HESI RN PEDS RETAKE

RN HESI Pediatrics Retake Exam Question 1 A nurse is preparing for the admission of a child with a diagnosis of acute-stage Kawasaki disease. On assessment of the child, the nurse expects to note which clinical manifestation of the acute stage of the disease? Conjunctival hyperemia Question 2 Which signs and symptoms would lead a nurse to suspect a child has tetralogy of Fallot? Select all that apply. Murmur History of squatting Cyanosis Tachypnea Question 3 A nurse is caring for an infant with congenital heart disease is monitoring the infant closely for signs of congestive heart failure (CHF). The nurse assess the infant for which early sign of CHF? Tachycardia Question 4 A child with Kawasaki disease is receiving low-dose aspirin. The mother calls the clinic and states that the child has been exposed to influenza. Which recommendation should the nurse make? Select all that apply. Stop the aspirin Watch for fever. Question 5 Discharge teaching for a 3-month old with a cardiac defect who is to receive digoxin should include which information? Select all that apply. Give medications at regular intervals. Notify the healthcare provider of poor feeding or vomiting. Notify the healthcare provider if more than two consecutive doses are missed. Question 6 When developing the discharge teaching plan for a child with chronic renal failure and the family, the nurse should emphasize restriction of which nutrient? Phosphorus Question 7 A nurse is developing a plan of care who is at risk for seizures. Which interventions apply if the child has a seizure? Select all that apply. Time the seizure Stay with the child Move furniture away from the child Question 8 A nurse develops a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which items need to be placed at the child’s bedside. Suction equipment and oxygen Question 9 A nurse is caring for an infant with a diagnosis of hydrocephalus. Preoperatively, a priority nursing intervention is to: Reposition the infant frequently Question 10 A 10-year-old child with asthma is treated for acute exacerbation in the ER. A nurse caring for the child monitors for which of the following, knowing it indicates the worsening of the condition? Decreased wheezing Question 11 Which assessment findings should alert the nurse to suspect that a toddler is experiencing respiratory distress? Select all that apply. Coughing Respiratory rate of 45 Restlessness Diaphoresis Question 12 When preparing the teaching plan for the mother of a child with asthma, what information should the nurse include as a sign to alert the mother that her child is having an asthma attack? Wheezing on expiration. Question 13 Which factor, if described by the parents of a child with cystic fibrosis, indicates understanding the underlying problem of the disease? An abnormality in the body’s mucus secreting glands Question 14 What type of diet should the nurse teach the parents to give an older infant with cystic fibrosis? High-calorie diet Question 15 A new mother expresses concern to a nurse regarding sudden infant syndrome (SIDS). She asks the nurse how to position her new infant for sleep. The nurse appropriately tells the mother that the infant should be placed on the: Back rather than on the stomach. Question 16 The mother of a hospitalized 2-year-old with CROUP ask a nurse why the physician did not prescribe antibiotics. The appropriate response is: “Antibiotics are not indicated unless a bacterial infection is present” Question 17 A child with laryngotracheobronchitis (CROUP) is placed in a cool mist tent. The mother becomes concerned because the child is frightened, consistently crying and trying to climb out of the tent. The appropriate nursing action is to: Let the mother hold the child and direct the cool mist over the child’s face Question 18 A nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by respiratory syncytial virus (RSV). Which interventions would the nurse include in the plan of care? Select all that apply. Place the infant in a private room Ensure that nurses caring for the infant with RSV do not care for other high-risk children. Question 19 A 7-year old child with a history of asthma controlled without medications is referred to the school nurse by the teacher because of persistent coughing. What should the nurse do first? Call a parent to obtain more information. Question 20 When providing end-of-life care to a 4-year-old child who is dying of cancer, which of the following interventions would the nurse utilize to ensure that she is providing adequate pain control? Encourage the child to verbalize pain by using the appropriate pain scale Question 21 A nurse is caring for a 9-year-old patient who is considered a fall risk because of her history of seizures. Which of the following interventions should be implemented to prevent falls in a pediatric patient? Select all that apply. Keep the patient’s bed in the lowest position Provide non-slip socks for the patient to wear while ambulating Move furniture and room items so that there is a clear walkway Question 22 A nurse is caring for a baby who was born 72 hours ago. The nurse notes that the child has not had a bowel movement or has passed meconium stool on her shift. She checks the records and notes that the child has not had any bowel movements documented since he was born. What action should the nurse perform next? Contact the physician and report the situation Question 23 The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is “too wet.” The nurse finds the bandage and bed soaked with blood. What nursing action is most appropriate to institute initially? Apply direct pressure above the catheterization site. Question 24 The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse do next? Administer next dose as ordered in 12 hours. Question 25 A physician orders a medication dosage that is above the safe dosage range. The nurse administers the medication without questioning the dosage. What error did the nurse make? The nurse violated one of the “rights” of medication administration due to not calculating the dosage based on patient's safe range. Question 26 A child is upset because, when the cast is removed from her leg, the skin surface is caked with desquamated skin and sebaceous secretions. What technique should the nurse suggest to remove this material? Soak in the bathtub Question 27 A child is being cared for in the ICU after suffering a head injury. The patient requires a ventilator and he is sedated. The child is at risk of pressure ulcers because of his immobility. Which of the following nursing interventions is most appropriate to prevent skin breakdown in this child? Turn or reposition the child in bed every 2 hours Question 28 Parents bring a 7-year-old child to the clinic for