HESI PEDIATRIC EXIT 12 FINAL PAPER
COMPLETE QUESTIONS AND ANSWERS
VERIFIED PREPARATION
◉ The nurse received a lab report stating a child w/ asthma has
theophyline level of 15 mcg/dl. What action will the nurse take?
Answer: Pass the information on in the report.
a.i. Therapeutic levels of theophylline is 10-20 mcg/dl, so the child's
level is w/in the therapeutic rage. this information evaluates the
prescribed therapy and should be communicated in the nurse's
report.
◉ Surgery is being delayed for an infant with undescended testes. In
collaboration w/ the health care provider and the family, which
prescription should the nurse anticipapte?
Answer: trial of human chorionic gonadotrophic hormone
a.i A trial of HCG may aid in testicular descent, but does not replace
surgical repair for true undescended testes. (cryptorchidism: may be
found in the inguinal canal due to exaggerated creamasteric reflex
◉ Which menu selection by a child w/ celiac disease indicates to the
nurse that the child understands necessary dietary considerations?
Answer: a. Oven baked potato chips & cola
,a.i. Celiac disease causes an intolerance to the protein gluten found
in oats, rye, wheat, and barley. The child should avoid any produces
containing these indredients to avoid symptoms such as diarrhea.
◉ The mother of a 2-year-old boy consults the nurse about her son's
increased temper tantrums. The mother states, "yesterday he threw
a fit in the grocery store, and I did not know what to do. I was so
embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother?
Answer: a. Walk away from him and ignore the behavior
a.i. The best approach for a toddler is to ignor the attention-seeking
behavior. The parents should be somewhat nearby, w/in view of the
child but should avoid reinforcing the behavior in any way. Tantrums
can sometimes be avoided by talking to the child before the situation
occurs
◉ Which restraint should be used for a toddler after a cleft palate
repair?
Answer: a. Elbow
a.i. Elbow restraints prevent children from bending their arms and
brining their hands to the oral surgical site, (A) restrains the hands
but the child can bend and bring their head to their ands. (B) is used
during procedures (mummy). (D)-jacket, restrains the body torso
and is not appropriate
,◉ The mother of a 4-year-old child asks the nurse what she can do
to help her other children cope with their sibling's hospitalizations.
Which is the best response that the nurse should offer?
Answer: a. Encourage the mother to have the children visit the
hospitalized sibling.
a.i. Needs of a sibling will be better met with facture information and
contact w/ the ill child, so siblings visitation should be encouraged
(D). Parents are experts on their children and should determine
when their children are old enough to visit. (A) in the hospital/
Separation fr. a family & home (B) may intensify fear & anxiety
(suggest that the child visit a grandmother until the sibling returns
home. Children may have difficulty expressing questions (C) ask the
mother if the child asks when the sibling will be discharged, so the
support of parents & other caregivers are needed to help alleviate
their fears.
◉ The nurse is giving preoperative instruction to a 14-year-old
female client who is scheduled for surgery to correct a spinal
curvature. Which statement by the client best demonstrates that
learning has taken place?
Answer: a. I understand that I will be in a body cast and I will show
you how you taught me to turn
a.i. Outcome of learning is best demonstrated when the client not
only verbalizes an understand, but can also provide a return
demonstration
, ◉ During administration of a blood transfusion, a child complains of
chills, headache, and nausea. Which action should the nurse
implement?
Answer: a. Stop the infusion immediately and notify the healthcare
provider
a.i. The child is exhibiting signs of a reaction to the blood
transfusion. The blood transfusion should be stopped immediately
and the healthcare provider notified ©. After the transfusion is
discontinused, IV access should be maintained. (A) w/ fluids that do
not introduce any more cellular products. (B & D) place the child @
risk for further blood reactions
◉ The clinic nurse is taking the hx for a new 6-month-old client. The
mother reports that she took a great deal of aspirin while pregnant.
Which assessment should the nurse obtain?
Answer: a. Type of reaction to loud noises
a.i. Ototoxicity diminishes hear acuity and causes symptoms of
tinnitus and vertigo in older children who can express subjective
symptoms, so assessing the infant's reation to loud noises (A) helps
to determine an infant's risk for hearing deficit r/t to a hx of the
mother taking ototoxic drug, such as aspirin, while pregnancy (B,C,D
are not assoc w/ the exposure to aspirin in utero
◉ The mother of a preschool aged child asks the nurse if it is all
right to administer Pepto Bismol to her son when he has a "tummy
ache" After reminding the mother to check the label of all OTC drugs
COMPLETE QUESTIONS AND ANSWERS
VERIFIED PREPARATION
◉ The nurse received a lab report stating a child w/ asthma has
theophyline level of 15 mcg/dl. What action will the nurse take?
