HESI PEDIATRIC PRACTICE EXAM (QUESTIONS AND ANSWERS) UPDATED

HESI PEDIATRIC PRACTICE EXAM (QUESTIONS AND ANSWERS) UPDATED The nurse is giving pre-op instructions to a 14 yr old female scheduled for surgery to correct a spinal curvature. Which stmt best demonstrates that leaning has taken place? - CORRECT ANSWER-"I understand that I will be in a body cast and I will show you how you taught me to turn" To take the v/s of a 4 month old, which ordered will give the most accurate results? - CORRECT ANSWER-RR - HR - rectal temp During routine screening at a school clinic, an otoscope exam reveals a tympanic mb that is pearly gray, slightly bulging, and not movable. What action should the nurse take next? - CORRECT ANSWER-Ask the child if they have had a cold, runny nose, or any ear pain lately Which restraint should be used for a toddler after a cleft palate repair? - CORRECT ANSWER-Elbow What pre-op nsg intervention should be included in the POC for an infant w/ pyloric stenosis? - CORRECT ANSWER-Observe for projectile vomiting (remember that projectile vomiting leads to metabolic alkalosis) A 6 month old returns from surgery w/ elbow restraints in place. What nsg care should be included when caring for any restrained child? - CORRECT ANSWER-Remove the restraints one at a time and provide ROM exercises (Removing them 1 at a time is safer than all at once) A 2 yr old w/ Down syndrome is brought to the clinic for his regular physical exam. The nurse knows which problem is requently associated w/ Downs? - CORRECT ANSWERCongenital heart disease (CHD is the most common associated defect w/ Downs. - also, remember Professor Moore said that heart and ear problems go hand in hand) When assessing a child w/ asthma, the nurse should expect intercostal retractions during - CORRECT ANSWER-Inspriation When planning the care for a child who has had a cleft lip repair, the nurse know that crying should be minimized because it - CORRECT ANSWER-Stresses the suture line 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 sx's is this newborn likely to have exhibited? - CORRECT ANSWER-Choking , coughing, and cyanosis (this answer includes the 3 "C"s of esophageal atresia caused by the overflow of secretions to the trachea) Which behavior would the nurse expect a 2 yr old to exhibit? - CORRECT ANSWERDisplay possessiveness of toys (they are egocentric and unable to share w/ others) the other 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 her to check the label of all OTC meds for the presence of ASA, which instruction should the nurse include when replying to the mom's question? - CORRECT ANSWER-Do not give if they have chicken pox, the flue, or any other viral illness (ASA can cause Reye's syndrome) the nurse observes a 4 yr old boy in a daycare. Which behavior should the nurse consider normal for this child? - CORRECT ANSWER-Demonstrates aggressiveness by boasting when telling a story A burned child is brought to the ER. In estimating the % of body burned, the nurse uses a modified "Rule of Nines." Which part of the body is calculated as a larger % of total body surface than an adult? - CORRECT ANSWER-Head and neck (a child's head and neck are proportionately larger to their body than an adult's) The nurse receives a lab report stating a child w/ asthma has a theophylline level of 15mcg/dL. What action will the nurse take? - CORRECT ANSWER-Pass the info on in the report (therapeutic level is 10-20) A 12 month old is admitted w/ a respiratory infection and possible pneumonia. He is placed in a mist tent w/ O2. Which nsg intervention has the greatest priority? - CORRECT ANSWER-Have a bulb syringe readily available to remove secretions (patent airway has the highest priority. Humidification will liquefy the nasal secretions - thereby increasing the amt of secretions and making that a priority)