Pediatric HESI Questions with Correct Answers

When taking the health history of a child, the nurse know what which finding is an early indication of hypothyroidism in children? - ANSWERSCessation of growth in a child that had been normal The nurse received a lab report stating a child w/ asthma has theophyline level of 15 mcg/dl. What action will the nurse take? - ANSWERSa. Hold the next dose of theophylline a.i. Therapeutic levels of theophylline is 10-10 mcg/dl, so the child's level is w/in the therapeutic rage. Surgery is being delayed for an infant with undescended testes. In collaboration w/ the health care provider and the family, which prescription should the nurse anticipapte? - ANSWERSA trial of HCG may aid in testicular descent, Which menu selection by a child w/ celiac disease indicates to the nurse that the child understands necessary dietary considerations? - ANSWERSa. Oven baked potato chips & cola a.i. Celiac disease causes an intolerance to the protein gluten found in oats, rye, wheat, and barley. The child should avoid any produces containing these indredients to avoid symptoms such as diarrhea. The mother of a 2-year-old boy consults the nurse about her son's increased temper tantrums. The mother states, "yesterday he threw a fit in the grocery store, and I did not know what to do. I was so embarrassed. What can I do if this occurs again?" Which recommendation is best for the nurse to provide this mother? - ANSWERSWalk away from him and ignore the behavior Which restraint should be used for a toddler after a cleft palate repair? - ANSWERSElbow The mother of a 4-year-old child asks the nurse what she can do to help her other children cope with their sibling's hospitalizations. Which is the best response that the nurse should offer? - ANSWERSEncourage the mother to have the children visit the hospitalized sibling. The nurse is giving preoperative instruction to a 14-year-old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place? - ANSWERSI understand that I will be in a body cast and I will show you how you taught me to turn During administration of a blood transfusion, a child complains of chills, headache, and nausea. Which action should the nurse implement? - ANSWERSStop the infusion immediately and notify the healthcare provider The clinic nurse is taking the hx for a new 6-month-old client. The mother reports that she took a great deal of aspirin while pregnant. Which assessment should the nurse obtain? - ANSWERSType of reaction to loud noises The mother of a preschool aged child asks the nurse if it is all right to administer Pepto Bismol to her son when he has a "tummy ache" After reminding the mother to check the label of all OTC drugs for the presence of aspirin, which instruction should the nurse include when replying to this mother's question? - ANSWERSDo not give if the child has chickenpox, the flu, or any other viral illness A 3 moth old infant develops oral thrush. Which pharmacologic agent should the nurse plan to administer for treatment of this disorder? - ANSWERSNystatin (Mycostatin) The nurse is developing a plan of care for a 3 yr old who is scheduled for a cardiac catherization. To assist in decreasing anxiety for the child on the day of the procedure, which intervention is best for the nurse to implement? - ANSWERSC-give the child a ride on a gurney to visit the cardiac catheterization lab and meet a nurse who works there A 3 yr old boy is brought to the ER because he swallowed an entire bottle of children's vitamin pills. Which intervention should the nurse implement first? - ANSWERSB-determine the child's pulse and respirations A 4- year- old girl continues to interrupt her mother during a routine clinic visit. The mother appears irritated w/ the child and asks the nurse, "Is this normal behavior for a child this age?" The nurse's response should be based on which information? - ANSWERSchildren need to retian a sense of initiative w/o impinging on the rights and privileges others The nurse is planning the care of a 2 year old w/ severe eczema on the face, next, and scalp fr. scratching the affected areas. Which nursing intervention is most effective in preventing further excoriation due to the purities? - ANSWERSplace elbow restraints on the child's arms. a 6- year old admitted to the pediatric unit after falling of a bicycle. Which intervention should the nurse implement to assist the child's adjustments to hospitalization? - ANSWERSestablishing an individual schedule familiarizes the child to the hospital environment and decreases anxiety. A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris. What is the most important instruction for the nurse to include in this client's teaching plan? - ANSWERSUse sunscreen when lying by the pool The nurse is caring for a 12 year-old w/ Syndrome of Inappropriate Antidiuretic Hormone (SIADH). This child should be carefully assessed for which complication? - ANSWERSchanges in LOC A child falls on the playground and is brought to the school nurse w/ a small lacreration on the forearm. Which action should the nurse implement first? - ANSWERSWash the wound gently w/ mild soap and water A 6-month-old infant w/ congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurse warrants immediate intervention? - ANSWERSApical heart rate of 60 To assess the effectiveness of an analgesic administered to a 4-yr old, what intervention is best for the nurse to implement? - ANSWERSuse a happy-face/sad face pain scale. The nurse is assessing an 8 month old child who has a medical diagnosis of tetrology of Fallot. Which symptom is the client most likely to exhibit? - ANSWERSclubbed fingers Which action by the nurse is most helpful in communicating w/ a preschool aged child? - ANSWERSuse a doll to play and communicate Preoperative nursing care for a child w/ Wilm's tumor should include which intervention? - ANSWERSput a sign on the bed reading, "DO NOT PALPATE ABDOMEN" The nurse is preparing a health teaching program for parents of toddlers and preschoolers and plans to include information about prevention of accidental poisonings. It is most important for the nurse to include which instruction? - ANSWERSstore all toxic agents and medicines in locked cabinets. The nurse observes a 4 yr old boy in a daycare setting. Which behavior would the nurse consider normal for this child? - ANSWERSdemonstrates aggressiveness by boasting when telling a story A 2 yr old child w/ Down syndrome is brought to the clinic for his regular physical examination. The nurse knows which problem is frequently associated w/ Down syndrome? - ANSWERScongenital heart disease In developing a teaching plan for a 5 year old child w/ diabetes, which component of diabetic management should the nurse plan for the child to manage first? - ANSWERSprocess of glucose testing The nurse is assessing a 13 yr old girl w/ susptected hyperthyroidism. Which question is most important for the nurse to ask her during the admission interview? - ANSWERSare you experiencing any type of nervousness?