evaluation of an injured wrist after a bicycle accident. The parents and child are upset, and the child will not allow an examination of the injured arm. What priority nursing intervention should occur at this time? Calmly ask the child to point to where the pain is worse and to wiggle his fingers. Question 29 The nurse is caring for a 4-year-old boy who has undergone an appendectomy. The child is unwilling to use the incentive spirometer. Which approach would be most appropriate to elicit the child’s cooperation? “Can you blow this cotton ball across the tray?” Question 30 The nurse is caring for a 10-year-old girl who is in an isolation room. Which intervention would be a priority intervention for this child? Provide age-appropriate toys and games. Question 31 The nurse is caring for infants having the condition failure to thrive (FTT). Which infants would be at risk for this condition? Select all that apply. A newborn baby with tetralogy of Fallot An infant with a cleft palate An infant born to an impoverished mother An infant with bronchopulmonary dysplasia Question 32 A nurse is working with a family whose child has an intellectual disability that occurred as a result of trauma. Which of the following situations would best describe an example of this type of event? Falling down a flight of stairs Question 33 A nurse is reviewing the policies for safety with a family who’s 1-year-old child has been admitted to the pediatric unit. Which information would the nurse most likely give to the parents about maintaining the child’s safety while he is a patient in the pediatric unit? Parents who are staying with the child should not fall asleep while holding the child, but should keep him in his bed Question 34 The nurse is performing a health history on a 6-year-old boy who is having trouble adjusting to school. Which question would be most likely to elicit valuable information? “What are your new classmates like?” Question 35 Bacterial pneumonia is suspected in a 4-year-old boy with fever, headache, and chest pain. Which assessment finding would most likely indicate the need for this child to be hospitalized? Tachypnea with retractions Question 36 Which of the following situations would involve mandatory reporting? A nurse suspects that an 11-year-old child is being abused in his home Question 37 The nurse is providing teaching for the mother of an infant who receives all of his nutrition through a tube. The nurse is reviewing interventions to promote growth and development. Which response from the mother indicates and need for further teaching? “We need to keep feeding time very quiet.” Question 38 The nurse is administering pain medication for an 8 year old child with continuous pain from internal injuries. Which method would be ordered to dispense the medication? Administer the medication around the clock at timed intervals Question 39 The student nurse is learning about the effects of heat and cold when used in a pain management plan. What accurately describes one of these effects? Cold alters capillary permeability. Question 40 An 8-year-old is undergoing surgery for an appendectomy. Which of the following best explains informed consent when caring for this child? The child participates in the decision making about the procedure. Question 41 When assessing a 2-year-old child with a Wilms Tumor, what should the nurse avoid? Palpating the child’s abdomen Question 42 A nurse is assessing an 8-year old with diabetes who is experiencing hyperglycemia. Which symptoms indicate that hypoglycemia requires immediate intervention. Select all that apply. Weakness Thirst Dizziness Question 43 A clinic nurse reads the results of a Mantoux test on a 3-year-old child. The results indicate an area of induration measuring 10mm. The nurse would interpret these results as: Positive Question 44 A nurse is performing a clinic intake assessment on a 16-year-old patient. When the nurse asks the patient about alcohol consumption, the patient admits that he sometimes drinks to excess with his friends. Which response should the nurse utilize to talk about this topic with the patient? Explain short- and long-term effects of alcohol use on health Question 45 The nurse is caring for a 4-year-old girl with special care needs in the hospital. Which intervention would have the most positive effect on this child? Helping her do a simple craft project Question 46 A nurse is working with the family of a 1-day-old infant who was born prematurely and who is dying, which of the following interventions would most likely demonstrate that the nurse recognizes the family’s grief in this situation? Letting the family baptize the child and dress him Question 47 The nurse is caring for a hospitalized 13-year-old girl who is questioning everything the medical staff is doing and is resistant to treatment. How should the nurse respond? “Let’s work together to plan your day along with your treatments.” Question 48 The nurse is teaching the student nurse how to perform a physical assessment based on the child’s developmental stage. Which statement accurately describes a recommended guideline for setting the tone of the examination for a school-age-child? Include the child in all parts of the examination, speak to the caregiver before and after the examination. Question 49 The parents of a 12-year-old girl complain to the nurse that their daughter never listens to them when they talk. Which of the following skills should the nurse teach to the parents about conflict resolution with their child? Practice active listening with the child Question 50 The nurse is caring for a 4-year-old girl who has been hospitalized for over a week with severe burns. Which would be a priority intervention to help satisfy this preschool child’s basic needs? Explain necessary procedures in a simple language that she will understand. Question 51 The nurse is performing a health history on a 6-year-old boy who is having trouble adjusting to school. Which question would be most likely to elicit valuable information? “Do you like your new school?” Question 52 M.B. is a 17 year old patient who is being seen for a sports physical. He is accompanied by his parents who are present while the nurse takes the patient’s history. The nurse notes a certain amount of tension when discussing the teen’s high-risk behaviors. The nurse wants to establish a relationship of confidentiality with the patient, in case he wants to discuss private matters but doesn’t want to talk in front of his parents. Which one of the following statements made by the nurse is correct? “You can have your parents stay while I examine you or they can wait outside until we are done." Question 52 The parents of a child with autism talk with a nurse about their feelings of being overwhelmed i