What clinical finding should a nurse expect a child with nephrosis to exhibit?
A. Elevated blood pressure
B. Blood-tinged urine
C. Elevated temperature
D. Urine protein 3+ to 4+ - Answer D. Urine protein 3+ to 4+
When plotting a 20 week-old infant's weight on a standardized growth chart, ...
Peds HESI Exam Review Questions
Answered Correctly .
What clinical finding should a nurse expect a child with nephrosis to exhibit?
A. Elevated blood pressure
B. Blood-tinged urine
C. Elevated temperature
D. Urine protein 3+ to 4+ - Answer D. Urine protein 3+ to 4+
When plotting a 20 week-old infant's weight on a standardized growth chart, the nurse determines that
the child's weight is between the 2nd and 3rd percentile. Based on this finding what action should the
nurse take?
A. Teach the parents about interventions for failure to thrive syndrome
B. Compare this weight with previous weights recorded in the child's record
C. Evaluate the parent's body build in relation to the infant's weight
D. Obtain a 24 hour nutritional history before making any conclusions - Answer Compare this weight
with previous weights recorded in the child's record
A 12-year-old male client tells the nurse that he is happy to be taking growth hormones because now he
can expect to grow and be just as tall as all of his friends. What response is best for the nurse to provide?
A"You must remember that this treatment regimen is not always effective."
B."Although being tall is important to you, remember there are far more important characteristics than
height."
C."You will grow with this medicine, and are likely to be taller than anyone in your family."
D."Being taller is important to you and taking your injections will help achieve that goal." - Answer
"Being taller is important to you and taking your injections will help achieve that goal."
A 3-year-old boy is brought to the emergency room because of a possible diazepam (Valium) overdose.
He is lethargic and confused, and his vital signs are: pulse rate 100 beats/minute, respiratory rate 20
breaths/minute, and blood pressure 70/30. Which nursing intervention has the highest priority?
A. Insert an orogastric tube for gastric lavage.
, B. Prepare a set-up for an endotracheal intubation.
C. Draw blood for stat chemistries and blood gases.
D. Insert a Foley catheter to monitor renal functioning. - Answer B. Prepare a set-up for an
endotracheal intubation.
The nurse is preparing to catheterize an 8-year-old child. Before starting the procedure, which action
should the nurse take first?
A. Obtain the parent's cooperation before initiating the procedure.
B. Explain to the child and the parents that the procedure needs to be done.
C. After talking with the parents about the procedure, ask them to leave the room.
D. Provide the child with privacy by conducting the procedure in the treatment room. - Answer Explain
to the child and the parents that the procedure needs to be done.
The nurse is developing a plan of care for a newborn with a colostomy due to anal agenesis, and the
infant has had three loose stools since surgery yesterday. Which nursing diagnosis has the highest
priority?
Potential for fluid volume deficit.
Alteration in bowel elimination.
Pain related to postoperative condition.
Anxiety of parents related to newborn's condition. - Answer Potential for fluid volume deficit.
The community health nurse teaches the parents of school-aged children about the need for fluoride as
part of a dental health program. Which statement by the parents indicates that they understand the
teaching?
A. "Excessive amounts of fluoride will make teeth turn brittle and yellow"
B. "Having our children brush with fluoride toothpaste is not effective"
C. "Use of fluoride in water is mostly effective during initial tooth formation"
D. "Dental caries can be prevented through fluoridation of public water" - Answer D. Dental caries can
be prevented through fluoridation of public water
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