100% Correct
A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea
for the last 3 days. Which assessment is most important for the nurse to make? Measure
the infant's pulse
While obtaining the vital signs of a 10 year old boy who had a tonsillectomy this morning, the
nurse observes the child swallowing every 2-3 minutes. Which assessment should the nurse
implement? Inspect the posterior oropharynx
The parents of a 3-year-old boy who has Duchenne muscular dystrophy ask, "How can our son
have this disease? We are wondering if we should have any more children." What information
should the nurse provide to the parents? This is an inherited X-linked recessive disorder,
which primarily affects male children in the family
A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After
returning to the postoperative neonatal unit, her RR and HR have increased during the last hour.
Which intervention should the nurse implement? Administer a PRN analgesic prescription
, PEDS HESI & NCLEX Prep Questions
100% Correct
A 2-year-old girl is brought to the clinic by her 17 year old mother. When the nurse observes that
the child is drinking sweetened soda from her bottle, what information should the nurse discuss
with this mother? (Select all that apply) - Dental caries are associated with drinking soda
- Drinking soda is related to childhood obesity
- Toddlers should be drinking from a cup by age 2
A mother brings her 3 month old infant to the clinic because the baby does not sleep through the
night. Which finding is most significant in planning care for this family? The diaper area
shows severe skin breakdown
The nurse determines that an infant admitted for surgical repair of an inguinal hernia voids a
urinary stream from the ventral surface of the penis. What action should the nurse take?
Document the finding
A 16 year old with acute myelocytic leukemia is receiving chemotherapy (CT) via an implanted
medication port at the out-patient oncology clinic. What action should the nurse implement when
the infusion is complete? Flush mediport w/saline and heparin solution
, PEDS HESI & NCLEX Prep Questions
100% Correct
A mother brings her 3-week-old infant to the clinic because the baby vomits after eating and
always seems hungry. Further assessment indicates that the infant's vomiting is projectile, and
the child seems listless. Which additional assessment finding indicates the possibility of a life
threatening complication? Irregular palpable pulse
The nurse is performing a routine assessment of a 3-year old at a community health center.
Which behavior by the child should alert the nurse to request a follow-up for a possible autistic
spectrum disorder? Performs odd repetitive behaviors
Following admission for cardiac catheterization, the nurse is providing discharge teaching to the
parents of a 2-year-old toddler with tetralogy of Fallot. What instruction should the nurse give
the parents if their child becomes pale, cool, lethargic? Contact their HCP immediately
A mother brings her 2 year old son to the clinic because he has been crying and pulling on his
earlobe for the past 12 hours. The child's oral temperature is 101.2 F. Which intervention should
the nurse implement? Ask the mother if the child has had a runny nose
During a follow up clinical visit a mother tells the nurse that her 5 month old son who had
surgical correction for tetralogy of Fallot has rapid breathing, often takes a long time to eat, and
requires frequent rest periods. The infant is not crying while being held and his growth is in the
, PEDS HESI & NCLEX Prep Questions
100% Correct
expected range. Which intervention should the nurse implement? Auscultate heart and
lungs while infant is held
The mother of an 11-year old boy who has juvenile arthritis tells the nurse, "I really don't want
my son to become dependent on pain medication, so I only allow him to take it when he is really
hurting." Which information is most important for the nurse to provide this mother?
Giving pain medication around the clock helps control the pain
The mother of a 4-month old baby girl asks the nurse when she should introduce solid foods to
her infant. The mother states, "My mother says I should put rice cereal in the baby's bottle now."
The nurse should instruct the mother to introduce solid foods when her child exhibits which
behavior? Opens mouth when food comes her way
A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol
(Proventil). The child's mother tells the nurse that she uses this medication to open her son's
airway when he is having trouble breathing. What is the nurse's best response? Assure the
mother that she is using the medication correctly