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Hesi Pediatrics Practice Exam

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The nurse is giving preoperative instructions to a 14 year y/o female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning h ... as taken place? A. "I will read all the literature you gave me before surgery" B. "I have had surgery before when I broke my wrist in a bike acdient, so I know what to expect" C. "All the things people have told me will help me take care of my back" D. "I understand that I will be in a body cast and I will show you how taught me to turn" (ANS- D Rationale: Outcome of learning is best demonstrated when the client not only verbalizes an understanding but can also provide a return demonstration (D) A: 14 y/o might not do that B: Spinal surgery is different from wrist surgery C: Client may be saying what the nurse wants to hear w/o expressing any real understanding of what to do after surgery A 2 y/o with Down syndrome is brought to the clinic for his regular physical examination. The nurse knows which problem is frequently associated with Down syndrome? A. Congenital heart disease B. Fragile X chromosome C. Trisomy 13 D. Pyloric stenosis (ANS- A B: Causes mental retardation D: Not associated with Down syndrome When assessing a child with asthma, the nurse should expect intercostal retractions during... A. Inspiration B. Coughing C. Apneic episodes D. Expiration (ANS- A. Intercostal retractions result from respiratory effort to draw air into restricted airways Which behavior would the nurse expect a 2 y/o child to exhibit? A. Build a house with blocks B. Ride a tricycle C. Display possessiveness of toys D. Look at a picture book for 15 minutes (ANS- C Remember 2 y/o are egocentric aka everything is about them so they are unable to share with other children [Show More]

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