2022 HESI RN PEDIATRICS EXAM Q&A.

2022 HESI RN PEDIATRICS EXAM 2022 HESI RN PEDIATRICS EXAM The nurse is planning care for a 5 - month-old with gastroesophageal reflux disease whose weight has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease vomiting, what instruction should the nurse provide this mother? •Thicken formula with cereal for each feeding A 4-years-old boy was recently diagnosed with Duchenne muscular dystrophy (DMD). Which characteristic of the disease is most important for the nurse to focus on during the initial teaching? •Lower legs become progressively weaker, causing a wedding, unsteady gait In caring for an client with acute epiglottitis, which nursing action takes priority? •Prepare for endotracheal intubation pg. 2 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 assessment is completed? • Assess for changes in the vital signs • Review the child's birth history • Provide the parents with a list of stimulating activities • Meet with a social worker to review the results • Provide the parents with a list of stimulating activities 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? • Pain The nurse is administering an oral medication to a reluctant preschoolage boy. Which intervention should the nurse implement? • Use straightforward approach with the child pg. 3 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 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 typical "boy" toys. How should the nurse respond to the mother's concern? • Exploring different roles in imaginary play is typical at this age Which nursing intervention is most important to assist in detecting hypopituitarism and hyperpituitarism in children? • Carefully recording the height and weight of children to detect inappropriate growth rates 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 pg. 4 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