provide?
Explain that menarche varies and occurs between the ages of 12 and 18 years.
, NUR HESI Pediatric Practice Exam With
Solutions 100% Correct
81. Which finding in a 19-year-old female client should trigger further assessment by the nurse?
Menstruation has not occurred- menarche usually occur between the ages of 12 and 18
years old
34. At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female
adolescent client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m.
blood pressure reading was 170/88. The client reports to the UAP that she is upset because her
boyfriend did not visit last night. What action should the nurse take first? Administer PRN
prescription of nifedipine (Procardia) sublingually.
-CA channel blocker
-always assess physiological needs
56. A 3-year-old client with sickle cell anemia is admitted to the Emergency Department with
abdominal pain. The nurse palpates an enlarged liver, an x-ray reveals an enlarged spleen, and a
CBC reveals anemia. These findings indicate which type of crisis? Sequestration.- pooling
of blood causes and pain and anemia d/t blockage of blood in the spleen
1. Aplastic anemia- anemia d/t drugs
2. Hyperhemolytic anemia- anemia d/t the breakdown of RBC
, NUR HESI Pediatric Practice Exam With
Solutions 100% Correct
3.Vaso-occlusive anemia- sickle cells are clogging up small capillaries- and pain but not enlarged
spleen and liver
49. A preschool-age child who is hospitalized for hypospadias repair is most strongly influenced
by which behavior? pre school age children are conceded about lost of body mutilation or
body integrity.
nurse should explain- they did not cause the illness, procedure is not punishment, restoring body
image with a band-aid.
26. The vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and Respirations
24. The child's pedal pulses are present with a volume of +1, and no edema is observed. What
action should the nurse implement first? Start an IV infusion of normal saline- patient is
experiencing fluid vole deficit
40. A 6-month-old boy and his mother are at the healthcare provider's office for a well-baby
check-up and routine immunizations. The healthcare provider recommends to the mother that the
child receive an influenza vaccine. What medications should the nurse plan to administer today?
months); PCV; IPV; INFLUENZA~ adminster at a different site
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