Answer: Pass the information on in the report.
a.i. Therapeutic levels of theophylline is 10-20 mcg/dl, so the child's
level is w/in the therapeutic rage. this information evaluates the
prescribed therapy and should be communicated in the nurse's
report.
◉ Surgery is being delayed for an infant with undescended testes. In
collaboration w/ the health care provider and the family, which
prescription should the nurse anticipapte?
Answer: trial of human chorionic gonadotrophic hormone
a.i A trial of HCG may aid in testicular descent, but does not replace
surgical repair for true undescended testes. (cryptorchidism: may be
found in the inguinal canal due to exaggerated creamasteric reflex
◉ Which menu selection by a child w/ celiac disease indicates to the
nurse that the child understands necessary dietary considerations?
Answer: a. Oven baked potato chips & cola
,a.i. Celiac disease causes an intolerance to the protein gluten found
in oats, rye, wheat, and barley. The child should avoid any produces
containing these indredients to avoid symptoms such as diarrhea.
◉ The mother of a 2-year-old boy consults the nurse about her son's
increased temper tantrums. The mother states, "yesterday he threw
a fit in the grocery store, and I did not know what to do. I was so
embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother?
Answer: a. Walk away from him and ignore the behavior
a.i. The best approach for a toddler is to ignor the attention-seeking
behavior. The parents should be somewhat nearby, w/in view of the
child but should avoid reinforcing the behavior in any way. Tantrums
can sometimes be avoided by talking to the child before the situation
occurs
◉ Which restraint should be used for a toddler after a cleft palate
repair?
Answer: a. Elbow
a.i. Elbow restraints prevent children from bending their arms and
brining their hands to the oral surgical site, (A) restrains the hands
but the child can bend and bring their head to their ands. (B) is used
during procedures (mummy). (D)-jacket, restrains the body torso
and is not appropriate
,◉ The mother of a 4-year-old child asks the nurse what she can do
to help her other children cope with their sibling's hospitalizations.
Which is the best response that the nurse should offer?
Answer: a. Encourage the mother to have the children visit the
hospitalized sibling.
a.i. Needs of a sibling will be better met with facture information and
contact w/ the ill child, so siblings visitation should be encouraged
(D). Parents are experts on their children and should determine
when their children are old enough to visit. (A) in the hospital/
Separation fr. a family & home (B) may intensify fear & anxiety
(suggest that the child visit a grandmother until the sibling returns
home. Children may have difficulty expressing questions (C) ask the
mother if the child asks when the sibling will be discharged, so the
support of parents & other caregivers are needed to help alleviate
their fears.
◉ The nurse is giving preoperative instruction to a 14-year-old
female client who is scheduled for surgery to correct a spinal
curvature. Which statement by the client best demonstrates that
learning has taken place?
Answer: a. I understand that I will be in a body cast and I will show
you how you taught me to turn
a.i. Outcome of learning is best demonstrated when the client not
only verbalizes an understand, but can also provide a return
demonstration
, ◉ During administration of a blood transfusion, a child complains of
chills, headache, and nausea. Which action should the nurse
implement?
Answer: a. Stop the infusion immediately and notify the healthcare
provider
a.i. The child is exhibiting signs of a reaction to the blood
transfusion. The blood transfusion should be stopped immediately
and the healthcare provider notified ©. After the transfusion is
discontinused, IV access should be maintained. (A) w/ fluids that do
not introduce any more cellular products. (B & D) place the child @
risk for further blood reactions
◉ The clinic nurse is taking the hx for a new 6-month-old client. The
mother reports that she took a great deal of aspirin while pregnant.
Which assessment should the nurse obtain?
Answer: a. Type of reaction to loud noises
a.i. Ototoxicity diminishes hear acuity and causes symptoms of
tinnitus and vertigo in older children who can express subjective
symptoms, so assessing the infant's reation to loud noises (A) helps
to determine an infant's risk for hearing deficit r/t to a hx of the
mother taking ototoxic drug, such as aspirin, while pregnancy (B,C,D
are not assoc w/ the exposure to aspirin in utero
◉ The mother of a preschool aged child asks the nurse if it is all
right to administer Pepto Bismol to her son when he has a "tummy
ache" After reminding the mother to check the label of all OTC drugs
