HESI RN PEDIATRICS NEW FILE TESTED 2022- 55 Questions & Answers

HESI RN PEDIATRICS NEW FILE TESTED 2022 55 Questions & Answers 1. A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse include teaching? “The test will measure the amount of chloride in your baby’s sweat.” 2. A nurse in prioritizing care for four clients. Which of the following clients should the nurse assess first? An adolescent who has sickle cell anemia and slurred speech 3. A nurse is providing teaching to a parent of a child who has cystic fibrosis and a new prescription for dornase alfa. Which of the following instructions should the nurse include the teaching? “Store the medication in the refrigerator.” 4. A nurse is caring for a child who has bacterial meningitis. Which of the following criteria indicates the nurse should remove the child from droplet precautions? Antibiotics initiated 24 hr ago 5. A nurse is assessing a school age child who has type 1 DM. The nurse notes that the child is diaphoretic. Which of the following actions should the nurse take? Obtain a blood glucose level 6. A nurse is caring for a child who is terminally ill. The parents tell the nurse that their child is going to be fine because they heard about another child who survived the same illness. Which of the following responses should the nurse make? “Tell me what you know about your child’s illness.” 7. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should the nurse expect? Steatorrhea 8. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? Apply bactericidal ointment to lesions 9. A nurse is preparing to administer naproxen 150 mg PO to a child who is experiencing pain. Available is naproxen 125 mg/ 5 ml solution. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 6 ml 10. A nurse is assessing a 6-month old patient at a well-child visit. Which of the following findings should the nurse expect? a. Closed posterior fontanel (8 weeks). 11. A nurse is caring for a 2-year old child who has seizures and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose? a. ?? 12. A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client’s plan of care? a. Encourage fluid intake at and between meals. 13. A nurse is planning care for a child who has suspected epiglottis. Which of the following actions should the nurse take? a. place the child in an upright position 14. A nurse is instructing a group of clients regarding calcium rich food. Which of the following should the nurse include in the teaching as the best source of calcium? a. 1 cup milk 15. A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says “ I don’t understand why my child is so upset. I’ve never seen my child act this way around others before.” Which of the following statements should the nurse make? a. “This is a normal, expected reaction for a child of this age.” 16. A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child’s cooperation? a. Offer the child a choice of taking it with juice or water. 17. A nurse is caring for a client who requires droplet precautions. Which of the following Personal protective equipment should the nurse wear when setting up the meal tray? a. Mask 18. A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of The following actions by the client indicates an understanding of the teaching? a. The client holds his breath 10 seconds after inhaling the medication. 19. A nurse is caring for a 2-month-old infant who is post-operative following surgical repair of a cleft lip. Which of the following actions should the nurse take? a. Administer ibuprofen as needed for pain. 20. A nurse is caring for a child who has Kawasaki disease. Which of the following systems Should the nurse monitor in response to this diagnosis? a. Cardiovascular 21. A nurse is providing teaching to a client who has oral candidiasis and a new script for Nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? a. “I will store the medicine at room temp” 22. A nurse is caring for a child who has been diagnosed with pertussis. Which type of precautions should the nurse take when caring for this child? Droplet precautions 23.A 7-year old girl is being seen at a healthcare clinic; the nurse suspects that the child is being neglected and physically abused at home. Beyond physical markings on the child, which of the following can also indicate signs of a child being abused or neglected? Select all that apply. The patient is wearing dirty, poorly-fitted clothes The patient misses school approximately once per week The child has body odor and rotting teeth 24.A nurse who works in the pediatric unit walks into a 3-year-old patient’s room and finds him lying on the floor. His parents are with him and they tell the nurse, “he fell out of bed!” Which response from the nurse is the most appropriate? Assist the patient back to bed, assess him for injuries and file an incident report 25.The nurse is conducting a physical examination in the ER of a child following a comprehensive health history. What should be the focus of the physical examination? Chief complaint 26.Which would be least effective in gaining the cooperation of a toddler during a physical examination? Tell the child that another child the same age wasn’t afraid. 27.The nurse is preparing a nursing care plan for an 8-year old child hospitalized for cardiac surgery. Which are examples of interventions that nurses perform in the “building a trusting relationship” stage? Select all that apply. Preparing the child for a procedure by playing games