HESI RN PEDIATRICS RETAKE EXAM

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uestion 1 A nurse is preparing for the admission of a child with a diagnosis of acute-stage Kawasaki disease. On assessment of the child, the nurse expects to note which clinical manifestation of th ... e acute stage of the disease? Conjunctival hyperemia Question 2 Which signs and symptoms would lead a nurse to suspect a child has tetralogy of Fallot? Select all that apply. Murmur History of squatting Cyanosis Tachypnea Question 3 A nurse is caring for an infant with congenital heart disease is monitoring the infant closely for signs of congestive heart failure (CHF). The nurse assess the infant for which early sign of CHF? Tachycardia Question 4 A child with Kawasaki disease is receiving low-dose aspirin. The mother calls the clinic and states that the child has been exposed to influenza. Which recommendation should the nurse make? Select all that apply. Stop the aspirin Watch for fever. Question 5 Discharge teaching for a 3-month old with a cardiac defect who is to receive digoxin should include which information? Select all that apply. Give medications at regular intervals. Notify the healthcare provider of poor feeding or vomiting. Notify the healthcare provider if more than two consecutive doses are missed. Question 6 When developing the discharge teaching plan for a child with chronic renal failure and the family, the nurse should emphasize restriction of which nutrient? Phosphorus Question 7 A nurse is developing a plan of care who is at risk for seizures. Which interventions apply if the child has a seizure? Select all that apply. Time the seizure Stay with the child Move furniture away from the child Question 8 A nurse develops a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which items need to be placed at the child’s bedside. Suction equipment and oxygen Question 9 A nurse is caring for an infant with a diagnosis of hydrocephalus. Preoperatively, a priority nursing intervention is to: Reposition the infant frequently Question 10 A 10-year-old child with asthma is treated for acute exacerbation in the ER. A nurse caring for the child monitors for which of the following, knowing it indicates the worsening of the condition? Decreased wheezing Question 11 Which assessment findings should alert the nurse to suspect that a toddler is experiencing respiratory distress? Select all that apply. Coughing Respiratory rate of 45 Restlessness Diaphoresis Question 12 When preparing the teaching plan for the mother of a child with asthma, what information should the nurse include as a sign to alert the mother that her child is having an asthma attack? Wheezing on expiration. Question 13 Which factor, if described by the parents of a child with cystic fibrosis, indicates understanding the underlying problem of the disease? An abnormality in the body’s mucus secreting glands Question 14 What type of diet should the nurse teach the parents to give an older infant with cystic fibrosis? High-calorie diet Question 15 A new mother expresses concern to a nurse regarding sudden infant syndrome (SIDS). She asks the nurse how to position her new infant for sleep. The nurse appropriately tells the mother that the infant should be placed on the: Back rather than on the stomach. Question 16 The mother of a hospitalized 2-year-old with CROUP ask a nurse why the physician did not prescribe antibiotics. The appropriate response is: “Antibiotics are not indicated unless a bacterial infection is present” Question 17 A child with laryngotracheobronchitis (CROUP) is placed in a cool mist tent. The mother becomes concerned because the child is frightened, consistently crying and trying to climb out of the tent. The appropriate nursing action is to: Let the mother hold the child and direct the cool mist over the child’s face [Show More]

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