HESI PEDS EXAM REVIEW (A Grade), Questions and Answers, All Correct Study Guide, Download to Score A

Document Content and Description Below

HESI PEDS EXAM REVIEW (A Grade), Questions and Answers, All Correct Study Guide, Download to Score A 1. During a routine physical exam, a male adolescent client tells the nurse,” Sometimes, my mot ... her gets angry because I want to be with my own friends.” What is the best initial response by the nurse? a. Offer to discuss his concerns together with his mother B. Ask about the client’s response to his mother’s anger C. Determine if his friends are engaging in unsafe behaviors D. Offer reassurance that his mother’s concern is normal. 2. The nurse is caring for a one-year-old boy who has type 1 diabetes mellitus (DM). His mother asks how she will recognize hypoglycemia in her infant who cannot tell her how he feels. Which information should the nurse provide? a. The baby’s breath smells sweet when the sugar and blood ketone levels are high. B. Hypoglycemia in infants causes changes in behavior and cold clammy skin. C. Weight loss and good appetite often occur when a baby’s glucose levels change. D. Excess urination and dry skin are common indicators of hypoglycemia. 3. An 8-year-old child is admitted to the Emergency Department because of lower right quadrant pain, nausea, and vomiting. What assessment of the abdomen should the nurse conduct after all other assessments are completed? a. Percussion B. Palpitation C. Inspection D. Auscultation 4. A 16-year-old adolescent with acute myeloctic-leukemis is receiving chemotherapy (CT) via an implanted medication port at the out-patient oncology clinic. What action should the nurse implement when the infusion is complete? a. Initiate an infusion of normal saline b. Administer ondansetron (Zofran) c. Flush the medi port with saline and a heparin solution d. Obtain blood samples for RBC’s, WBC’s, and platelets 5. The nurse has provided discharge teaching to the mother of a premature infant. Which statement by the mother would indicate that she understands the importance of making sure that her baby gets the monthly palivizumab (Synagis) injection? a. Palivizumab will help with neurological and physical development. B. The medication will protect my baby from respiratory syncytial virus. C. Palivizumab will prevent the development of retinopathy of prematurity. D. The monthly injections will help my baby’s lungs mature. 6. An infant is admitted for surgery who has Wilms’ tumor. What nursing intervention should the nurse implement during the preoperative period? a. Administer pain medication based on the FACES pain scale b. Give antiemetic medications to prevent nausea and vomiting c. Include the prone position in the q12 turning schedule d. Careful bathing and handling to avoid abdominal manipulation 7. A middle school male student was recently diagnosed with attention-deficit hyperactivity disorder (ADHD) and is having trouble with his grades. He is referred to the school nurse by the teacher because he continues to have learning problems. Which action should the school nurse take? a. Refer the child to the school counselor for educational testing. b. Seek the advice of the school principal regarding the child’s learning needs c. Ask the parents to become more involved in helping the child with his homework D. Ask the parents to have the child seen by a clinical psychologist. 8. Which nursing intervention is most important to assist in detecting hypopituitarism and hyperpituitarism in children? a. Noting a marked weight gain without a gain in height on a growth chart b. Performing head circumference measurements on infants under one year of age c. Assessing for behavioral problems at home and school by interviewing the parents d. Carefully recording the height and weight of children to detect inappropriate growth rates 9. A hospitalized child stiffens and starts to seize as the nurse entered the room. What actions should the nurse take? (select all that apply) a. Turn the client to the side if possible b. Pad side rails with available pillows and blankets c. Instruct the parents to leave the room d. Notify the emergency response team e. Monitor duration and progress of the seizure 10. A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is the best explanation for this finding? a. The TSH is high because of the low production of T4 by the thyroid. b. High thyroxine levels normally occur in breastfeeding infants. c. The thyroxine level is low because the TSH level is high d. The thyroid gland does not produce normal levels of thyroxine for several weeks after birth [Show More]

Last updated: 3 years ago

Preview 1 out of 13 pages