HESI RN PEDIATRICS PRACTICE
COMPLETE QUESTIONS AND VERIFIED
CORRECT ANSWERS GRADED A+
GUARANTEED 100% PASS
The clinic nurse is taking the history for a new 6-month-old client. The mother reports
that she took a great deal of aspirin while pregnant. Which assessment should the
nurse obtain?
Type of reaction to loud noises.
Any surgeries on the ears since birth.
Drainage from the infant's ears.
Number of ear infections since birth. - ANSWER--Type of reaction to loud noises.
Which class of antiinfective drugs is contraindicated for use in children under 8 years of
age?
Aminoglycosides.
Tetracyclines.
Penicillins.
Quinolones. - ANSWER--Tetracyclines.
The mother of a 2-year-old boy consults the nurse about her son's increased temper
tantrums. The mother states, "Yesterday he threw a fit in the grocery store, and I did not
know what to do. I was so embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother?
Paddle him gently as soon as the behavior is initiated.
Immediately put him in "time-out."
Quietly remind him that others are watching him.
Walk away from him and ignore the behavior. - ANSWER--Walk away from him and
ignore the behavior.
Which menu selection by a child with celiac disease indicates to the nurse that the child
understands necessary dietary considerations?
Oven-baked potato chips and cola.
Peanut butter and banana sandwich.
Oatmeal-raisin cookies and milk.
Graham crackers and fruit juice. - ANSWER--Oven-baked potato chips and cola.
,During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse should
stress to the parents the importance of obtaining which diagnostic testing?
Hearing tests.
Eye exams.
Chest x-rays.
Fasting blood glucose tests. - ANSWER--Eye exams.
A 16-year-old is brought to the Emergency Center with a crushed leg after falling off a
horse. The adolescent's last tetanus toxoid booster was received eight years ago. What
action should the nurse take?
Dispense a tetanus antitoxin.
Prepare human tetanus immune globulin.
Administer tetanus toxoid booster.
Delay the tetanus toxoid booster until due. - ANSWER--Administer tetanus toxoid
booster.
The nurse is developing a plan of care for a 3-year-old who is scheduled for a cardiac
catheterization. To assist in decreasing anxiety for the child on the day of the procedure,
which intervention is best for the nurse to implement?
Reassure the parents that 3-year-olds are cooperative and therefore are less likely to be
anxious.
Obtain a video film of a cardiac catheterization to show to the child prior to the
procedure.
Give the child a ride on a gurney to visit the cardiac catheterization lab and meet a
nurse who works there.
Obtain a cardiac catheter and demonstrate the procedure by pretending to put the
catheter in a doll or stuffed animal. - ANSWER--Give the child a ride on a gurney to
visit the cardiac catheterization lab and meet a nurse who works there.
The nurse must prevent a 2-year-old with severe eczema on the face, neck, and scalp
from scratching the affected areas. Which nursing intervention is most effective in
preventing further excoriation due to the pruritis?
Obtain gloves for the child's hands.
Apply finger cots on the child's fingers.
Place elbow restraints on the child's arms.
Apply soft restraints to the child's wrists. - ANSWER--Place elbow restraints on the
child's arms.
In developing a teaching plan for a 5-year-old child with diabetes, which component of
diabetic management should the nurse plan for the child to manage first?
Food planning and selection.
Administering insulin injections.
Process of glucose testing.
Drawing up the correct insulin dose. - ANSWER--Process of glucose testing.
, The nurse is planning care for school-aged children at a community care center. Which
activity is best for the children?
Building model airplanes.
Playing follow-the-leader.
Stringing large and small beads.
Playing with Playdough and clay. - ANSWER--Playing follow-the-leader.
During administration of a blood transfusion, a child complains of chills, headache, and
nausea. Which action should the nurse implement?
Start another IV of dextrose solution and stay with the child.
Continue the transfusion and monitor the child's vital signs.
Stop the infusion immediately and notify the healthcare provider.
Slow the transfusion and assess for cessation of symptoms. - ANSWER--Stop the
infusion immediately and notify the healthcare provider.
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir.
Which observation by the nurse warrants immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute. - ANSWER--Apical heart rate of 60.
A 15-year-old girl tells the school nurse that all of her friends have started their periods
and she feels abnormal because she has not. Which response is best for the nurse
provide?
Refer the adolescent to the healthcare provider for a pregnancy screen.
Schedule a conference with her parents to recommend hormone therapy.
Explain that menarche varies and occurs between the ages of 12 and 18 years.
Suggest that she use diversions to help her not worry about delayed menarche. -
ANSWER--Explain that menarche varies and occurs between the ages of 12 and 18
years.
A burned child is brought to the emergency room. In estimating the percentage of the
body burned, the nurse uses a modified "Rule of Nines." Which part of a child's body is
calculated as a larger percentage of total body surface than an adult's?
Head and neck.
Arms and chest.
Legs and abdomen.
Back and abdomen. - ANSWER--Head and neck.
All of the following interventions can be used to evaluate the effectiveness of nursing
and medical interventions used to treat diarrhea. Which intervention is least useful in the
nurse's evaluation of a 20-month-old child?
