HESI Maternity Pediatrics (PEDS) New Exam Questions ana 100%Correct Answers

HESI Maternity Pediatrics (PEDS) New Exam Questions ana 100%Correct Answers 7 y/o brought to school clinic because he fainted on the playground. 3 ft 7 in, 55 lbs, and BMI 20.9. Which assessment finding is most important to address? Since age 3 he has experienced exercise induced asthma The nurse is using the Ages and Stages Questionnaire (ASQ) to assess a 24-month-old. What is the best intervention for the nurse to initiate after the assessment is completed? • -A Review the child's birth history. • -B Provide the parents with a list of stimulating activities. • -C Meet with a social worker to review the results. • -D Assess for changes in the vital signs. • -B Provide the parents with a list of stimulating activities. 17 y/o with CF talks with school nurse about disease and wonders how it will effect getting married and having kids. Which relevant information would nurse include? • He is likely to have infertility problems and further evaluation 4 y/o taken to ER because of fever for last 24 hrs. No cough, pulling at ears, drooling, cyanotic, inspiratory stridor, expiratory wheeze. Which intervention is most important? Emergency trach Nurse giving IV antibiotics to a 16 month old with pneumonia. No allergies and been walking without assistance for 1 month. Which technique should select for administration? • A Administer the injection into the middle of the lateral aspect of the thigh. • B Use a needle length of ½ inch (1.25cm) to avoid deep tissue damage. •C Divide the gluteal area into quarters and give IM into the upper outer quadrant. •D Give in the arm, one to 2 inches (2.5 to 5.0 cm) below the acromion process. • A Administer the injection into the middle of the lateral aspect of the thigh. The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used? A) Place the infant in side-lying position to facilitate the exam B) Hold the penis and retract the foreskin gently C) Cleanse the penis with an antiseptic-soaked pad D) Place the infant in a warm room and use a calm approach D) Place the infant in a warm room and use a calm approach An infant who has been diagnosed with a tracheoesophageal fistula (TEF). Which nursing intervention is indicated for this infant prior to surgical repair? A• Provide frequent sips of liquid B• Give isotonic enemas as prescribed C• Maintain nothing by mouth status D• Prepare the infant for a barium enema C• Maintain nothing by mouth status Nurse gets a call from a mother of a 10 y/o that just returned from camp with expanding circular red rash on arm. Mom asks what over the counter product is safe to use. How should the nurse respond? Explain need for immediate exa What nutritional info to provide mom of a 6-month old regarding solid food? Initiate one at a time in 4-7 day intervals A child with hemophilia arrives at the clinic with a swollen knee after falling off a bicycle. What action should the nurse implement first? A• Initiate an IV site and begin infusing normal saline• Type and cross for possible transfusion B• Monitor the child's vital signs frequently C• Apply ice pack and compression dressing to knee C• Apply ice pack and compression dressing to knee 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? A• Mix infant formula with breast milk B• Supplement with an iron-rich formula C• Introduce baby food for one meal daily D• Offer a follow-up transitional formula B• Supplement with an iron-rich formula How should the nurse respond to the concerned parent of a 15-month-old who is not yet able to self-feed with a spoon? A• Tell parent to guide the child's hand using a spoon B• Suggest using foods that can be eaten with fingers C• Discuss possible causes for delay with self-feeding D• Encourage longer mealtimes to practice eating with a spoon B• Suggest using foods that can be eaten with fingers A toddler with hemophilia is being discharged from the hospital. Which teaching should the nurse include in the discharge instructions to the mother? A• Apply padding on the sharp corners of the furniture B• Prevent the child from running inside the house C• Give an 81 mg tablet of aspirin for pain relief D• Use a soft toothbrush for frequent cleaning A• Apply padding on the sharp corners of the furniture The healthcare provider prescribes antipyrine and benzocaine (Auralgan Otic), and anesthetic ear drop, for a two- year-old child with otitis media in the right ear. After positioning the child with the affect ear up, what action should the nurse take? A• Cleanse the ear canal with saline B• Put upward traction on the ear lobe C• Pull pinna of the ear down and back D• Gently massage in front of the ear C• Pull pinna of the ear down and back During a routine clinic visit, 5 y/o SBP >90th percentile. What action is implemented next? Measure two more times then take average Nurse caring for a 1 y/o with DM type 1. Mom asks how to know signs of hypoglycemia. Info to provide? Change in behavior and cold and clammy skin Change in behavior and cold and clammy skin 9% Nurse eval - child with atopic dermatitis. Which question should nurse ask while obtaining history? Has child displayed any symptoms of asthma or hay fever 1-month old vomiting forcefully times 3 days after meals. Afebrile, dehydrated and pyloric stenosis is suspected. What other findings will identify to confirm this? Olive shaped mass Hospitalized child stiffens and starts to seize as the nurse enters the room. What action should nurse take? Turn patient if possible, pad rails with available pillows and blankets, monitor time and progress 12 y/o boy with leukemia discharges with a WBC of 4000. He is scheduled to receive chemo as outpatient. What instruction should nurse include in discharge plan? Avoid buffet and salad bars Nurse is planning care for a newborn scheduled for cardiac catheter. Which occurrence poses greatest risk? Acute hemorrhage from access site after procedure When providing care for a kid in balanced suspension skeletal traction using them as splint and attach to right femur. Which intervention most important? Monitor pulses and sensation 10 y/o with IBS. Mom concerned she will experience developmental delays as a result. How should the nurse respond? Growth failure is a concern but not developmental delays Adolescent with AHL complaining of sores in mouth 2 days after start of chem. What activity should nurse implement? Frequent NS oral rinse and soft sponge toothbrush What snack is best to provide 6 y/o prescribed bed rest while receiving treatment for osteomyelitis? Milkshake During a well-child visit for their child, one of the parents who has an autosomal dominant disorder tells the nurse, "We don't plan on having any more children, since the next child is likely to inherit this disorder." How should the nurse respond? Confirm that there is a 50% chance of their future children inheriting the disorder. Nurse eval effects of thyroid therapy used to treat 5 months old with hypothyroidism. Which behavior indicates effective? Laughs readily, turns from back to side The HR for a 3 year old with CHF has steadily decreased over the last few hours, now is 76 bpm, the previous reading 4 hours ago was 110 bpm. Which additional finding should be reported immediately to a healthcare provider? BP 70/40 A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He complains of headaches, stomach aches, and difficulty sleeping. What intervention should the nurse implement? Ask the boy to describe a typical day at school A child with laryngotracheobronchitis (croup) received epinephrine 2 hours ago in the emergency room, and is now being prepared for discharge to home. The nurse should instruct the parents to take which action if the child's uncontrolled coughing reoccurs?