PRIORITY OB/PEDS Hesi Exam Questions And
Accurate Answers (100% pass)
Which of the following nutrition information should the nurse plan to provide the mother
of a 6-month-old regarding introduction of solid foods? - Answer Food should be
introduced into a child's diet one at a time, at 4 to 7 day intervals
The nurse is performing discharge teaching for the mother of a 22-month-old patient
who was diagnosed with respiratory syncytial virus and has one younger and one older
sibling in the home. Which of the following would be the nurse's priority when planning
this teaching? Answer Apply airborne precautions to the infected child
A 17-year-old male student with cystic fibrosis speaks with the school nurse about his
disease and asks how the disease will affect getting married and having children. Which
related information would the nurse include in this conversation? - Answer He will most
likely have infertility problems and should be seen for further evaluation
While auscultating lung sounds of a 5-year-old Chinese boy who has just completed a
course of antibiotic therapy for pneumonia, the nurse observes symmetrical, round,
ecchymotic-like lesions on the child's chest. Which action is most appropriate for the
nurse to take? - Answer Ask if alternative methods of treatment are being used
The mother of a 6-year-old girl is worried about her child being obese. The child's weight
plots at the 75 percentile, and height at the 25 percentile. The child's body mass index
(BMI) is at the 85 percentile for age and gender. Which intervention should the nurse
implement? (Select all that apply) - Answer -Establish the child's usual pattern of
physical activity
• Get 3-day diet history of the child from the mother • Enquire if the school has physical
education included in their curriculum
The mother of a 6-month-old infant comes to the well baby clinic and asks the nurse to
give her a prescription for Poly VI Sol with fluoride. The infant is still breast feeding but
also receives supplemental formula feedings. Which assessment is most important for
,the nurse to obtain? Answer Water source used with supplemental feedings
A mother of a one month old infant calls the clinic to report that the back of her infant's
head is flat. What is the nurse's appropriate response? Position the infant on the
stomach occasionally when awake and active
A toddler is diagnosed with nephrotic syndrome and the healthcare provider orders
enalapril. What would be the first action by the nurse before the medication is
administered? -Answer Monitor gait and balance while walking
A health care provider orders Cephalexin 350 mg PO every 6 hours for a child weighing
88 pounds. Available is Cephalexin Suspension 125 mg/5 mL. The recommended safe
dose range is 25 to 50 mg/kg/24 hours in 4 divided doses. How many mL will the nurse
administer based on weight? (enter numerical value only. If rounding is required, round
to the nearest whole number). - Answer 14
The nursing student is working in the outpatient oncology clinic and is caring for a
16-year-old adolescent who has acute myelocyte leukemia and is receiving
chemotherapy via an implanted medication port. After the completion of the infusion,
what does the nurse do? - Answer Flush the mediport with saline and then with a heparin
solution
The adolescent female is hospitalized with PID after receiving two weeks of levofloxacin
500 mg PO daily and (medication) 500 mg PO bid. She tells the nurse, "Why do I have to
be in the hospital? Why can't I get my treatment at home?" What rationale should the
nurse give that supports an effective outcome? Response Early detection of
Jarisch-Hersheimer reaction
The nurse is caring for a week old infant who was diagnosed with transposition of the
greta vessels. To maintain patency of the ductus arteriosus, the nurse administers a
prescribed dose of prostaglandin IV. Based on which assessment finding below should
the nurse stop the medication administration immediately? - Answer Blood pressure of
80/50
While obtaining the vital signs of a 10-year-old child who has a tonsillectomy this
, morning, the nurse observes the child swallowing every 2 to 3 minutes. What
assessment should the nurse perform? - Answer Observe the posterior oropharynx
The nurse is admitting a child diagnosed with untreated hypoparathyroidism. What is
the finding indicative of hypocalcemia that should be reported to the health care
provider? - Answer Positive Chvostek sign
How would the nurse instruct the parents of a 4-month-old with sebotheic dermatitis
(cradle cap) to shampoo the child's hair? - Answer Use a soft brush and gently scrub the
area
Then ruse is caring for a child newly diagnosed with attention deficit hyperactive
disorder (ADHD). The child's mother asks about information of the treatment options.
Which information is most helpful for the nurse to provide? - Answer Explore the
combination of medication and behavioral therapies
The nurse is performing an admission assessment on an 11-month-old infant with heart
failure who is now scheduled for repair of stenosis of concentration at the aorta that
was repaired 4 days after birth. Findings include blood pressure higher in the arms than
the lower extremities, pouncing brachial pulses, and slightly palatable femoral pulses.
Which pathophysiologic mechanism supports these findings? - Answer The lumen of the
aorta decreases the volume of blood flow to the lower extremities.
