ATI PEDS/OB HESI EXAMS QUESTIONS AND
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GRADED A+ ANSWERS x x x
1.A mother brings her 8 mo. old baby boy to clinic bc he has been
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vomitting and had diarrhea for last 3 days. Which assessment is
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most important for nurse to make?
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a. Assess infant abdomen for tenderness x x x x x
b. Determine if the infant was exposed to a virus x x x x x x x x x
c.Measure the infant’s pulse x x x x
d.Evaluate the infant’s cry x x x x
2. While obtaining the vital signs of a 10 year old who had a
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tonsillectomy this morning, the nurse observes the child
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swallowing every 2-3 minutes. Which assessment should the
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nurse implement? a.Inspect the posterior oropharynx
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b. Assess for teeth clenching or grinding x x x x x x
c. Touch the tonsillar pillars to stimulate the gag reflex
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d. Ask the child to speak to evaluate change in voice tone
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3. The parents of a 3-year old boy who has Duchenne muscular
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dystrophy ask, “How can our son have this disease? We are
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wondering if we should have any more children.” What
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information should the nurse provide to parents?
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a.This is an inherited X- x x x x x
linked recessive disorder, which primarily affects male
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children in the family
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b. The striated muscle groups of males can be impacted by a
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lack of the protein dystrophin in their mothers
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c. The male infant had a viral infection that went unnoticed and
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untreated so muscle damage was incurred
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d. Birth trauma with a breech vaginal birth causes damage to
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the spinal cord, thus weakening the muscles
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4. A 2-week-old female infant is hospitalized for the surgical repair
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of an umbilical hernia. After returning to the postoperative
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, neonatal unit, her RR and HR have increased during the last hour.
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Which intervention should the nurse implement?
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a. x Notify the HCP of these findings
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b.Administer a PRN analgesic prescription x x x x x
c. Record the findings in the child’s record x x x x x x x
d. Wrap the infant tightly and rock in rocking chairx x x x x x x x x
5. A 2-year-old girl is brought to the clinic by her 17 year old mother.
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When the nurse observes that the child is drinking sweetened
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soda from her bottle, what information should the nurse discuss
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with this mother?
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a. A 2-year old should be speaking in 2 word phrases
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b. Dental caries are associated with drinking soda c. x x x x x x x x
Drinking soda is related to childhood obesity x x x x x x x
d.Toddlers should be sleeping 10 hours a night x x x x x x x x
e.Toddlers should be drinking from a cup by age 2 x x x x x x x x x x
6. A mother brings her 3 month old infant to the clinic because the
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baby does not sleep through the night. Which finding is most
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significant in planning care for this family?
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a. The mother is a single parent and lives with her parents
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b. The mother states the baby is irritable during feedings
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c. The infant’s formula has been changed twice
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d.The diaper area shows severe skin breakdown
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7. The nurse determines that an infant admitted for surgical repair
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of an inguinal hernia voids a urinary stream from the ventral
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surface of the penis. What action should the nurse take?
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a.Document the finding
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b. Palpate scrotum for testicular descent x x x x x
c. Assess for bladder distension x x x x
d. Auscultate bowel sounds x x x
8. A 16 year old with acute myelocytic leukemia is receiving
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chemotherapy (CT) via an implanted medication port at the
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outpatient oncology clinic. What action should the nurse
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implement when the infusion is complete?
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, a. Administer Zofran
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b.Obtain blood samples for RBCs, WBCs, and platelets
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c.Flush mediport w/ saline and heparin solution
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d.Initiate an infusion of normal saline x x x x x x
9. A mother brings her 3-week old infant to the clinic because the
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baby vomits after eating and always seems hungry. Further
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assessment indicates that the infant’s vomiting is projectile, and
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the child seems listless. Which additional assessment finding
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indicates the possibility of a life threatening complication?
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a. Irregular palpable pulse
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b. Hyperactive bowel sounds x x x
c. Underweight for age x x x
d. Crying without tears x x x
10. The nurse is performing a routine assessment of a 3-year old at
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a community health center. Which behavior by the child should
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alert the nurse to request a follow-up for a possible autistic
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spectrum disorder?
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a.Performs odd repetitive behaviors x x x x
b. Shows indifference to verbal stimulation x x x x x
c. Strokes the hair of a hand held doll x x x x x x x x
d. Has a history of temper tantrums x x x x x x
11. Following admission for cardiac catheterization, the nurse is
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providing discharge teaching to the parents of a 2-year-old
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toddler with tetralogy of Fallot. What instruction should the
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nurse give the parents if their child becomes pale, cool,
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lethargic?
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a. Encourage oral electrolyte solution intake
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b.Assess the child to a recumbent position
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c.Contact their HCP immediately x x x x
d.Provide a quiet time by holding or rocking the toddler
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12. A mother brings her 2 year old son to the clinic because he
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has been crying and pulling on his earlobe for the past 12
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hours. The child’s oral temperature is 101.2 F. Which
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intervention should the nurse implement?
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