2022 Hesi Pediatrics (PEDS) Exam V1.

2022 Hesi Pediatrics (PEDS) Exam V1. The nurse is conducting an admission assessment of an 11-months old infant with congestive heart failure who is scheduled repair of restenosis of coarctation of the aorta that was repaired 4 days after birth. Findings include blood pressure higher in the arms than the lower, with pathophysiologic mechanism support these findings?: The lumen of the aorta reduces the vol- ume of flow to the lower extremities 2. A child is to receive vancomycin (Vancocin) 20 mg/kg IV one hour before a scheduled procedure. The child weight 77 pounds. How many mg of the medication should the nurse prepare to administer? (Enter numeric value only): 700mg 3. A toddler with hemophilia is being discharged from the hospital. Which teaching should the nurse include in the discharge instructions to the moth- er?: Apply padding on the sharp corners of the furniture 4. The nurse is using the Stage Questionnaire (b) to assess a 24 - month-old child. What is the best intervention for the nurse to initiate after the assess- ment is completed?: Provide the parents with a list of stimulating activities 5. When caring for a child sickle cell disease, the nurse knows that the child will most likely exhibit which sign when experiencing a sickle cell crisis?: 1 / 20 Pain 6. The nurse is administering an oral medication to a reluctant preschool-age boy. Which intervention should the nurse implement?: Use straightforward approach with the child 7. The nurse is planning care for a newborn infant scheduled for a cardiac catheterization. Which occurrence poses the greatest risk for this child?: - Acute hemorrhage from the entry site of the catheter after the procedure 8. The school nurse is presenting a seminar to parents about child safety that focuses on prevention of spinal cord injuries. What information is most important for the nurse include in the teaching plan?: Seat belt and car seat laws for use in motor vehicles should be reinforced 9. A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child's oral temperature is 101.2 F (38 C). Which intervention should the nurse imple- ment?: Ask the mother if the child has had a runny nose 10. A mother is concerned that her 3-year-old son wants to play with female doll figures. The child is not interested in building blocks, trucks, or other 2 / 20 typical "boy" toys. How should the nurse respond to the mother's concern? - : Exploring different roles in imaginary play is typical at this age 11. Which nursing intervention is most important to assist in detecting hy- popituitarism and hyperpituitarism in children?: Carefully recording the height and weight of children to detect inappropriate growth rates 12. The parents of a 4 week-old infant phone the pediatric clinic to report that their infant eats well but vomits after each feeding. To differentiate between normal regurgitation and pyloric stenosis, which information is most important for the nurse to obtain?: Degree of forcefulness of vomiting episodes 13. A 4-month-old boy has an inguinal hernia that is visible when he cries, but it does not cause him discomfort. His parents ask if the hernia should be repaired now. The nurse's response should be based on what information?- : Surgical correction is indicated if the hernia is incarcerated 14. A 2-year-old child with heart failure (HF) is admitted for replacement of a graft for coarctation of the aorta. Prior to administering the dose of digoxin (Lanoxin), the nurse obtains an apical heart rate of 128 beast| minute. What action should the nurse implement?: Administer the scheduled dose 15. The nurse is assisting the mother of child with phenylketonuria (PKU) to select foods that are in keeping with the child's dietary restrictions. Which foods are contraindicated for this child?: Foods sweetened with aspartame 3 / 20 16. During a routine physical exam, a male adolescent client tell the nurse, " Sometimes, my mother gets angry because I want to be with my own friends". What is the best initial response by the nurse?: Ask about client's response to his mother's age 17. Which response demonstrates that the mother of a young girl with a urinary tract infection (UTI) understands home care for the child?: I will bring her back to the doctor's office for another urine test 18. The nurse is caring for a one-year-old boy who has type 1 diabetes mellitus (DM). His mother asks how will she recognize hypoglycemia in her infant who cannot tell her how he feels. Which information should the nurse provide?: Hypoglycemia in infants causes changes in behavior and cold clammy skin 19. An 8 year-old child is admitted to the Emergency Department because of lower right quadrant pain, nausea, and vomiting. Which assessment of 4 / 20 the abdomen should the nurse conduct after all other assessments are complete?: Palpation