Pediatrics HESI Practice Exam (evolve)
A 12-12 months-vintage male client tells the nurse that he is happy to be taking increase
hormones due to the fact now he can turn out to be as tall as his pals. What reaction is fine for
the nurse to provide?
A. "You need to take into account that this remedy routine isn't usually powerful."
b. "Although being tall is critical to you, keep in mind there are a long way greater critical traits
than peak."
c. You will grow with this medicine, and are probably to be taller than every body for your circle
of relatives."
d. "Being taller is critical to you and taking your injections will assist achieve that aim." - ANS-d.
"Being taller is important to you and taking your injections will assist gain that purpose."
A 14-yr-antique is introduced to the emergency department after a cycling twist of fate. How
should the nurse engage with the adolescent?
A. Furnish rewards for cooperation throughout techniques.
B. Have the mother and father continue to be with the adolescent always.
C. Provide clear factors while encouraging questions.
D. Limit the wide variety of choices to be made with the aid of the adolescent. - ANS-c. Provide
clean causes at the same time as encouraging questions.
Adolescents are able to summary thinking and apprehend explanations, so the possibility to
invite questions should be supplied. Since an adolescent's modesty should be reputable, the
presence of the dad and mom at the bedside have to be a choice made through the adolescent.
An adolescent's potential to suppose abstractly engages hassle-fixing, consequently the
14-yr-vintage need to be allowed to verbalize choices approximately their care.
A 14-yr-old returns to the pediatric unit after corrective surgical procedure for scoliosis. In the on
the spot postoperative period, the nurse ought to consist of which action on this purchaser's
plan of care? (Select all that apply.)
a. Record consumption and output each 8 hours.
B. Elevate the top of the mattress 30 tiers.
C. Assess bowel sounds every four hours.
D. Initiate a logrolling agenda each 2 hours.
E. Ambulate for five minutes, 12 hours postoperative.
F. Give morphine sulfate, 2 mg IV every 4 hours PRN. - ANS-a. Record consumption and output
every 8 hours.
C. Assess bowel sounds every four hours.
,D. Initiate a logrolling time table each 2 hours.
F. Give morphine sulfate, 2 mg IV every four hours PRN.
Recording intake and output and assessing bowel sounds are critical whilst figuring out if the
frame structures are improving from the outcomes of anesthesia. Using a logrolling approach to
show the client maintains spinal alignment postoperatively and stops headaches of immobility.
Since that is a painful surgical operation, the nurse should keep ache manipulate as prescribed.
The ache related is not simply due to the incisions of surgical operation, however also to the
manipulation and placement of the spinal hardware and muscular pain as the worried muscle
tissues regulate to the corrective realignment of the spine. Following corrective surgical
procedure for scoliosis, a purchaser have to be immobilized without spinal flexion for 24 to 48
hours, after which ambulated through the bodily therapist.
A 15-12 months-vintage lady tells the faculty nurse that she wants to have a toddler. How ought
to the nurse respond?
A. "Will you be able to help the toddler?"
b. "Do you have plans to hold faculty?"
c. "Have you talked with your dad and mom about this?"
d. "Can you inform me how your life might be when you have an infant?" - ANS-d. "Can you tell
me how your lifestyles will be if you have an little one?"
Developing a communicate with the teen is important. By the use of an open-ended question
the nurse will inspire conversation and clarification. This query directs the teenager to bear in
mind actual life stories and permits the nurse to assess the teen's perception and reality
orientation.
A 2-year-antique is receiving care in the emergency branch (ED) for a deep laceration on the
head. What action ought to the nurse put in force to facilitate the child's cooperation?
A. Allow the kid to keep a favorite toy or blanket.
B. Direct the parents to remain outdoor the remedy room.
C. Keep the kid bodily constrained throughout nursing care.
D. Let the child determine whether to sit up straight or lie down for processes. - ANS-a. Allow
the kid to maintain a favorite toy or blanket.
Allowing a baby to maintain a fave toy or blanket presents familiarity and luxury that have to
facilitate the child's cooperation during treatment. Parents need to continue to be with the child
to calm and reassure the kid who may additionally understand the ED environment as
threatening.
A 3-year-antique boy is added to the emergency branch due to a possible diazepam overdose.
