PEDS HESI EXAM 3 LATEST VERIFIED
STUDY QUESTIONS AND ANSWERS
Which action would the nurse to take when assessing an infant on digoxin who has an
apical pulse of 88 bpm?
A. Notify the health care provider immediately
B. Tell mother to continue giving digoxin
C. Expect health care provider to lower the dose
D. Ask mother whether this is the usual heart rate - ANSWER-Notify the health care
provider immediately.
Which therapeutic effect is associated with digoxin prescribed to a client with heart
failure?
A. Reduces edema
B. Increases cardiac conduction
C. Increases rate of ventricular contractions
D. Slows and strengthens cardiac contractions - ANSWER-Slows and strengthens
cardiac contractions.
Which manifestation in a client with heart failure indicates digoxin toxicity? - ANSWER-
Nausea, yellow vision, irregular pulse
A preterm infant is started on digoxin and furosemide for persistent patent ductus
arteriosus. Which nursing assessment provides best indication of the effectiveness of
the furosemide?
A. Pedal edema in reduced
B. Digoxin toxicity is prevented
C. Fontanels appear depressed
D. Urine output exceeds fluid intake - ANSWER-Urine output exceeds fluid intake.
Which eduction would the nurse teach the parent of an infant with a cardiac defect
about an early sign of heart failure?
A. Slowed respiration
B. Increased heart rate
, C. Distended neck veins
D. Increased urine output - ANSWER-Increased heart rate
Which plan of care would the nurse implement for an infant admitted to the pediatric unit
with the diagnosis of heart failure?
A. Increase the infants fluid intake
B. Position infant flat on back
C. Offer small, frequent feedings
D. Measure infants head circumference - ANSWER-Offer the infant small, frequent
feedings.
Which assessment finding in a 5 month old infant would the nurse report to the health
care provider?
A. Heart rate of 100 bpm
B. Blood pressure of 75/48
C. Respiratory rate of 70 breaths per minute
D. Temperature of 99.5 - ANSWER-Respiratory rate of 70 breaths per minute.
The parent of a child who has undergone open heart surgery is informed that their child
is in the post anesthesia care unit and is stable. The parent is crying and openly
expressing their worries and fears. Which is the best response by the nurse?
A. Reassuring them their their child is doing well
B. Allow them to continue to express their feelings
C. Bring them to recovery area for sever minutes
D. Encourage them to go to the coffee shop before returning - ANSWER-Bringing them
to the recovery area for several minutes.
To assess the status of circulation to the foot, which site would the nurse monitor for a
pulse? - ANSWER-Dorsalis pedis artery, posterior tibial artery
Which deviations from the normal range would make the nurse suspect that there might
be a problem during physical assessment of a newborn infant? - ANSWER-Expiratory
bruit, persistent heart rate of 180 or more, apneic episodes that last longer than 20
seconds
Which medication would then nurse conclude is the cause of a decreased heart rate in
a patient recieving a cardiac glycoside, diuretic and ACE inhibitor?
STUDY QUESTIONS AND ANSWERS
Which action would the nurse to take when assessing an infant on digoxin who has an
apical pulse of 88 bpm?
A. Notify the health care provider immediately
B. Tell mother to continue giving digoxin
C. Expect health care provider to lower the dose
D. Ask mother whether this is the usual heart rate - ANSWER-Notify the health care
provider immediately.
Which therapeutic effect is associated with digoxin prescribed to a client with heart
failure?
A. Reduces edema
B. Increases cardiac conduction
C. Increases rate of ventricular contractions
D. Slows and strengthens cardiac contractions - ANSWER-Slows and strengthens
cardiac contractions.
Which manifestation in a client with heart failure indicates digoxin toxicity? - ANSWER-
Nausea, yellow vision, irregular pulse
A preterm infant is started on digoxin and furosemide for persistent patent ductus
arteriosus. Which nursing assessment provides best indication of the effectiveness of
the furosemide?
A. Pedal edema in reduced
B. Digoxin toxicity is prevented
C. Fontanels appear depressed
D. Urine output exceeds fluid intake - ANSWER-Urine output exceeds fluid intake.
Which eduction would the nurse teach the parent of an infant with a cardiac defect
about an early sign of heart failure?
A. Slowed respiration
B. Increased heart rate
, C. Distended neck veins
D. Increased urine output - ANSWER-Increased heart rate
Which plan of care would the nurse implement for an infant admitted to the pediatric unit
with the diagnosis of heart failure?
A. Increase the infants fluid intake
B. Position infant flat on back
C. Offer small, frequent feedings
D. Measure infants head circumference - ANSWER-Offer the infant small, frequent
feedings.
Which assessment finding in a 5 month old infant would the nurse report to the health
care provider?
A. Heart rate of 100 bpm
B. Blood pressure of 75/48
C. Respiratory rate of 70 breaths per minute
D. Temperature of 99.5 - ANSWER-Respiratory rate of 70 breaths per minute.
The parent of a child who has undergone open heart surgery is informed that their child
is in the post anesthesia care unit and is stable. The parent is crying and openly
expressing their worries and fears. Which is the best response by the nurse?
A. Reassuring them their their child is doing well
B. Allow them to continue to express their feelings
C. Bring them to recovery area for sever minutes
D. Encourage them to go to the coffee shop before returning - ANSWER-Bringing them
to the recovery area for several minutes.
To assess the status of circulation to the foot, which site would the nurse monitor for a
pulse? - ANSWER-Dorsalis pedis artery, posterior tibial artery
Which deviations from the normal range would make the nurse suspect that there might
be a problem during physical assessment of a newborn infant? - ANSWER-Expiratory
bruit, persistent heart rate of 180 or more, apneic episodes that last longer than 20
seconds
Which medication would then nurse conclude is the cause of a decreased heart rate in
a patient recieving a cardiac glycoside, diuretic and ACE inhibitor?
