ACTUAL FINAL HESI OB PEDS 2025 Exam Test BANK LATEST UPDATE WITH RATIONALES GRADED A+

ACTUAL FINAL HESI OB PEDS 2025 Exam Test BANK LATEST UPDATE WITH RATIONALES GRADED A+ A 7-year-old child is referred for evaluation due to poor performance in school assignments and disruptive behavior. The parents report that the child has difficulty waiting in lines, is often "on the go," and is unable to sit still at school and at home. What behavioral disorder should be suspected? A. Oppositional defiant disorder B. Generalized anxiety disorder C. Attention deficit hyperactivity disorder D. Conduct disorder - Answer-C. Attention deficit hyperactivity disorder Children with attention deficit hyperactivity disorder (ADHD) are typically diagnosed between the ages of 4 and 18. Symptoms of ADHD include impulsivity, high energy levels, and inattentiveness; symptoms must be present in more than one setting. The nurse is performing a cardiovascular assessment on a newborn. Which assessment finding should the nurse interpret as abnormal? A. A heart rate of 190 bpm at rest B. Visible point of maximal impulse C. Irregular heart rate in the few first hours of life D. Presence of a murmur in a healthy newborn - Answer-A. A heart rate of 190 bpm at rest The nurse should carefully assess newborn clients and report any abnormalities. During the cardiovascular assessment, the nurse should consider a heart rate of 190 to be abnormally elevated. The nurse is assigned to care for an irritable and fatigue 11-year-old child who has been unable to gain weight despite excessive consumption of calories. While talking to the client, the nurse noticed the child appeared to be restless and demonstrated a slight tremor, and possessed physical characteristics of bulging eyes, and a goiter. Which condition should the nurse suspect? A. Hypoparathyroidism B. Hyperthyroidism C. Hyperparathyroidism D. Hypothyroidism - Answer-B. Hyperthyroidism Graves disease is the most common cause of hyperthyroidism in children, which most often presents between six (6) to fifteen (15) years of age. Signs typically include unexplained weight loss, excessive hunger, prominent or bulging eyes, enlarged thyroid (goiter), and tachycardia, along with emotional lability and restlessness. The nurse is assessing a four year old victim who was an improperly restrained passenger of a high speed impact motor vehicle collision. The victim presents with a falling blood pressure, poor capillary refill, low central venous pressure, tachycardia and bruising noted upper left quadrant of the abdomen. Which condition should the nurse suspect? A. Neurogenic shock B. Cardiogenic shock C. Hypovolemic shock D. Distributive shock - Answer-C. Hypovolemic shock Hypovolemic shock is often caused by severe and rapid loss of blood or fluid. Massive hemorrhaging is a common cause of hypovolemic shock. The two common causes of hemorrhagic shock is either aortic aneurysm rupture or rapid blood loss of solid organ injury. Spleenic rupture is often caused by blunt trauma. A child who is improperly restrained in a motor vehicle such as using an adult seat belt versus a child car seat are often injured by the adult seatbelt causing injury to the internal organs upon impact of a motor vehicle collision. The nurse is assessing a newborn. The newborn appears pink with blue extremities, with arms and legs flexed. The nurse also notes that the child has a heart rate greater than 100 and is crying during the assessment. What APGAR score should the nurse assign? A. 4 B. 6 C. 7 D. 9 - Answer-D. 9