PEDS HESI FINAL TEST EXAM AND STUDY QUESTIONS AND ANSWERS

PEDS HESI FINAL TEST EXAM AND STUDY QUESTIONS AND ANSWERS The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheritization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? - CORRECT ANSWER-Right foot is cool to the touch and appears pale and blanched Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which toy is best for the nurse for this 3 year old child? - CORRECT ANSWER-Set of cloth and hand puppets An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse implement first? - CORRECT ANSWER-Place the infant in a kneechest position A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration? - CORRECT ANSWER-Metabolic Acidoses A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare provider? - CORRECT ANSWER-Serum potassium of 3.0 mg/dL The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing which food indicates that the teaching has been effective? - CORRECT ANSWER-Creamed corn During a well-baby check, the nurse hides a block under the baby's blanket, and the baby looks for the block. Which normal growth and development milestone is the baby developing? - CORRECT ANSWER-Object Permanence The nurse is measuring he frontal occipital circumference (FOC) of a 3 month old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears large in relation to body size. Which action is most important for the nurse to take next? - CORRECT ANSWER-Palpate the anterior fontanel for tension and bulging The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both parents and 12 years old sibling are at the child's bedside. Which instruction best supports family? - CORRECT ANSWER-Please decide who will stay when the healthcare provider begins suturing The nurse is planning for a 5 month old with gastroesophageal reflux disease whose weight has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease vomiting, what instructions should the nurse provide this mother? - CORRECT ANSWER-Thicken formula with cereal for each feeding While teaching a parenting class to new parents the nurse describes the needs of infants and toddlers regarding discipline and limit setting. What is the most important reason for implementing such parenting behaviors? - CORRECT ANSWER-They provide the child with a sense of security The parents of a newborn infant with hypospadia are concerned about when the surgical correction should occur. What information should the nurse provide? - CORRECT ANSWER-Repairs typically should be done before the child is potty trained Which drink choice on a hot day indicates to the nurse that a teenager with sickle cell anemia understands dietary considerations related to the disease? - CORRECT ANSWER-Lemonade