HESI PEDIATRICS (PEDS) LATEST EXAM 2022-2023
TEST BANK 650+ QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
A nurse instructs a mother on measures to take to reduce the
incidence of gastroesophageal reflux (GER) in a child. Which
statement by the mother indicates a need for further teaching? a.
I will give my child small feedings often throughout the day
b. I will buy bottle nipples that have smaller holes for my child
c. I will add a small amount of cereal to my child's formula
d. I will give my child a pacifier and maintain an upright position
after meals - ANSWER-b. I will buy bottle nipples that have
smaller holes for my child
"A client with gastroesophageal reflux disease (GERD) complains
of chest discomfort that feels like heartburn, especially following
each meal. After teaching the client to take antacids as
prescribed, the nurse suggests that the client lie in which position
during sleep?"
a. with the head of the bed elevated 6 to 8 inches b.
flat
c. supine with the head of the bed flat
d. on the stomach with the head of the bed flat - ANSWER-a. with
the head of the bed elevated 6 to 8 inches
,"A nurse gathers assessment data from a client admitted to the
hospital with gastrointestinal reflux disease (GERD) who is
scheduled for a Nissen fundoplication. Based on an
understanding of this disease, the nurse determines that the client
may be at risk for which complication?" a. diarrhea
b. belching
c. aspiration
d. abdominal pain - ANSWER-c. aspiration
A nurse caring for a child with congestive heart failure provides
instructions to the parents regarding the administration of digoxin
(Lanoxin). Which statement by the mother indicates a need for
further instructions?
a. if my child vomits after I give the medication, I will not repeat
the dose
b. I will check my child's pulse before giving the medication
c. I will check the dose of the medication with my husband before
I give the medication
d. I will mix the medication with food - ANSWER-d. I will mix the
medication with food
A nurse is preparing a plan of care for a child being admitted to
the hospital with a diagnosis of congestive heart failure (CHF).
,The nurse avoids including which of the following in the plan? a.
limiting the time the child is allowed to bottle-feed
b. elevating the head of the bed
c. walking the child for feeding to ensure adequate nutrition
d. providing oxygen during stressful periods - ANSWER-c.
walking the child for feeding to ensure adequate nutrition
A nurse is caring for a child with a diagnosis of congestive heart
failure (CHF). The nurse avoids which action in caring for the
child?
a. allowing uninterrupted rest periods
b. limiting the time the child is allowed to bottle-feed
c. providing oxygen during stressful periods
d. keeping the head of the bed flat - ANSWER-d. keeping the
head of the bed flat
A nurse prepares to administer digoxin (Lanoxin) to a newborn
infant with a diagnosis of congestive heart failure. The nurse
notes that the apical rate is 140 beats per minute. Which of the
following nursing actions is appropriate?
a. administer the digoxin because the apical rate is within
normal limits
b. recheck the apical rate in 1 hour and administer the
medication at that time
, c. notify the physician because the apical rate is lower than the
normal range
d. hold the medication, because the apical rate is normal,
indicating that the medication is not needed - ANSWER-a.
administer the digoxin because the apical rate is within normal
limits
"A mother tells the nurse that her child does not want anything to
do with toilet training and yells "NO!" consistently when she tries
to toilet train. The child is 2 years old. According to Erikson, the
nurse interprets that the child is experiencing which psychosocial
crisis?"
a. autonomy vs shame and doubt
b. initiative vs guilt
c. industry vs inferiority
d. trust vs mistrust - ANSWER-Autonomy vs shame and doubt
A 2-year-old child is admitted to the hospital with juvenile
rheumatoid arthritis (JRA). During the focused assessment, the
nurse makes it a priority to note the presence of which of the
following?"
a. increased irritability and the child's insistence to be carried out
b. complaints of joint stiffness
c. history of daily temperature elevations
TEST BANK 650+ QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
|ALREADY GRADED A+
A nurse instructs a mother on measures to take to reduce the
incidence of gastroesophageal reflux (GER) in a child. Which
statement by the mother indicates a need for further teaching? a.
I will give my child small feedings often throughout the day
b. I will buy bottle nipples that have smaller holes for my child
c. I will add a small amount of cereal to my child's formula
d. I will give my child a pacifier and maintain an upright position
after meals - ANSWER-b. I will buy bottle nipples that have
smaller holes for my child
"A client with gastroesophageal reflux disease (GERD) complains
of chest discomfort that feels like heartburn, especially following
each meal. After teaching the client to take antacids as
prescribed, the nurse suggests that the client lie in which position
during sleep?"
a. with the head of the bed elevated 6 to 8 inches b.
flat
c. supine with the head of the bed flat
d. on the stomach with the head of the bed flat - ANSWER-a. with
the head of the bed elevated 6 to 8 inches
,"A nurse gathers assessment data from a client admitted to the
hospital with gastrointestinal reflux disease (GERD) who is
scheduled for a Nissen fundoplication. Based on an
understanding of this disease, the nurse determines that the client
may be at risk for which complication?" a. diarrhea
b. belching
c. aspiration
d. abdominal pain - ANSWER-c. aspiration
A nurse caring for a child with congestive heart failure provides
instructions to the parents regarding the administration of digoxin
(Lanoxin). Which statement by the mother indicates a need for
further instructions?
a. if my child vomits after I give the medication, I will not repeat
the dose
b. I will check my child's pulse before giving the medication
c. I will check the dose of the medication with my husband before
I give the medication
d. I will mix the medication with food - ANSWER-d. I will mix the
medication with food
A nurse is preparing a plan of care for a child being admitted to
the hospital with a diagnosis of congestive heart failure (CHF).
,The nurse avoids including which of the following in the plan? a.
limiting the time the child is allowed to bottle-feed
b. elevating the head of the bed
c. walking the child for feeding to ensure adequate nutrition
d. providing oxygen during stressful periods - ANSWER-c.
walking the child for feeding to ensure adequate nutrition
A nurse is caring for a child with a diagnosis of congestive heart
failure (CHF). The nurse avoids which action in caring for the
child?
a. allowing uninterrupted rest periods
b. limiting the time the child is allowed to bottle-feed
c. providing oxygen during stressful periods
d. keeping the head of the bed flat - ANSWER-d. keeping the
head of the bed flat
A nurse prepares to administer digoxin (Lanoxin) to a newborn
infant with a diagnosis of congestive heart failure. The nurse
notes that the apical rate is 140 beats per minute. Which of the
following nursing actions is appropriate?
a. administer the digoxin because the apical rate is within
normal limits
b. recheck the apical rate in 1 hour and administer the
medication at that time
, c. notify the physician because the apical rate is lower than the
normal range
d. hold the medication, because the apical rate is normal,
indicating that the medication is not needed - ANSWER-a.
administer the digoxin because the apical rate is within normal
limits
"A mother tells the nurse that her child does not want anything to
do with toilet training and yells "NO!" consistently when she tries
to toilet train. The child is 2 years old. According to Erikson, the
nurse interprets that the child is experiencing which psychosocial
crisis?"
a. autonomy vs shame and doubt
b. initiative vs guilt
c. industry vs inferiority
d. trust vs mistrust - ANSWER-Autonomy vs shame and doubt
A 2-year-old child is admitted to the hospital with juvenile
rheumatoid arthritis (JRA). During the focused assessment, the
nurse makes it a priority to note the presence of which of the
following?"
a. increased irritability and the child's insistence to be carried out
b. complaints of joint stiffness
c. history of daily temperature elevations
