HESI COMPREHENSIVE NCLEX-RN PRACTICE
(PEDIATRICS) EXAM WITH WELL DETAILED QUESTION &
ANSWERS PERFECTLY A+ GRADED WITH RATIONALE
NEW UPDATE
Which interventions should the nurse include in the teaching plan for the mother of a 6-year-
old who is experiencing encopresis secondary to a fecal impaction? (Select all that apply.)
A.Provide a low-fiber diet.
B.Administer mineral oil daily.
C.Decrease the daily fluids.
D.Eliminate dairy products.
E.Initiate consistent toileting routine. CORRECT ANSWER>>>>B, D, E
Rationale:
Encopresis is fecal incontinence, usually as the result of recurring fecal impaction and an
enlarged rectum caused by chronic constipation. Encopresis is managed through bowel
retraining with mineral oil, eliminating dairy products, and initiating a regular toileting routine.
A high-fiber diet, not option A, and increased daily fluids, not option C, are components of care
for a child with encopresis.
,The nurse is planning postoperative care for a child who has had a cleft lip repair. What is the
most important reason to minimize this child's crying during the recovery period?
A.Tear formation increases salivation.
B. This behavior increases respirations.
C. Excessive hysteria can lead to vomiting.
D. Crying stresses the suture line. CORRECT ANSWER>>>>D
Rationale:
Prevention of stress on the lip suture line is essential for optimum healing and the cosmetic
appearance of a cleft lip repair. Although crying also causes options A, B, and C, these conditions
do not create a problem for the child with a cleft lip repair
A 6-month-old male infant is admitted to the post-anesthesia care unit with elbow restraints in
place. He has an endotracheal tube and is ventilator-dependent but will be extubated soon
following recovery from anesthesia. Which nursing intervention should be included in this
child's plan of care?
A. Keep restraints on at all times to prevent unplanned extubation.
B. Remove restraints one at a time and provide range-of-motion exercises.
C. Remove all restraints simultaneously and provide play activities.
D. Document the reason for application of the restraints every 72 hours. CORRECT
ANSWER>>>>B
Rationale:
Removing restraints one at a time is safer than option C. The infant should have the restrained
extremities assessed frequently for signs of neurologic or vascular impairment, and range-of-
motion exercises should be performed with these assessments. Under no circumstances should
, restraints be applied to the client continuously. Documentation of assessment findings
regarding the restrained extremities must occur much more frequently than every 72 hours;
however, the reason for using restraints must be justified and should be stated in the medical
record.
In making the initial assessment of a 2-hour-old infant, which finding should lead the nurse to
suspect a congenital heart defect?
A. Irregular respiration and heart rate
B. Gagging
C. Blue feet and hands
D. Diminished femoral pulses CORRECT ANSWER>>>>D
Rationale:
Diminished femoral pulses could indicate coarctation of the aorta. In the normal transition
period, options A and B occur during the 4 to 6 hours after birth (second period of reactivity).
Option C is a normal finding in the newborn.
The nurse is preparing a health teaching program for parents of toddlers and preschoolers and
plans to include information about the prevention of accidental poisonings. It is most important
for the nurse to include which instruction?
A. Tell children that they should not taste anything but food.
B. Store all toxic agents and medicines in locked cabinets.
C. Provide special play areas in the house and restrict play in other areas.
D. Punish children if they open cabinets that contain household chemicals. CORRECT
ANSWER>>>>B
Rationale:
(PEDIATRICS) EXAM WITH WELL DETAILED QUESTION &
ANSWERS PERFECTLY A+ GRADED WITH RATIONALE
NEW UPDATE
Which interventions should the nurse include in the teaching plan for the mother of a 6-year-
old who is experiencing encopresis secondary to a fecal impaction? (Select all that apply.)
A.Provide a low-fiber diet.
B.Administer mineral oil daily.
C.Decrease the daily fluids.
D.Eliminate dairy products.
E.Initiate consistent toileting routine. CORRECT ANSWER>>>>B, D, E
Rationale:
Encopresis is fecal incontinence, usually as the result of recurring fecal impaction and an
enlarged rectum caused by chronic constipation. Encopresis is managed through bowel
retraining with mineral oil, eliminating dairy products, and initiating a regular toileting routine.
A high-fiber diet, not option A, and increased daily fluids, not option C, are components of care
for a child with encopresis.
,The nurse is planning postoperative care for a child who has had a cleft lip repair. What is the
most important reason to minimize this child's crying during the recovery period?
A.Tear formation increases salivation.
B. This behavior increases respirations.
C. Excessive hysteria can lead to vomiting.
D. Crying stresses the suture line. CORRECT ANSWER>>>>D
Rationale:
Prevention of stress on the lip suture line is essential for optimum healing and the cosmetic
appearance of a cleft lip repair. Although crying also causes options A, B, and C, these conditions
do not create a problem for the child with a cleft lip repair
A 6-month-old male infant is admitted to the post-anesthesia care unit with elbow restraints in
place. He has an endotracheal tube and is ventilator-dependent but will be extubated soon
following recovery from anesthesia. Which nursing intervention should be included in this
child's plan of care?
A. Keep restraints on at all times to prevent unplanned extubation.
B. Remove restraints one at a time and provide range-of-motion exercises.
C. Remove all restraints simultaneously and provide play activities.
D. Document the reason for application of the restraints every 72 hours. CORRECT
ANSWER>>>>B
Rationale:
Removing restraints one at a time is safer than option C. The infant should have the restrained
extremities assessed frequently for signs of neurologic or vascular impairment, and range-of-
motion exercises should be performed with these assessments. Under no circumstances should
, restraints be applied to the client continuously. Documentation of assessment findings
regarding the restrained extremities must occur much more frequently than every 72 hours;
however, the reason for using restraints must be justified and should be stated in the medical
record.
In making the initial assessment of a 2-hour-old infant, which finding should lead the nurse to
suspect a congenital heart defect?
A. Irregular respiration and heart rate
B. Gagging
C. Blue feet and hands
D. Diminished femoral pulses CORRECT ANSWER>>>>D
Rationale:
Diminished femoral pulses could indicate coarctation of the aorta. In the normal transition
period, options A and B occur during the 4 to 6 hours after birth (second period of reactivity).
Option C is a normal finding in the newborn.
The nurse is preparing a health teaching program for parents of toddlers and preschoolers and
plans to include information about the prevention of accidental poisonings. It is most important
for the nurse to include which instruction?
A. Tell children that they should not taste anything but food.
B. Store all toxic agents and medicines in locked cabinets.
C. Provide special play areas in the house and restrict play in other areas.
D. Punish children if they open cabinets that contain household chemicals. CORRECT
ANSWER>>>>B
Rationale:
