1. Which nutritional information should the
Food should be
nurse plan to provide the mother of a 6-
introduced into a child's
month-old regarding introduction of solid
diet one at a time, at 4
foods?
to 7 day intervals
2. The nurse is conducting discharge teaching
Institute airborne
with the mother of a 22-month-old with
precau- tions for the
respiratory syncytial virus (RSV) who has one
infected child
younger and one old sibling living in the
home. Which priority instruction should the
nurse include in this teaching plan?
3. A 17-year-old male student with cystic fibrosis
He is likely to have
talks
infertili-
with the school nurse about his disease and wonders ty problems
and needs fur-
how it will affect getting married and having children. ther
evaluation
Which relevant information would the nurse
include in this discussion?
4. While auscultating the lung sounds of a 5- Inquire about the use of
year-old Chinese boy who recently completed al- ternative methods
antibiotic ther- apy for pneumonia, the nurse of treat- ment
notices symmetrical, round, bruise-like
blemishes on his chest. Which ac- tion is best
for the nurse to take?
-Determine the child's
5. The mother of a 6-year-old girl is usu- al physical activity
concerned about her child's obesity. The pattern
child's weight plots at the 75
percentile, and height at the 25 percentile. The child's -Obtain the
child's 3-day
body mass index (BMI) is at the 85 percentile for diet history based
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55
, PRIORITY OB/PEDS HESI FINAL EXAM.
on the
age and gender. Which intervention should the nurse mother's
input
implement? (Select all that apply) -Inquire as to whether
or not the school has a
phys- ical education
program
6. During a well baby clinic visit, the mother of
a Water source used with
6-month-old infant asks the nurse if she can supplemental feedings
have a
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55
, PRIORITY OB/PEDS HESI FINAL EXAM.
prescription for Poly VI Sol with fluoride. Though
the infant is still breast feeding, the mother
provides the child with supplemental formula
feedings. Which as- sessment is most
important for the nurse to obtain?
Position the infant on
7. A mother of a one month old infant calls the the stomach
clinic to report that the back of her infant's occasionally when
head is flat. How should the nurse respond? awake and active
8. A toddler with nephrotic syndrome receives Observe fait and balance
a pre- scription from the healthcare while ambulating
provider for enalapril. Which action should
the nurse implement prior to administering
the medication?
14
9. The healthcare provider prescribes
Cephalexin 350 mg by mouth every 6 hours
for a child who weighs 88 pounds. The
available suspension is labeled, "Cephalexin
Suspension 125 mg/5 mL." The recom-
mended safe dose range is 25 to 50 mg/kg/24
hours in 4 divided doses. How many
milliliters should the nurse administer based
on the child's weight? (enter numerical value
only. If rounding is required, round to the Flush the mediport
nearest whole number). with saline and a
heparin solu- tion
10. A 16-year-old adolescent with acute
myelocyte leukemia is receiving
chemotherapy via an implant- ed medication
port at the outpatient oncology clinic. What
action should the nurse implement when
the infusion is complete?
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55
, PRIORITY OB/PEDS HESI FINAL EXAM.
11. An adolescent with pelvic inflammatory disease (PID) Detection of
early symp-
is admitted to the hospital after 14 days of taking toms of Jarisch-
Hersheimer
levofloxacin 500 mg orally daily and (medication) 500 reaction
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