PEDIATRIC (PEDS) HESI > EXAM > HESI PEDIATRIC NEWEST TEST EXAM 2025/2026 LATEST COMPLETE STUDY QUESTIONS WITH VERIFIED CORRECT 100% (All)
A 3 wk old newborn is brought to the clinic for f/u after a home birth. the mother reports that her child bottle feeds for 5 min only and then falls asleep. the nurse auscultates a loud murmur charact... eristic of a VSD, and finds the newborn is acyanotic w/ a RR 64. What instruction should then nurse provide the mother to ensure the infant is receiving adequate intake? - Answer>>> 1. Monitor the infant's wt and # of wet diapers per day 2. Increase the infant's intake per feeding by 1-2 oz per week 3. Allow the infant to rest and refeed on demand or every 2 hrs 4. Use a softer nipple or increase the size of the nipple opening (Neonates who have VSD may fatigue quickly during feeding and ingest inadequate amts. They should be monitored for wt gain at least 6 wet diapers/day. A 1 month old infant should ingest 2-4 oz of formula per feeding and progress to about 30 uz / day by 4 months of age. Due to fatigue, the infant should rest, but feed at least q2h to ensure adequate intake. A softer preemie nipple or a larger slit in the nipple helps to reduce the sucking effort and energy expenditure, thus allowing the infant to ingest more w/ less effort ) A 14 yr old female tells the nurse that she is concerned about the acne she has recently dvp'd. Which recommendation should the nurse provide? - Answer>>> Wash the hair and skin frequently w/ soap and hot water (washing the hair and skin w/ soap and water removes oil and debris from the skin and helps prevent and tx acne. Oily skin is especially bothersome during adolescence when hormones cause enlargement of sebaceous glands and increased glandular secretions which predispose the teenager to acne.) When discussing discipline w/ the mother of a 4 yr old child, the nurse should include which guideline? - Answer>>> Parental control should be consistent (Discipline should be a positive and necessary component of childrearing that is started in infancy and should teach socially acceptable behavior, help children protect themselves from danger, and channel undesirable behavior into constructive activity. Misbehavior may result from inconsistent rules or messages, so parental attn should be clear, reasonable, and consistent) A 12 month old is admitted w/ a respiratory infection and possible pneumonia. He is placed in a mist tent w/ O2. Which nsg intervention has the greatest priority? - Answer>>> Have a bulb syringe readily available to remove secretions (patent airway has the highest priority. Humidification will liquefy the nasal secretions - thereby increasing the amt of secretions and making that a priority) A 2 yr old child recently diagnosed w/ hemophilia A is discharged home. What info should the nurse include in a teaching plan about home care? - Answer>>> Apply pressure and ice for bleeding while elevating and resting the extremity (Hemophilia, a blood disorder, causes joint bleeding which is treated w/ rest, ice, compression, and elevation (RICE) ) The nurse is planning care for school-aged children at a community care center. Which activity is best for the children? - Answer>>> Playing follow-the-leader (School-aged kids strive for independence and productivity (Erikson's industry vs inferiority) and enjoy individual and group activities r/t real life situations, such as playing follow the leader Surgery is being delayed for an infant w/ undescended testes. In collaboration w/ the HCP and the family, which prescription should the nurse anticipate? - Answer>>> A trial of human chorionic gonadrophic hormone (A trial of HCG may aid in testicular descent, but does not replace surgical repair for true undescended testes. Undescended testes (cryptorchidism) may be found in the inguinal canal due to exaggerated cremasteric reflex [Show More]
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