HESI RN Pediatric (PEDS) Exit Exam Version 1 and 2 (V1 & V2) Questions and Answers | Latest Update 2023/2024 (Graded A+)

HESI RN Pediatric (PEDS) Exit Exam Version 1 and 2 (V1 & V2) Questions and Answers | Latest Update 2023/2024 (Graded A+). The nurse is developing the plan of care for a hospitalized child with von Willebrand disease. What priority nursing intervention should be included in this child’s plan of care? Guard against bleeding injuries 13. How should then nurse instruct the parents of a 4-month-old with seborrheic dermatitis (cradle cap) to shampoo the child’s hair? use a soft brush and gently scrub the area 14. The mother of a one-month-old calls the clinic to report that the back of her infant’s head is flat. How should the nurse respond? Position the infant on the stomach occasionally when awake and active 15. A 7-year-old child is admitted to the hospital with acute glomerulonephritis (AGN). When obtaining the nursing history which finding should the nurse expect to obtain? A recent strep throat infection 16. In assessing a 10-year-old newly diagnosed with osteomyelitis, which information is most for the nurse to obtain? recent recurrence of infection 17. A mother brings her 8-month-old baby boy to the clinic because he has been vomiting and had diarrhea for the last 3 days. Which assessment is more important for the nurse to make? Measure the infant's pulse. 18. Following admission for a cardiac catheterization, the nurse is providing discharge teaching to the parents of a 2-year-old toddler with Tetralogy of Fallot. What instruction should the nurse give the parents if their child becomes pale, cool, and lethargic? Contact their healthcare provider immediately. 19. A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child's oral temperature is 101.2 F. Which intervention should the nurse implement? Ask the mother if the child has had a runny nose 20. During a follow-up clinical visit a mother tells the nurse that her 5-month-old son who had surgical correction for Tetralogy of Fallot has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. Which intervention should the nurse implement? Auscultate heart and lungs while infant is held. 21. An adolescent's mother calls the primary HCP's office to inquire about the results of her daughter's serum test results that were drawn last week. Since it is the teenager's 18th birthday, how should the nurse respond to this mother's inquiry? Explain that the information cannot be released without the 18-year old’s permission 22. Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding indicates to the nurse that the medication is having the desired effect? Reduction of edema 23. An infant with Tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse implement first? Place the infant in a kneechest position 24. A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to prevent urinary retention. The home health nurse notes that the child has developed episodes of sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important for the nurse to take? Change to latex-free gloves when handling infant 25. The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used? Place the infant in a warm room and use a calm approach 26. In caring for an client with acute epiglottitis, which nursing action takes priority? Prepare for endotracheal intubation 27. A toddler with hemophilia is being discharged from the hospital. Which teaching should the nurse include in the discharge instructions to the mother? Apply padding on the sharp corners of the furniture 28. 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 29. The nurse is administering an oral medication to a reluctant preschool-age boy. Which intervention should the nurse implement? Use straightforward approach with the child 30. The nurse is planning care for a newborn infant scheduled for a cardiac catheterization. Which occurrence poses the greatest risk for this child? Acute hemorrhage from the entry site of the catheter after the procedure 31. A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child's oral temperature is 101.2 F (38 C). Which intervention should the nurse implement? Ask the mother if the child has had a runny nose 32. 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 33. The teacher notifies the school nurse that a child's nose is bleeding for no apparent reason. What action should the nurse implement first? Pinch the nose using thumb and finger for 10 minutes 34. A hospitalized child stiffens and stars to seize as the nurse enters the room. What actions should the nurse take? (Select all apply) • Turn client to the side if possible • Pad side rails with available pillows and blankets • Monitor duration and progress of the seizure 35. A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs). Which information should the nurse provide to the parents? The chorea or movements are temporary and will eventually disappear 36. A 9-year-old boy is diagnosed with diabetes mellitus Type 1. Which stage of Erikson's theory of psychosocial development is the nurse addressing when teaching this client about insulin injections? Industry 37. The nurse is assessing an 8-month-old who has a cough, axillary temperature of 100 F, and rhinorrhea. What information is most important for the nurse to obtain from this child's mother? Immunization status of the infant 38. A breast-feeding mother returns to work when her infant is 5 months old. She is having difficulty pumping enough milk to meet her infant's dietary requirements. Which suggestion should the nurse provide to this mother? Supplement with an iron-rich formula 39. A child with p