Evolve HESI peds Practice Questions
A 12-month-antique boy is admitted with a respiratory contamination and feasible pneumonia.
He is positioned in a mist tent with oxygen. Which nursing intervention has the best precedence
for this little one?
Give small, common feedings of fluids.
Accurately chart observations regarding breath sounds.
Have a bulb syringe simply available to take away secretions.
Encourage older siblings to visit. - ANS-Have a bulb syringe effectively to be had to do away
with secretions.
A patent airway has the best priority. Humidification will liquefy the nasal secretions thereby
increasing the amount of secretions and making (C) the very best priority. (A) continues
hydration and save you tiring, but an open airway has a higher priority! (B) is important for
assessment of therapy. When requested "precedence" questions, REMEMBER MASLOW!
Physical wishes commonly have a better precedence than psychosocial wishes (D) and an
open airway is the very best physiological want!
A 14-12 months-antique woman patron tells the nurse that she is involved about the zits she
has lately advanced. Which advice ought to the nurse provide?
Remove all blackheads and comply with with an alcohol scrub.
Use medicated cosmetics handiest to assist conceal the blemishes.
Wash the hair and skin frequently with soap and warm water.
Encourage her to look a dermatologist as quickly as possible. - ANS-Wash the hair and skin
often with cleaning soap and warm water.
Washing the hair and skin with soap and warm water (C) gets rid of oil and debris from the skin
and allows save you and treat acne. Oily pores and skin is specially bothersome throughout
youth while hormones reason growth of sebaceous glands and elevated glandular secretions
which predispose the youngster to zits. (A) is contraindicated. Cosmetics ("medicated" or no
longer) have to be used sparingly to avoid similarly blockading sebaceous gland ducts (B). (D)
might be indicated at a later time, if healthcare hints aren't a hit.
A 15-yr-antique girl tells the faculty nurse that each one of her pals have began their periods
and she feels bizarre because she has now not. Which reaction is pleasant for the nurse offer?
Refer the adolescent to the healthcare issuer for a pregnancy screen.
Schedule a conference along with her parents to recommend hormone therapy.
Explain that menarche varies and occurs between the a while of 12 and 18 years.
Suggest that she use diversions to assist her not worry about not on time menarche. -
ANS-Explain that menarche varies and takes place between the a while of 12 and 18 years.
,The nurse need to offer a real and reassuring clarification that makes a speciality of individual
variations of menarche, that may generally occur between 12 and 18 years of age (C). (A) does
now not deal with the adolescent's difficulty and is judgmental. Menarche is stimulated by way of
hereditary, trendy health, and nutritional repute, so (B) is not indicated. (D) dismisses the
adolescent's worries and does now not provide factual facts.
A sixteen-12 months-vintage is added to the Emergency Center with a overwhelmed leg after
falling off a horse. The adolescent's ultimate tetanus toxoid booster changed into acquired 8
years ago. What movement have to the nurse take?
Dispense a tetanus antitoxin.
Prepare human tetanus immune globulin.
Administer tetanus toxoid booster.
Delay the tetanus toxoid booster till due. - ANS-Administer tetanus toxoid booster.
After the finishing touch of the initial tetanus immunization time table, the recommended booster
for an adolescent or grownup is every ten years or less if a annoying injury happens this is
infected via dirt, feces, soil, or saliva, along with puncture or crushing injuries, avulsions,
wounds from missiles, burns, or frostbite. The adolescent's damage is taken into consideration a
infected wound requiring prophylactic remedy, so the tetanus toxoid booster need to be
administered (C). (A, B, and D) are not indicated.
A 17-yr-antique male scholar reviews to the faculty clinic one morning for a scheduled health
exam. He tells the nurse that he simply finished football practice and is on his manner to class.
The nurse assesses his crucial signs and symptoms: temperature 100° F, pulse 80, respirations
20, and blood pressure 122/82. What is the great motion for the nurse to take?
Tell the student to continue at once to his frequently scheduled magnificence.
Call the parent and advocate re-taking the pupil's temperature at domestic.
Give the pupil a tumbler of cool fluids, then retake his temperature.
Send the pupil to elegance, but re-verify his temperature after lunch. - ANS-Tell the student to
continue immediately to his often scheduled magnificence.
This scholar has just completed soccer exercise, and extended muscle activity increases body
warmth production. A temperature of 100° F is regular for this student at this time. The pupil
need to attend magnificence (A) due to the fact that no similarly nursing action is needed. (B)
would alarm the dad and mom unnecessarily. (C) might offer a fake reading of frame
temperature. (D) makes no sense seeing that these findings are inside normal limits.
A 2-12 months-vintage toddler currently recognized with hemophilia A is discharged home.
What facts should the nurse consist of in a coaching plan approximately domestic care?
Minimize interactive play with different kids to lessen chances for harm.
Give low-dose kid's chewable aspirin in orange flavor for joint discomfort.
Use a company and dry toothbrush to easy teeth at the least two times consistent with day.
, Apply pressure and ice for bleeding while elevating and resting the extremity. - ANS-Apply
strain and ice for bleeding even as raising and resting the extremity.
Hemophilia, a blood ailment, reasons joint bleeding that is dealt with with rest, ice, compression,
and elevation (RICE) (D). (A, B, and C) are faulty.
A 2-12 months-antique infant with Down syndrome is brought to the health center for his
everyday physical examination. The nurse is aware of which trouble is regularly related to Down
syndrome?
Congenital heart disorder.
Fragile X chromosome.
Trisomy thirteen.
Pyloric stenosis. - ANS-Congenital coronary heart disease.
Congenital heart disorder (A) is the most not unusual related defect in children with Down
syndrome. (C) may have appeared viable considering Down syndrome is a trisomal
chromosomal abnormality of chromosome 21. (B) is a intercourse-linked abnormality also
inflicting mental retardation. (D) is not associated with Down syndrome.
A 2-12 months-old infant with gastro-esophageal reflux has advanced a fear of ingesting. What
guidance need to the nurse encompass in the parents' teaching plan?
Invite different youngsters domestic to share food.
Accept that he's going to consume when he is hungry.
Reward the kid with a nap after ingesting.
Consistently observe a hard and fast mealtime routine. - ANS-Consistently comply with a hard
and fast mealtime routine.
A 2-yr-old infant is comforted by way of consistency (D). (A) is contraindicated due to the fact
two-year-olds may take part in parallel activities with different kids but are too younger to sense
comfort and assist by using the presence of different kids when hectic or afraid. (B) may also or
may not be true and does now not address the child's fears. The toddler with reflux should
remain upright at least hours after ingesting (C) to lessen signs and symptoms.
A 3-month-vintage infant develops oral thrush. Which pharmacologic agent should the nurse
plan to manage for treatment of this disease?
Nystatin (Mycostatin).
Nitrofurantoin (Macrodantin).
Norfloxacin (Noroxin).
Neomycin sulfate (Mycifradin). - ANS-Nystatin (Mycostatin).
Nystatin (Mycostatin) (A) is an antifungal drug this is powerful in treating thrush, an oral fungal
contamination. (B, C, and D) are not indicated for the remedy of oral thrush.
A 12-month-antique boy is admitted with a respiratory contamination and feasible pneumonia.
He is positioned in a mist tent with oxygen. Which nursing intervention has the best precedence
for this little one?
Give small, common feedings of fluids.
Accurately chart observations regarding breath sounds.
Have a bulb syringe simply available to take away secretions.
Encourage older siblings to visit. - ANS-Have a bulb syringe effectively to be had to do away
with secretions.
A patent airway has the best priority. Humidification will liquefy the nasal secretions thereby
increasing the amount of secretions and making (C) the very best priority. (A) continues
hydration and save you tiring, but an open airway has a higher priority! (B) is important for
assessment of therapy. When requested "precedence" questions, REMEMBER MASLOW!
Physical wishes commonly have a better precedence than psychosocial wishes (D) and an
open airway is the very best physiological want!
A 14-12 months-antique woman patron tells the nurse that she is involved about the zits she
has lately advanced. Which advice ought to the nurse provide?
Remove all blackheads and comply with with an alcohol scrub.
Use medicated cosmetics handiest to assist conceal the blemishes.
Wash the hair and skin frequently with soap and warm water.
Encourage her to look a dermatologist as quickly as possible. - ANS-Wash the hair and skin
often with cleaning soap and warm water.
Washing the hair and skin with soap and warm water (C) gets rid of oil and debris from the skin
and allows save you and treat acne. Oily pores and skin is specially bothersome throughout
youth while hormones reason growth of sebaceous glands and elevated glandular secretions
which predispose the youngster to zits. (A) is contraindicated. Cosmetics ("medicated" or no
longer) have to be used sparingly to avoid similarly blockading sebaceous gland ducts (B). (D)
might be indicated at a later time, if healthcare hints aren't a hit.
A 15-yr-antique girl tells the faculty nurse that each one of her pals have began their periods
and she feels bizarre because she has now not. Which reaction is pleasant for the nurse offer?
Refer the adolescent to the healthcare issuer for a pregnancy screen.
Schedule a conference along with her parents to recommend hormone therapy.
Explain that menarche varies and occurs between the a while of 12 and 18 years.
Suggest that she use diversions to assist her not worry about not on time menarche. -
ANS-Explain that menarche varies and takes place between the a while of 12 and 18 years.
,The nurse need to offer a real and reassuring clarification that makes a speciality of individual
variations of menarche, that may generally occur between 12 and 18 years of age (C). (A) does
now not deal with the adolescent's difficulty and is judgmental. Menarche is stimulated by way of
hereditary, trendy health, and nutritional repute, so (B) is not indicated. (D) dismisses the
adolescent's worries and does now not provide factual facts.
A sixteen-12 months-vintage is added to the Emergency Center with a overwhelmed leg after
falling off a horse. The adolescent's ultimate tetanus toxoid booster changed into acquired 8
years ago. What movement have to the nurse take?
Dispense a tetanus antitoxin.
Prepare human tetanus immune globulin.
Administer tetanus toxoid booster.
Delay the tetanus toxoid booster till due. - ANS-Administer tetanus toxoid booster.
After the finishing touch of the initial tetanus immunization time table, the recommended booster
for an adolescent or grownup is every ten years or less if a annoying injury happens this is
infected via dirt, feces, soil, or saliva, along with puncture or crushing injuries, avulsions,
wounds from missiles, burns, or frostbite. The adolescent's damage is taken into consideration a
infected wound requiring prophylactic remedy, so the tetanus toxoid booster need to be
administered (C). (A, B, and D) are not indicated.
A 17-yr-antique male scholar reviews to the faculty clinic one morning for a scheduled health
exam. He tells the nurse that he simply finished football practice and is on his manner to class.
The nurse assesses his crucial signs and symptoms: temperature 100° F, pulse 80, respirations
20, and blood pressure 122/82. What is the great motion for the nurse to take?
Tell the student to continue at once to his frequently scheduled magnificence.
Call the parent and advocate re-taking the pupil's temperature at domestic.
Give the pupil a tumbler of cool fluids, then retake his temperature.
Send the pupil to elegance, but re-verify his temperature after lunch. - ANS-Tell the student to
continue immediately to his often scheduled magnificence.
This scholar has just completed soccer exercise, and extended muscle activity increases body
warmth production. A temperature of 100° F is regular for this student at this time. The pupil
need to attend magnificence (A) due to the fact that no similarly nursing action is needed. (B)
would alarm the dad and mom unnecessarily. (C) might offer a fake reading of frame
temperature. (D) makes no sense seeing that these findings are inside normal limits.
A 2-12 months-vintage toddler currently recognized with hemophilia A is discharged home.
What facts should the nurse consist of in a coaching plan approximately domestic care?
Minimize interactive play with different kids to lessen chances for harm.
Give low-dose kid's chewable aspirin in orange flavor for joint discomfort.
Use a company and dry toothbrush to easy teeth at the least two times consistent with day.
, Apply pressure and ice for bleeding while elevating and resting the extremity. - ANS-Apply
strain and ice for bleeding even as raising and resting the extremity.
Hemophilia, a blood ailment, reasons joint bleeding that is dealt with with rest, ice, compression,
and elevation (RICE) (D). (A, B, and C) are faulty.
A 2-12 months-antique infant with Down syndrome is brought to the health center for his
everyday physical examination. The nurse is aware of which trouble is regularly related to Down
syndrome?
Congenital heart disorder.
Fragile X chromosome.
Trisomy thirteen.
Pyloric stenosis. - ANS-Congenital coronary heart disease.
Congenital heart disorder (A) is the most not unusual related defect in children with Down
syndrome. (C) may have appeared viable considering Down syndrome is a trisomal
chromosomal abnormality of chromosome 21. (B) is a intercourse-linked abnormality also
inflicting mental retardation. (D) is not associated with Down syndrome.
A 2-12 months-old infant with gastro-esophageal reflux has advanced a fear of ingesting. What
guidance need to the nurse encompass in the parents' teaching plan?
Invite different youngsters domestic to share food.
Accept that he's going to consume when he is hungry.
Reward the kid with a nap after ingesting.
Consistently observe a hard and fast mealtime routine. - ANS-Consistently comply with a hard
and fast mealtime routine.
A 2-yr-old infant is comforted by way of consistency (D). (A) is contraindicated due to the fact
two-year-olds may take part in parallel activities with different kids but are too younger to sense
comfort and assist by using the presence of different kids when hectic or afraid. (B) may also or
may not be true and does now not address the child's fears. The toddler with reflux should
remain upright at least hours after ingesting (C) to lessen signs and symptoms.
A 3-month-vintage infant develops oral thrush. Which pharmacologic agent should the nurse
plan to manage for treatment of this disease?
Nystatin (Mycostatin).
Nitrofurantoin (Macrodantin).
Norfloxacin (Noroxin).
Neomycin sulfate (Mycifradin). - ANS-Nystatin (Mycostatin).
Nystatin (Mycostatin) (A) is an antifungal drug this is powerful in treating thrush, an oral fungal
contamination. (B, C, and D) are not indicated for the remedy of oral thrush.
