1
PEDIATRICS HESI
QUESTIONS AND CORRECT ANSWERS
NEWLY FORMATTED DOCUMENT
A 6-month-old infant Apical heart rate of 60.
with congestive heart
failure (CHF) is A heart rate of 60 (A) is much lower than
receiving digoxin normal for a 6-month- old and warrants
elixir. Which immediate intervention. The normal heart
observation by the rate for a 6-month-old is 80 to 150 BPM when
nurse warrants awake, and a rate of 70 while sleeping is
immediate considered within normal limits. (B and C) are
intervention? expected symptoms of heart failure in an
Apical heart rate of infant. (D) is within normal limits for an
60. Sweating across infant.
the forehead. Doesn't
suck well.
Respiratory rate of 30
breaths
per minute.
See an expert-written answer
,2
The nurse is teaching Administer aerosol therapy followed by
the parents of a 5- postural drainage before meals.
year-old with
cystic fibrosis about Postural drainage for a child with cystic
respiratory fibrosis is most effective when performed
treatments. Which after nebulization and before meals (C) or
statement indicates at least 1 hour after eating to prevent nausea
to the nurse that the and vomiting. Postural drainage uses gravity
parents to promote mucous removal after
understand? nebulization (A) treatments which open the
Perform postural airways. Pulmonary toileting or respiratory
drainage before treatments should be given 3 to 4 times
starting aerosol daily, not episodically (B and D).
therapy.
Give respiratory
treatments when the
child is coughing a lot.
Administer aerosol
therapy followed by
postural drainage
before meals.
Ensure respiratory
therapy is done daily
during any
respiratory infection.
See an expert-written answer
,3
A female teenager is Use sunscreen when lying by the pool.
taking oral
tetracycline HCL Photosensitivity is a common side effect of
(Achromycin V) for tetracycline HCL (Achromycin V) therapy.
acne vulgaris. What Severe sunburn can occur with minimal sun
is the most exposure and clients should be instructed to
important avoid sunlight and to use sunscreen (A). (B
instruction for the and D) are not related to
nurse to include in tetracycline HCL (Achromycin V) therapy. (C)
this client's teaching should be avoided because dairy products
plan? interfere with the absorption of
tetracyclines.
Use sunscreen when
lying by the pool.
Cleanse the skin at
least 4 times a day.
Take the medication
with a glass of milk.
Menstrual periods may
become irregular.
What preoperative Observe for projectile vomiting.
nursing
intervention should be Projectile vomiting (D), which contributes to
included in the plan of metabolic alkalosis (A), is the classic sign of
care for an infant pyloric stenosis. (B) is not indicated. (C) is
with pyloric dangerous, due to the potential for
stenosis? aspiration with frequent vomiting.
Monitor for signs of
metabolic acidosis.
Estimate the quantity
of diarrhea stools.
, 4
Place in a supine
position after feeding.
Observe for projectile
vomiting.
An infant is born Prevent the return of oxygenated blood to the lungs.
with a ventricular
septal defect (VSD) Closure of VSDs stops oxygenated blood from
and surgery is being shunted from the left ventricle to the
planned to right ventricle (C). VSDs are acyanotic
correct the defect. The defects, which means that no unoxygenated
nurse recognizes that blood enters the systemic circulation (A and
surgical B). (D) is common with Tetrology of Fallot,
correction is which is a cyanotic defect.
designed to achieve
which outcome?
Stop the flow of
unoxygenated blood
into systemic
circulation.
Increase the flow of
unoxygenated
blood to the
lungs.
Prevent the return of
oxygenated blood to
the lungs.
Reduce peripheral
tissue
hypoxia and nailbed
clubbing
PEDIATRICS HESI
QUESTIONS AND CORRECT ANSWERS
NEWLY FORMATTED DOCUMENT
A 6-month-old infant Apical heart rate of 60.
with congestive heart
failure (CHF) is A heart rate of 60 (A) is much lower than
receiving digoxin normal for a 6-month- old and warrants
elixir. Which immediate intervention. The normal heart
observation by the rate for a 6-month-old is 80 to 150 BPM when
nurse warrants awake, and a rate of 70 while sleeping is
immediate considered within normal limits. (B and C) are
intervention? expected symptoms of heart failure in an
Apical heart rate of infant. (D) is within normal limits for an
60. Sweating across infant.
the forehead. Doesn't
suck well.
Respiratory rate of 30
breaths
per minute.
See an expert-written answer
,2
The nurse is teaching Administer aerosol therapy followed by
the parents of a 5- postural drainage before meals.
year-old with
cystic fibrosis about Postural drainage for a child with cystic
respiratory fibrosis is most effective when performed
treatments. Which after nebulization and before meals (C) or
statement indicates at least 1 hour after eating to prevent nausea
to the nurse that the and vomiting. Postural drainage uses gravity
parents to promote mucous removal after
understand? nebulization (A) treatments which open the
Perform postural airways. Pulmonary toileting or respiratory
drainage before treatments should be given 3 to 4 times
starting aerosol daily, not episodically (B and D).
therapy.
Give respiratory
treatments when the
child is coughing a lot.
Administer aerosol
therapy followed by
postural drainage
before meals.
Ensure respiratory
therapy is done daily
during any
respiratory infection.
See an expert-written answer
,3
A female teenager is Use sunscreen when lying by the pool.
taking oral
tetracycline HCL Photosensitivity is a common side effect of
(Achromycin V) for tetracycline HCL (Achromycin V) therapy.
acne vulgaris. What Severe sunburn can occur with minimal sun
is the most exposure and clients should be instructed to
important avoid sunlight and to use sunscreen (A). (B
instruction for the and D) are not related to
nurse to include in tetracycline HCL (Achromycin V) therapy. (C)
this client's teaching should be avoided because dairy products
plan? interfere with the absorption of
tetracyclines.
Use sunscreen when
lying by the pool.
Cleanse the skin at
least 4 times a day.
Take the medication
with a glass of milk.
Menstrual periods may
become irregular.
What preoperative Observe for projectile vomiting.
nursing
intervention should be Projectile vomiting (D), which contributes to
included in the plan of metabolic alkalosis (A), is the classic sign of
care for an infant pyloric stenosis. (B) is not indicated. (C) is
with pyloric dangerous, due to the potential for
stenosis? aspiration with frequent vomiting.
Monitor for signs of
metabolic acidosis.
Estimate the quantity
of diarrhea stools.
, 4
Place in a supine
position after feeding.
Observe for projectile
vomiting.
An infant is born Prevent the return of oxygenated blood to the lungs.
with a ventricular
septal defect (VSD) Closure of VSDs stops oxygenated blood from
and surgery is being shunted from the left ventricle to the
planned to right ventricle (C). VSDs are acyanotic
correct the defect. The defects, which means that no unoxygenated
nurse recognizes that blood enters the systemic circulation (A and
surgical B). (D) is common with Tetrology of Fallot,
correction is which is a cyanotic defect.
designed to achieve
which outcome?
Stop the flow of
unoxygenated blood
into systemic
circulation.
Increase the flow of
unoxygenated
blood to the
lungs.
Prevent the return of
oxygenated blood to
the lungs.
Reduce peripheral
tissue
hypoxia and nailbed
clubbing
