HESI Pediatrics Exam Most Recent Version |Comprehensive
Questions and Verified Answers/Accurate Solutions |Already
Graded A+|Get it 100% Correct.
1. The nurse is planning postoperative care for a child D. Crying stresses
the su-
who has had a cleft lip repair. What is the most impor- ture line
tant reason to minimize this child's crying during the
recovery period? Rationale:
A. Tear formation increases salivation. Prevention of stress on
B. This behavior increases the lip suture line is
respirations. essential for optimum
C. Excessive hysteria can lead to healing and the
vomiting.
cosmetic appearance of a
D. Crying stresses the suture line
cleft lip repair.
2. An infant is receiving digoxin for congestive heart fail- B. Obtain a
therapeutic
ure. The apical heart rate is assessed at 80 beats/min. drug level.
What intervention should the nurse implement?
A. Call for a portable chest Rationale:
radiograph. Sinus bradycardia
B. Obtain a therapeutic drug level. (heart rate <90 to 110
C. Reassess the heart rate in 30 beats/min in an infant)
minutes.
is an indica- tion of
D. Administer digoxin immune Fab
digoxin toxicity, so
stat.
assessment of the
client's digoxin level
has the high- est
priority
3. The nurse admits a child to the intensive care unit with C. Place a do
not palpate
a possible diagnosis of Wilms tumor - What is the most abdomen
sign on head of
1/
52
, HESI Pediatrics Exam Most Recent Version |Comprehensive
Questions and Verified Answers/Accurate Solutions |Already
Graded A+|Get it 100% Correct.
safety precaution for child? bed
A. maintain NPO status
B. Limit visitors to the immediate family Rationale:
C. Place a do not palpate abdomen sign on Protect child from injury;
head of bed place a sign on bed
D. Encourage ambulation in the pre-operative stat- ing "no abdominal
period palpa- tion" (to prevent
accidental
2/
52
, HESI Pediatrics Exam Most Recent Version |Comprehensive
Questions and Verified Answers/Accurate Solutions |Already
Graded A+|Get it 100% Correct.
fragmentation and
dislodg- ing into the
abdominal cav- ity).
4. The nurse is preparing a teaching plan for the mother B. Baked
chicken, coleslaw,
of a child who has been diagnosed with celiac disease. soda, and frozen
fruit
Choosing which lunch will be within the dessert
therapeutic management of a child with
celiac disease? Rationale:
A. Turkey salad, milk, and oatmeal cookies A child with celiac disease
B. Baked chicken, coleslaw, soda, and frozen is managed on a gluten-
fruit dessert free diet, which eliminates
C. Tuna salad sandwich on whole wheat bread, food products
milk, and ice cream containing oats, wheat,
D. Turkey sandwich on rye bread, orange juice, rye, or barley.
and fresh fruit
5. A 6-month-old male infant is admitted to
B. Remove restraints
the postanesthesia care unit with elbow
one at a time and
restraints in place. He has an endotracheal
provide range-of-
tube and is ventila- tor-dependent but will
motion
be extubated soon following
recovery from anesthesia. Which nursing intervention Rationale:
should be included in this child's plan of Removing restraints one
care? at
A. Keep restraints on at all times to prevent unplanned a time is
safer than op-
extubation. provide range-
B. Remove restraints one at a time and of-motion
3/
52
, HESI Pediatrics Exam Most Recent Version |Comprehensive
Questions and Verified Answers/Accurate Solutions |Already
Graded A+|Get it 100% Correct.
exercises. C. Remove all restraints tion C. The infant
simultaneously and provide play activities. should have the
D. Document the reason for application of restrained extrem- ities
the re- straints every 72 hours. assessed frequently
for signs of neurologic
or vascular impairment,
and range-of-motion
exercises should be
performed with
4/
52
Questions and Verified Answers/Accurate Solutions |Already
Graded A+|Get it 100% Correct.
1. The nurse is planning postoperative care for a child D. Crying stresses
the su-
who has had a cleft lip repair. What is the most impor- ture line
tant reason to minimize this child's crying during the
recovery period? Rationale:
A. Tear formation increases salivation. Prevention of stress on
B. This behavior increases the lip suture line is
respirations. essential for optimum
C. Excessive hysteria can lead to healing and the
vomiting.
cosmetic appearance of a
D. Crying stresses the suture line
cleft lip repair.
2. An infant is receiving digoxin for congestive heart fail- B. Obtain a
therapeutic
ure. The apical heart rate is assessed at 80 beats/min. drug level.
What intervention should the nurse implement?
A. Call for a portable chest Rationale:
radiograph. Sinus bradycardia
B. Obtain a therapeutic drug level. (heart rate <90 to 110
C. Reassess the heart rate in 30 beats/min in an infant)
minutes.
is an indica- tion of
D. Administer digoxin immune Fab
digoxin toxicity, so
stat.
assessment of the
client's digoxin level
has the high- est
priority
3. The nurse admits a child to the intensive care unit with C. Place a do
not palpate
a possible diagnosis of Wilms tumor - What is the most abdomen
sign on head of
1/
52
, HESI Pediatrics Exam Most Recent Version |Comprehensive
Questions and Verified Answers/Accurate Solutions |Already
Graded A+|Get it 100% Correct.
safety precaution for child? bed
A. maintain NPO status
B. Limit visitors to the immediate family Rationale:
C. Place a do not palpate abdomen sign on Protect child from injury;
head of bed place a sign on bed
D. Encourage ambulation in the pre-operative stat- ing "no abdominal
period palpa- tion" (to prevent
accidental
2/
52
, HESI Pediatrics Exam Most Recent Version |Comprehensive
Questions and Verified Answers/Accurate Solutions |Already
Graded A+|Get it 100% Correct.
fragmentation and
dislodg- ing into the
abdominal cav- ity).
4. The nurse is preparing a teaching plan for the mother B. Baked
chicken, coleslaw,
of a child who has been diagnosed with celiac disease. soda, and frozen
fruit
Choosing which lunch will be within the dessert
therapeutic management of a child with
celiac disease? Rationale:
A. Turkey salad, milk, and oatmeal cookies A child with celiac disease
B. Baked chicken, coleslaw, soda, and frozen is managed on a gluten-
fruit dessert free diet, which eliminates
C. Tuna salad sandwich on whole wheat bread, food products
milk, and ice cream containing oats, wheat,
D. Turkey sandwich on rye bread, orange juice, rye, or barley.
and fresh fruit
5. A 6-month-old male infant is admitted to
B. Remove restraints
the postanesthesia care unit with elbow
one at a time and
restraints in place. He has an endotracheal
provide range-of-
tube and is ventila- tor-dependent but will
motion
be extubated soon following
recovery from anesthesia. Which nursing intervention Rationale:
should be included in this child's plan of Removing restraints one
care? at
A. Keep restraints on at all times to prevent unplanned a time is
safer than op-
extubation. provide range-
B. Remove restraints one at a time and of-motion
3/
52
, HESI Pediatrics Exam Most Recent Version |Comprehensive
Questions and Verified Answers/Accurate Solutions |Already
Graded A+|Get it 100% Correct.
exercises. C. Remove all restraints tion C. The infant
simultaneously and provide play activities. should have the
D. Document the reason for application of restrained extrem- ities
the re- straints every 72 hours. assessed frequently
for signs of neurologic
or vascular impairment,
and range-of-motion
exercises should be
performed with
4/
52