He is lethargic and harassed. His critical signs and symptoms are: pulse rate 100 beats/minute,
, breathing price 20 breaths/minute, and blood pressure 70/30 mmHg. Which nursing intervention
has the very best precedence?
A. Insert an orogastric tube for gastric lavage.
B. Prepare a set-up for an endotracheal intubation.
C. Draw blood for stat chemistries and blood gases.
D. Insert a Foley catheter to display renal functioning. - ANS-b. Prepare a fixed-up for an
endotracheal intubation.
Diazepam causes breathing melancholy. Preparation for endotracheal intubation to protect the
airway is the priority intervention right now.
A 4-month-old breastfeeding toddler is at the 80th percentile for weight and the 75th percentile
for height. How ought to the nurse interpret this finding?
A. Milk allergic reaction.
B. Failure to thrive.
C. Inadequate milk supply in mother.
D. Normal boom curve of a breastfed toddler. - ANS-d. Normal increase curve of a breastfed
infant.
When plotting weights and heights on a general boom chart each breastfed and formula-fed
infants, the breastfed toddler grows extra swiftly at some stage in the first 2 months of lifestyles,
after which increase slows from three to three hundred and sixty five days. A breastfed infant is
leaner and has much less frame fats than a system-fed toddler. Normal patterns of infants
who're breastfed fluctuate from individuals who are components fed.
A 4-yr-old boy is delivered to the emergency branch by his figure who reports that the kid has
been pointing at his stomach and pronouncing, "It hurts so horrific." Which pain assessment tool
have to the nurse use?
A. Descriptor Scale.
B. Brief Pain Inventory.
C. A numeric rating scale.
D. Wong-Baker FACES Scale. - ANS-d. Wong-Baker FACES Scale.
A pain rating scale the usage of snap shots, together with the Wong-Baker FACES Scale,
permits the kid to select a facial expression that indicates "how a lot hurt you've got now" and
ought to be used for a preschool-elderly baby.
A 4-yr-vintage infant who's ventilator-based is receiving tube feedings inside the home setting.
The family wants to start oral feeding of the kid and asks the house fitness nurse to orally feed
the four-yr-antique child meals. What steps ought to be taken? (Rank in precedence order.)
A 12-12 months-vintage male client tells the nurse that he is happy to be taking increase
hormones due to the fact now he can turn out to be as tall as his pals. What reaction is fine for
the nurse to provide?
A. "You need to take into account that this remedy routine isn't usually powerful."
b. "Although being tall is critical to you, keep in mind there are a long way greater critical traits
than peak."
c. You will grow with this medicine, and are probably to be taller than every body for your circle
of relatives."
d. "Being taller is critical to you and taking your injections will assist achieve that aim." - ANS-d.
"Being taller is important to you and taking your injections will assist gain that purpose."
A 14-yr-antique is introduced to the emergency department after a cycling twist of fate. How
should the nurse engage with the adolescent?
A. Furnish rewards for cooperation throughout techniques.
B. Have the mother and father continue to be with the adolescent always.
C. Provide clear factors while encouraging questions.
D. Limit the wide variety of choices to be made with the aid of the adolescent. - ANS-c. Provide
clean causes at the same time as encouraging questions.
Adolescents are able to summary thinking and apprehend explanations, so the possibility to
invite questions should be supplied. Since an adolescent's modesty should be reputable, the
presence of the dad and mom at the bedside have to be a choice made through the adolescent.
An adolescent's potential to suppose abstractly engages hassle-fixing, consequently the
14-yr-vintage need to be allowed to verbalize choices approximately their care.
A 14-yr-old returns to the pediatric unit after corrective surgical procedure for scoliosis. In the on
the spot postoperative period, the nurse ought to consist of which action on this purchaser's
plan of care? (Select all that apply.)
a. Record consumption and output each 8 hours.
B. Elevate the top of the mattress 30 tiers.
C. Assess bowel sounds every four hours.
D. Initiate a logrolling agenda each 2 hours.
E. Ambulate for five minutes, 12 hours postoperative.
F. Give morphine sulfate, 2 mg IV every 4 hours PRN. - ANS-a. Record consumption and output
every 8 hours.
C. Assess bowel sounds every four hours.
,D. Initiate a logrolling time table each 2 hours.