The nurse is ordered to administer digoxin to an infant who is 9 months old. The infant's
apical heart rate is 150 beats per minute. What apical pulse rate indicates that the
therapeutic effect of the mediation has been achieved? - Answer 120 beats per minute
The nurse is to administer a secondary infusion of amilacin 600 mg IV in 100 mL of D5W
over 45 minutes every 8 hours to a child weighing 40 kg. How many mL/hour would the
nurse program the infusion pump to deliver? (Enter numeric value only. If rounding is
required, round to the nearest whole number) - Answer 133
The nurse will only screen the highest risk children for scoliosis. Which of the following
groups of children would the nurse be most likely to screen first? -Answer Girls between
ages 10 and 114
Accurate Answers (100% pass)
Which of the following nutrition information should the nurse plan to provide the mother
of a 6-month-old regarding introduction of solid foods? - Answer Food should be
introduced into a child's diet one at a time, at 4 to 7 day intervals
The nurse is performing discharge teaching for the mother of a 22-month-old patient
who was diagnosed with respiratory syncytial virus and has one younger and one older
sibling in the home. Which of the following would be the nurse's priority when planning
this teaching? Answer Apply airborne precautions to the infected child
A 17-year-old male student with cystic fibrosis speaks with the school nurse about his
disease and asks how the disease will affect getting married and having children. Which
related information would the nurse include in this conversation? - Answer He will most
likely have infertility problems and should be seen for further evaluation
While auscultating lung sounds of a 5-year-old Chinese boy who has just completed a
course of antibiotic therapy for pneumonia, the nurse observes symmetrical, round,
ecchymotic-like lesions on the child's chest. Which action is most appropriate for the
nurse to take? - Answer Ask if alternative methods of treatment are being used
The mother of a 6-year-old girl is worried about her child being obese. The child's weight
plots at the 75 percentile, and height at the 25 percentile. The child's body mass index
(BMI) is at the 85 percentile for age and gender. Which intervention should the nurse
implement? (Select all that apply) - Answer -Establish the child's usual pattern of
physical activity
• Get 3-day diet history of the child from the mother • Enquire if the school has physical
education included in their curriculum
The mother of a 6-month-old infant comes to the well baby clinic and asks the nurse to
give her a prescription for Poly VI Sol with fluoride. The infant is still breast feeding but
also receives supplemental formula feedings. Which assessment is most important for
,the nurse to obtain? Answer Water source used with supplemental feedings
A mother of a one month old infant calls the clinic to report that the back of her infant's
head is flat. What is the nurse's appropriate response? Position the infant on the
stomach occasionally when awake and active
A toddler is diagnosed with nephrotic syndrome and the healthcare provider orders
enalapril. What would be the first action by the nurse before the medication is
administered? -Answer Monitor gait and balance while walking
A health care provider orders Cephalexin 350 mg PO every 6 hours for a child weighing
88 pounds. Available is Cephalexin Suspension 125 mg/5 mL. The recommended safe
dose range is 25 to 50 mg/kg/24 hours in 4 divided doses. How many mL will the nurse
administer based on weight? (enter numerical value only. If rounding is required, round
to the nearest whole number). - Answer 14
The nursing student is working in the outpatient oncology clinic and is caring for a
16-year-old adolescent who has acute myelocyte leukemia and is receiving
chemotherapy via an implanted medication port. After the completion of the infusion,
what does the nurse do? - Answer Flush the mediport with saline and then with a heparin
solution
The adolescent female is hospitalized with PID after receiving two weeks of levofloxacin
500 mg PO daily and (medication) 500 mg PO bid. She tells the nurse, "Why do I have to
be in the hospital? Why can't I get my treatment at home?" What rationale should the
nurse give that supports an effective outcome? Response Early detection of
Jarisch-Hersheimer reaction
The nurse is caring for a week old infant who was diagnosed with transposition of the
greta vessels. To maintain patency of the ductus arteriosus, the nurse administers a
prescribed dose of prostaglandin IV. Based on which assessment finding below should
the nurse stop the medication administration immediately? - Answer Blood pressure of
80/50
While obtaining the vital signs of a 10-year-old child who has a tonsillectomy this
, morning, the nurse observes the child swallowing every 2 to 3 minutes. What
assessment should the nurse perform? - Answer Observe the posterior oropharynx
The nurse is admitting a child diagnosed with untreated hypoparathyroidism. What is
the finding indicative of hypocalcemia that should be reported to the health care
provider? - Answer Positive Chvostek sign
How would the nurse instruct the parents of a 4-month-old with sebotheic dermatitis
(cradle cap) to shampoo the child's hair? - Answer Use a soft brush and gently scrub the
area
Then ruse is caring for a child newly diagnosed with attention deficit hyperactive
disorder (ADHD). The child's mother asks about information of the treatment options.
Which information is most helpful for the nurse to provide? - Answer Explore the
combination of medication and behavioral therapies
The nurse is performing an admission assessment on an 11-month-old infant with heart
failure who is now scheduled for repair of stenosis of concentration at the aorta that
was repaired 4 days after birth. Findings include blood pressure higher in the arms than
the lower extremities, pouncing brachial pulses, and slightly palatable femoral pulses.
Which pathophysiologic mechanism supports these findings? - Answer The lumen of the
aorta decreases the volume of blood flow to the lower extremities.
The nurse is ordered to administer digoxin to an infant who is 9 months old. The infant's
apical heart rate is 150 beats per minute. What apical pulse rate indicates that the
therapeutic effect of the mediation has been achieved? - Answer 120 beats per minute
The nurse is to administer a secondary infusion of amilacin 600 mg IV in 100 mL of D5W
over 45 minutes every 8 hours to a child weighing 40 kg. How many mL/hour would the
nurse program the infusion pump to deliver? (Enter numeric value only. If rounding is
required, round to the nearest whole number) - Answer 133
The nurse will only screen the highest risk children for scoliosis. Which of the following
groups of children would the nurse be most likely to screen first? -Answer Girls between
ages 10 and 114