COMPLETE QUESTIONS AND VERIFIED
CORRECT ANSWERS GRADED A+
GUARANTEED 100% PASS
The clinic nurse is taking the history for a new 6-month-old client. The mother reports
that she took a great deal of aspirin while pregnant. Which assessment should the
nurse obtain?
Type of reaction to loud noises.
Any surgeries on the ears since birth.
Drainage from the infant's ears.
Number of ear infections since birth. - ANSWER--Type of reaction to loud noises.
Which class of antiinfective drugs is contraindicated for use in children under 8 years of
age?
Aminoglycosides.
Tetracyclines.
Penicillins.
Quinolones. - ANSWER--Tetracyclines.
The mother of a 2-year-old boy consults the nurse about her son's increased temper
tantrums. The mother states, "Yesterday he threw a fit in the grocery store, and I did not
know what to do. I was so embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother?
Paddle him gently as soon as the behavior is initiated.
Immediately put him in "time-out."
Quietly remind him that others are watching him.
Walk away from him and ignore the behavior. - ANSWER--Walk away from him and
ignore the behavior.
Which menu selection by a child with celiac disease indicates to the nurse that the child
understands necessary dietary considerations?
Oven-baked potato chips and cola.
Peanut butter and banana sandwich.
Oatmeal-raisin cookies and milk.
Graham crackers and fruit juice. - ANSWER--Oven-baked potato chips and cola.
,During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse should
stress to the parents the importance of obtaining which diagnostic testing?
Hearing tests.
Eye exams.
Chest x-rays.
Fasting blood glucose tests. - ANSWER--Eye exams.
A 16-year-old is brought to the Emergency Center with a crushed leg after falling off a
horse. The adolescent's last tetanus toxoid booster was received eight years ago. What
action should the nurse take?
Dispense a tetanus antitoxin.
Prepare human tetanus immune globulin.
Administer tetanus toxoid booster.
Delay the tetanus toxoid booster until due. - ANSWER--Administer tetanus toxoid
booster.
The nurse is developing a plan of care for a 3-year-old who is scheduled for a cardiac
catheterization. To assist in decreasing anxiety for the child on the day of the procedure,
which intervention is best for the nurse to implement?
Reassure the parents that 3-year-olds are cooperative and therefore are less likely to be
anxious.
Obtain a video film of a cardiac catheterization to show to the child prior to the
procedure.
Give the child a ride on a gurney to visit the cardiac catheterization lab and meet a
nurse who works there.
Obtain a cardiac catheter and demonstrate the procedure by pretending to put the
catheter in a doll or stuffed animal. - ANSWER--Give the child a ride on a gurney to
visit the cardiac catheterization lab and meet a nurse who works there.
The nurse must prevent a 2-year-old with severe eczema on the face, neck, and scalp
from scratching the affected areas. Which nursing intervention is most effective in
preventing further excoriation due to the pruritis?
Obtain gloves for the child's hands.
Apply finger cots on the child's fingers.
Place elbow restraints on the child's arms.
Apply soft restraints to the child's wrists. - ANSWER--Place elbow restraints on the
child's arms.
In developing a teaching plan for a 5-year-old child with diabetes, which component of
diabetic management should the nurse plan for the child to manage first?
Food planning and selection.
Administering insulin injections.
Process of glucose testing.
Drawing up the correct insulin dose. - ANSWER--Process of glucose testing.
, The nurse is planning care for school-aged children at a community care center. Which
activity is best for the children?
Building model airplanes.
Playing follow-the-leader.
Stringing large and small beads.
Playing with Playdough and clay. - ANSWER--Playing follow-the-leader.
During administration of a blood transfusion, a child complains of chills, headache, and
nausea. Which action should the nurse implement?
Start another IV of dextrose solution and stay with the child.
Continue the transfusion and monitor the child's vital signs.
Stop the infusion immediately and notify the healthcare provider.
Slow the transfusion and assess for cessation of symptoms. - ANSWER--Stop the
infusion immediately and notify the healthcare provider.
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir.
Which observation by the nurse warrants immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute. - ANSWER--Apical heart rate of 60.
A 15-year-old girl tells the school nurse that all of her friends have started their periods
and she feels abnormal because she has not. Which response is best for the nurse
provide?
Refer the adolescent to the healthcare provider for a pregnancy screen.
Schedule a conference with her parents to recommend hormone therapy.
Explain that menarche varies and occurs between the ages of 12 and 18 years.
Suggest that she use diversions to help her not worry about delayed menarche. -
ANSWER--Explain that menarche varies and occurs between the ages of 12 and 18
years.
A burned child is brought to the emergency room. In estimating the percentage of the
body burned, the nurse uses a modified "Rule of Nines." Which part of a child's body is
calculated as a larger percentage of total body surface than an adult's?
Head and neck.
Arms and chest.
Legs and abdomen.
Back and abdomen. - ANSWER--Head and neck.
All of the following interventions can be used to evaluate the effectiveness of nursing
and medical interventions used to treat diarrhea. Which intervention is least useful in the
nurse's evaluation of a 20-month-old child?
