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