F. Give morphine sulfate, 2 mg IV every four hours PRN.
Recording intake and output and assessing bowel sounds are critical whilst figuring out if the
frame structures are improving from the outcomes of anesthesia. Using a logrolling approach to
show the client maintains spinal alignment postoperatively and stops headaches of immobility.
Since that is a painful surgical operation, the nurse should keep ache manipulate as prescribed.
The ache related is not simply due to the incisions of surgical operation, however also to the
manipulation and placement of the spinal hardware and muscular pain as the worried muscle
tissues regulate to the corrective realignment of the spine. Following corrective surgical
procedure for scoliosis, a purchaser have to be immobilized without spinal flexion for 24 to 48
hours, after which ambulated through the bodily therapist.
A 15-12 months-vintage lady tells the faculty nurse that she wants to have a toddler. How ought
to the nurse respond?
A. "Will you be able to help the toddler?"
b. "Do you have plans to hold faculty?"
c. "Have you talked with your dad and mom about this?"
d. "Can you inform me how your life might be when you have an infant?" - ANS-d. "Can you tell
me how your lifestyles will be if you have an little one?"
Developing a communicate with the teen is important. By the use of an open-ended question
the nurse will inspire conversation and clarification. This query directs the teenager to bear in
mind actual life stories and permits the nurse to assess the teen's perception and reality
orientation.
A 2-year-antique is receiving care in the emergency branch (ED) for a deep laceration on the
head. What action ought to the nurse put in force to facilitate the child's cooperation?
A. Allow the kid to keep a favorite toy or blanket.
B. Direct the parents to remain outdoor the remedy room.
C. Keep the kid bodily constrained throughout nursing care.
D. Let the child determine whether to sit up straight or lie down for processes. - ANS-a. Allow
the kid to maintain a favorite toy or blanket.
Allowing a baby to maintain a fave toy or blanket presents familiarity and luxury that have to
facilitate the child's cooperation during treatment. Parents need to continue to be with the child
to calm and reassure the kid who may additionally understand the ED environment as
threatening.
A 3-year-antique boy is added to the emergency branch due to a possible diazepam overdose.
He is lethargic and harassed. His critical signs and symptoms are: pulse rate 100 beats/minute,
, breathing price 20 breaths/minute, and blood pressure 70/30 mmHg. Which nursing intervention
has the very best precedence?
A. Insert an orogastric tube for gastric lavage.
B. Prepare a set-up for an endotracheal intubation.
C. Draw blood for stat chemistries and blood gases.
D. Insert a Foley catheter to display renal functioning. - ANS-b. Prepare a fixed-up for an
endotracheal intubation.
Diazepam causes breathing melancholy. Preparation for endotracheal intubation to protect the
airway is the priority intervention right now.
A 4-month-old breastfeeding toddler is at the 80th percentile for weight and the 75th percentile
for height. How ought to the nurse interpret this finding?
A. Milk allergic reaction.
B. Failure to thrive.
C. Inadequate milk supply in mother.
D. Normal boom curve of a breastfed toddler. - ANS-d. Normal increase curve of a breastfed
infant.
When plotting weights and heights on a general boom chart each breastfed and formula-fed
infants, the breastfed toddler grows extra swiftly at some stage in the first 2 months of lifestyles,
after which increase slows from three to three hundred and sixty five days. A breastfed infant is
leaner and has much less frame fats than a system-fed toddler. Normal patterns of infants
who're breastfed fluctuate from individuals who are components fed.
A 4-yr-old boy is delivered to the emergency branch by his figure who reports that the kid has
been pointing at his stomach and pronouncing, "It hurts so horrific." Which pain assessment tool
have to the nurse use?
A. Descriptor Scale.
B. Brief Pain Inventory.
C. A numeric rating scale.
D. Wong-Baker FACES Scale. - ANS-d. Wong-Baker FACES Scale.
A pain rating scale the usage of snap shots, together with the Wong-Baker FACES Scale,
permits the kid to select a facial expression that indicates "how a lot hurt you've got now" and
ought to be used for a preschool-elderly baby.
A 4-yr-vintage infant who's ventilator-based is receiving tube feedings inside the home setting.
The family wants to start oral feeding of the kid and asks the house fitness nurse to orally feed
the four-yr-antique child meals. What steps ought to be taken? (Rank in precedence order.)
