PEDIATRICS - HESI PRACTICE EXAM 2023 Guaranteed A+ Actual Questions and Answers, Complete 100%

PEDIATRICS - HESI PRACTICE EXAM 2023 Guaranteed A+ Actual Questions and Answers, Complete 100% 1. To take the vital signs of a 4-month old child, which order will give the most accurate results? A. Respiratory rate, heart rate, then rectal temperature B. Heart rate, rectal temperature, then respiratory rate. C. Rectal temperature, heart rate, then respiratory rate D. Rectal temperature, respiratory rate, then heart rate: Answer: A. Respiratory rate, heart rate, then rectal temperature The respiratory rate should be taken first in infants, since touching them or performing unpleasant procedures usually makes them cry, elevating the heart rate and making respirations difficult to count. Rectal temperature is the most invasive procedure, and is mot likely to precipitate crying, so should be done last. 2. When planning the care for a child who has had a cleft lip repair, the nurse knows that crying should be minimized because it A. increases salivation B. increases the respiratory rate C. leads to vomiting D. stresses the suture line: Answer: D. stresses the suture line 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 increased salivation, increased respiratory rate and may lead to vomiting, these conditions do not create a problem for the child with a cleft lip repair. 3. A full-term infant is admitted to the newborn nursery. After careful assessment, the nurse suspects that the infant may have an esophageal atresia. Which symptoms is this newborn likely to have exhibited? A. choking, coughing, and cyanosis B. projectile vomiting and cyanosis C. apneic spells and grunting D. scaphoid abdomen and anorexia: Answer: A. choking, coughing, and cyanosis (A) includes the "3 C's" of esophageal atresia caused by the overflow of secretions into the trachea. (B) is characteristic of pyloric stenosis in the infant. (C) could be due to prematurity or sepsis, and grunting is a sign of respiratory distress. (D) is characteristic of a diaphragmatic hernia.