PEDIATRIC HESI RN NURSING CARE OF CHILDREN. QUESTIONS WITH 100% CORRECT ANSWERS.

85. A nurse is preparing to administer iron dextran (Proferdex) IM to a school-age child who has iron deficiency anemia. Which of the following actions by the nurse is appropriate? A. Administer the dose in the deltoid muscle. B. Use the Z-track method when administering the dose. C. Avoid injecting more than 2 mL with each dose. D. Massage the injection site for 1 min after administering the dose. 86. A nurse is caring for an infant whose screening test reveals that he may have sickle cell disease. Which of the following tests should be performed to distinguish if the infant has the trait or the disease? A. Sickle solubility test (Sickledex) B. Hemoglobin electrophoresis C. Complete blood count D. Transcranial Doppler 87. A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an appropriate action for the nurse to take? A. Offer chicken broth B. Initiate oral rehydration therapy. C. Start hypertonic IV solution. D. Keep NPO until the diarrhea subsides. 88. A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following is an appropriate action for the nurse to take? A. Perform a tape test. B. Collect stool specimen for culture. C. Test the stool for occult blood. D. Initiate IV fluids. 89. A nurse is assessing a child who has a rotavirus infection. Which of the following are expected findings? (Select all that apply.) A. Fever B. Vomiting C. Watery stools D. Bloody stools E. Confusion 90. A nurse is teaching a group of parents about Salmonella. Which of the following should be included in the teaching? (Select all that apply.) A. Incubation period is nonspecific. B. It is a bacterial infection. C. Bloody diarrhea is common. D. Transmission can be from house pets. E. Antibiotics are used for treatment. 91. A nurse is teaching a group of parents about E. coli. Which of the following should be included in the teaching? (Select all that apply.) A. Severe abdominal cramping occurs. B. Watery diarrhea is present for more than 5 days. C. It can lead to hemolytic uremic syndrome. D. It is a foodborne pathogen. E. Antibiotics are given for treatment. 92. A nurse is assessing an infant. Which of the following are clinical manifestations of hypertrophic pyloric stenosis? (Select all that apply.) A. Projective vomiting B. Dry mucus membranes C. Currant jelly stools D. Sausage-shaped abdominal mass E. Constant hunger 93. A nurse is caring for a client who has Hirschsprung disease. Which of the following is an appropriate action for the nurse to take? A. Encourage a high-fiber, low-protein, low-calorie diet. B. Prepare the family for surgery. C. Place an NG for decompression. D. Initiate bedrest. 94. A nurse is caring for an infant who is postoperative following cleft lip and palate repair. Which of the following is an appropriate action for the nurse to take? A. Remove the packing in the mouth. B. Place the infant prone. C. Offer a pacifier with sucrose. D. Assess mouth with a tongue blade. 95. A nurse is teaching a parent of an infant about gastrointestinal reflux disease (GERD). Which of the following should be included in the teaching? (Select all that apply.) A. Offer frequent feedings. B. Thicken formula with rice cereal. C. Use a bottle with a one-way valve. D. Position baby upright for 1 hr after feedings. E. Use a wide based nipple for feedings. 96. A nurse is caring for a child. Which of the following are clinical manifestations of Meckel's diverticulum? (Select all that apply.) A. Abdominal pain B. Fever C. Mucus, bloody stools D. Vomiting E. Rapid, shallow breathing 97. A nurse is assessing an infant who has a suspected urinary tract infection. Which of the following are anticipated findings? (Select all that apply.) A. Increase in hunger B. Irritability C. Decrease in urination D. Vomiting E. Fever 98. A nurse is assessing a child who has a urinary tract infection. Which of the following are clinical manifestations of a urinary tract infection? (Select all that apply.) A. Night sweats B. Swelling of the face C. pallor D. Pale colored urine. E. Fatigue 99. A nurse is teaching a parent of a child who has a urinary tract infection. Which of the following should the nurse include in the teaching? (Select all that apply.) A. Wear nylon underpants. B. Avoid bubble baths C. Empty bladder completely with each void. D. Provide information about clinical manifestations of infection. E. Wipe perineal area back to front. 100. A nurse is planning care of a child who has a urinary tract infection. Which of the following should the nurse include? A. Administer antidiuretic. B. Restrict fluids. C. Evaluate the child's self-esteem. D. Encourage frequent voiding.