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PEDIATRIC HESI RN NURSING CARE OF CHILDREN

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PEDIATRIC HESI RN NURSING CARE OF CHILDREN

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  • September 21, 2024
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  • 2024/2025
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PEDIATRIC HESI RN NURSING CARE OF CHILDREN
NEWEST 2024 ACTUAL EXAM 100 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+

A nurse manager on a pediatric floor is preparing an education program on working
with families for a group of newly hired nurses. Which of the following should the
nurse include when discussing the developmental theory?
A. Describes that stress is inevitable
B. Emphasizes that change with one member affects the entire family
C. Provides guidance to assist families adapting to stress
D. Defines consistencies in how families change - ANSWER: ANS: D
The nurse should include that the developmental theory defines consistencies in
how families change.

The family stress theory describes (A) and (C). The family systems theory describes
(B).

A nurse is assisting a group of parents on adolescents to develop skills that will
improve communications within the family. The nurse hears one parent state, "My
son knows he better do what I say." Which of the following parenting styles is the
parent exhibiting?
A. Authoritarian
B. Permissive
C. Authoritative
D. Passive - ANSWER: ANS: A
Using the authoritarian style, the parent controls the adolescent's behaviors and
attitudes through unquestioned rules and expectations.

Using the permissive parenting style, the parent exerts little or no control over the
adolescent's behaviors, and consults the adolescent when making decisions. Using
the authoritative parenting style, the parent directs the adolescent's behavior by
setting rules and explaining the reason for each rule setting. Using the passive
parenting style, the parent is uninvolved, indifferent, and emotionally removed.

A nurse is performing a family assessment. Which of the following should the nurse
include? (Select all that apply.)
A. Medical history
B. Parents' educational level
C. Child's physical growth
D. Support systems
E. Stressors - ANSWER: ANS: A, B, D, E
The nurse should include the child's physical growth (C) when performing an
individual assessment on the child.

,A nurse is preparing to assess a preschool-age child. Which of the following is an
appropriate action by the nurse to prepare the child?
A. Allow the child to role-play using miniature equipment.
B. Use medical terminology to describe what will happen.
C. Separate the child from her parent during the examination.
D. Keep medical equipment visible to the child. - ANSWER: ANS: A
The nurse should allow the child to role-play, or manipulate, actual or miniature
equipment to reduce anxiety and fear related to the examination.

The nurse should keep medical equipment out of sight unless showing or using it on
the child.

A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which
of the following findings should the nurse report to the provider?
A. Temperature 99.0 F
B. Pulse 114/min
C. Respirations 30/min
D. Blood pressure 88/54 mm Hg - ANSWER: ANS: C
Respirations of 30/min is above the expected reference range for a 3-year-old child.
The other findings are within the expected reference range for a 3-year-old child.

A nurse is assessing a child's ears. Which of the following is an expected finding?
A. Light reflex is located at the 2 o'clock position.
B. Tympanic membrane is red in color.
C. Bony landmarks are not visible.
D. Cerumen is present bilaterally. - ANSWER: ANS: D
The light reflex should be located around the 5 or 7 o'clock position. The tympanic
membrane should be a pearly pink, gray color. Bony landmarks should be visible.

A nurse is performing a neurological assessment on an adolescent. Which of the
following is an appropriate reaction by the adolescent when the nurse checks the
trigeminal cranial nerve? (Select all that apply.)
A. Clenching teeth together tightly
B. Recognizes sour tastes on the back of the tongue
C. Identifying smells through each nostril
D. Detecting facial touches with eyes closed
E. Looking down and in with the eyes - ANSWER: ANS: A, D
(B) is an appropriate reaction when checking the glossopharyngeal cranial nerve. (C)
is an appropriate reaction when checking the olfactory nerve. (E) is an appropriate
reaction when checking the trochlear cranial nerve.

A nurse is assessing a 6-month-old infant. Which of the following reflexes should the
infant exhibit?
A. Moro
B. Plantar Grasp
C. Stepping

, D. Tonic neck - ANSWER: ANS: B
The plantar grasp is exhibited by infants from birth to the age of 8 months.

The moro reflex is exhibited by infants from birth to the age of 4 months. The
stepping reflex is exhibited by infants from birth to the age of 4 weeks. The tonic
neck reflex is exhibited by infants from birth to the age of 3 to 4 months.

The nurse is assessing a 12-month-old infant at a well-child visit. Which of the
following findings should the nurse report to the provider?
A. Closed anterior fontanel
B. Eruption of six teeth
C. Birth weight doubled
D. Birth length increased by 50% - ANSWER: ANS: C
By the age of 12 months, the infant's birth weight should have tripled.

By the age of 12 to 18 months, the infant's anterior fontanel should close. By the age
of 12 months, the infant should have six to eight teeth erupted.

A nurse is performing a developmental screening on a 10-month-old infant. Which of
the following fine motor skills should the infant be able to perform? (Select all that
apply.)
A. Grasp a rattle by the handle.
B. Try building a two-block tower
C. Use a crude pincer grasp
D. Place objects into a container
E. Move objects from hand to hand - ANSWER: ANS: A, C, E
The infant should try building a two-block tower at the age of 12 months. The infant
should be able to place objects into a container at the age of 11 months.

A nurse is conducting a well-baby visit with a 4-month-old infant. Which of the
following immunizations should the nurse administer to the infant? (Select all that
apply.)
A. Measles, mumps, rubella (MMR)
B. Polio (IPV)
C. Pneumococcal vaccine (PCV)
D. Varicella
E. Rotavirus vaccine (RV) - ANSWER: ANS: B, C, E
The first MMR vaccine is given between the ages of 12 and 15 months. The first
varicella vaccine is given at a minimum age of 12 months.

A nurse is providing education about introducing new foods to the parents of a 4-
month-old. To best supply needed nutrients, the nurse should recommend that the
parents introduce which of the following foods first?
A. Strained yellow vegetables
B. Iron-fortified cereals
C. Pureed fruits
D. Whole milk - ANSWER: ANS: B

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