Evolve HESI peds Practice Questions
with Correct Answers 100% Pass
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. - ✔✔Apical heart rate of 60.
A heart rate of 60 (A) is much lower than normal for a 6-month-old and
warrants immediate intervention. The normal heart rate for a 6-month-old
is 80 to 150 BPM when awake, and a rate of 70 while sleeping is considered
1
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,within normal limits. (B and C) are expected symptoms of heart failure in
an infant. (D) is within normal limits for an infant.
The nurse is teaching the parents of a 5-year-old with cystic fibrosis about
respiratory treatments. Which statement indicates to the nurse that the
parents understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a lot.
Administer aerosol therapy followed by postural drainage before meals.
Ensure respiratory therapy is done daily during any respiratory infection. -
✔✔Administer aerosol therapy followed by postural drainage before
meals.
Postural drainage for a child with cystic fibrosis is most effective when
performed after nebulization and before meals (C) or at least 1 hour after
eating to prevent nausea and vomiting. Postural drainage uses gravity to
promote mucous removal after nebulization (A) treatments which open the
2
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,airways. Pulmonary toileting or respiratory treatments should be given 3 to
4 times daily, not episodically (B and D).
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne
vulgaris. What is the most important instruction for the nurse to include in
this client's teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
Menstrual periods may become irregular. - ✔✔Use sunscreen when lying
by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin
V) therapy. Severe sunburn can occur with minimal sun exposure and
clients should be instructed to avoid sunlight and to use sunscreen (A). (B
and D) are not related to tetracycline HCL (Achromycin V) therapy. (C)
3
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, should be avoided because dairy products interfere with the absorption of
tetracyclines.
What preoperative nursing intervention should be included in the plan of
care for an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
Observe for projectile vomiting. - ✔✔Observe for projectile vomiting.
Projectile vomiting (D), which contributes to metabolic alkalosis (A), is the
classic sign of pyloric stenosis. (B) is not indicated. (C) is dangerous, due to
the potential for aspiration with frequent vomiting.
An infant is born with a ventricular septal defect (VSD) and surgery is
planned to correct the defect. The nurse recognizes that surgical correction
is designed to achieve which outcome?
Stop the flow of unoxygenated blood into systemic circulation.
4
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with Correct Answers 100% Pass
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. - ✔✔Apical heart rate of 60.
A heart rate of 60 (A) is much lower than normal for a 6-month-old and
warrants immediate intervention. The normal heart rate for a 6-month-old
is 80 to 150 BPM when awake, and a rate of 70 while sleeping is considered
1
100% Pass Guarantee Katelyn Whitman, All Rights
,within normal limits. (B and C) are expected symptoms of heart failure in
an infant. (D) is within normal limits for an infant.
The nurse is teaching the parents of a 5-year-old with cystic fibrosis about
respiratory treatments. Which statement indicates to the nurse that the
parents understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a lot.
Administer aerosol therapy followed by postural drainage before meals.
Ensure respiratory therapy is done daily during any respiratory infection. -
✔✔Administer aerosol therapy followed by postural drainage before
meals.
Postural drainage for a child with cystic fibrosis is most effective when
performed after nebulization and before meals (C) or at least 1 hour after
eating to prevent nausea and vomiting. Postural drainage uses gravity to
promote mucous removal after nebulization (A) treatments which open the
2
100% Pass Guarantee Katelyn Whitman, All Rights
,airways. Pulmonary toileting or respiratory treatments should be given 3 to
4 times daily, not episodically (B and D).
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne
vulgaris. What is the most important instruction for the nurse to include in
this client's teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
Menstrual periods may become irregular. - ✔✔Use sunscreen when lying
by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin
V) therapy. Severe sunburn can occur with minimal sun exposure and
clients should be instructed to avoid sunlight and to use sunscreen (A). (B
and D) are not related to tetracycline HCL (Achromycin V) therapy. (C)
3
100% Pass Guarantee Katelyn Whitman, All Rights
, should be avoided because dairy products interfere with the absorption of
tetracyclines.
What preoperative nursing intervention should be included in the plan of
care for an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
Observe for projectile vomiting. - ✔✔Observe for projectile vomiting.
Projectile vomiting (D), which contributes to metabolic alkalosis (A), is the
classic sign of pyloric stenosis. (B) is not indicated. (C) is dangerous, due to
the potential for aspiration with frequent vomiting.
An infant is born with a ventricular septal defect (VSD) and surgery is
planned to correct the defect. The nurse recognizes that surgical correction
is designed to achieve which outcome?
Stop the flow of unoxygenated blood into systemic circulation.
4
100% Pass Guarantee Katelyn Whitman, All Rights
