Peds HESI exam review questions and answers 100% pass

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Peds HESI exam review questions and answers 100% pass What clinical finding should a nurse expect a child with nephrosis to exhibit? A. Elevated blood pressure B. Blood-tinged urine C. Elevated t... emperature D. Urine protein 3+ to 4+ ✔✔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 ✔✔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." ✔✔"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. ✔✔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. ✔✔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. ✔✔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" ✔✔D. Dental caries can be prevented through fluoridation of public water A Spanish-speaking 5 year-old child starts kindergarten in an English-speaking school. The child cries most of the time, appears helpless and unable to function in the new situation. After assessing the child, how should the school nurse document this situation? A. Experiencing culture shock B. Lacks the maturity needed in school C. Refuses to participate in school activities D. Going through minority group discrimination ✔✔A. Experiencing culture shock A mother tells the nurse that her children are asking questions about divorce, but one male child tells her that he is sorry that he caused the divorce of the parents. Which age group is most likely to experience feelings of punishment or responsibity for the divorce of parents? 1 year. 4 years. 8 years. 13 years. ✔✔4 years A mother brings her 6 month old infant to the clinic for a well child checkup. She comments, "I want to go back to work, but I don't want my baby to suffer because I'll have less time at home". How should the nurse response to the mother? A. Stay home until the child starts school B. Find a good babysitter close to the house C. Let's talk about the child care options that are best for the child D. Go back to work now so the infant will get used to being with others ✔✔C. Let's talk about the child care options that are best for the child How should the nurse measure the length of a 14 month old child? A. Standing height B. Prone recumbent position C. Supine recumbent postion D. Side-lying position ✔✔C. Supine recumbent postion The nurse is assessing a child's skin turgor and grasps the skin on the abdomen between the thumb and index finger, pulls it taut, and quickly releases it. The tissue remains suspended and tented for a few seconds, then slowly falls back on the abdomen. How should the nurse document this finding? Adequate hydration. Poor skin turgor. Normal skin elasticity. Assessment inconclusive. ✔✔Poor skin turgor Which neurological test should the nurse implement to assess cerebellar function in a 5-year-old with symptoms of hyperactivity? Finger-to-nose. Quadriceps reflex. Two-point discrimination. Ability to follow directions ✔✔Finger-to-nose. The nurse is assessing a child for neurological "soft" signs. Which finding is most likely demonstrated in the child's behavior? Presence of vertigo. Loss of visual acuity. Poor coordination and sense of position. Inability to move tongue in all directions. ✔✔Poor coordination and sense of position. The nurse is examining a neonate at age 10 minutes. Which site should the nurse expect to see nonpathologic cyanosis? Feet and hands. Bridge of nose. Circumoral area. Mucus membranes ✔✔Feet and hands A 4-month-old breastfeeding infant is at the 10th percentile for weight and the 75th percentile for height. How should the nurse interpret this finding? Milk allergy. Failure to thrive. Inadequate milk supply in mother. Normal growth curve of a breast-fed infant. ✔✔Normal growth curve of a breast-fed infant. [Show More]

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