HESI Pediatric Practice
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Medicolegal Death Investigation Ex... NUR 353 DEV Exam 1 Practice Quest... Peds ATI 2019 A
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3. A 3-week-old newborn is A. Monitor the the infant's weight and number of wet diapers per
brought to the clinic for follow- day. - child should at least have 6 wet diapers per day.
up after a home birth. The B. Increase the infant's intake per feeding by 1 to 2 ounces per
mother reports that her child week.- child is always fatigue, need to increase to 30 oz a day
bottle feeds for 5 minutes only D. Allow the infant to rest and re-feed on demand or every 2
and then falls asleep. The nurse hours.- child is always fatigue, this will ensure adequate feeding.
auscultates a loud murmur E. Use a softer nipple or increase the size of the nipple opening.-
characteristic of a ventricular this will save energy
septal defect (VSD), and finds
the newborn is acyanotic with a
respiratory rate of 64 breaths
per minute. What instruction
should the nurse provide the
mother to ensure the infant is
receiving adequate intake?
(Select all that apply.)
33. A 15-year-old girl tells the Explain that menarche varies and occurs between the ages of 12
school nurse that all of her and 18 years.
friends have started their
periods and she feels abnormal
because she has not. Which
response is best for the nurse
provide?
81. Which finding in a 19-year-old Menstruation has not occurred- menarche usually occur
female client should trigger between the ages of 12 and 18 years old
further assessment by the
nurse?
, 34. At 8 a.m. the unlicensed Administer PRN prescription of nifedipine (Procardia)
assistive personnel (UAP) sublingually.
informs the charge nurse that a -CA channel blocker
female adolescent client with -always assess physiological needs
acute glomerulonephritis has a
blood pressure of 210/110. The 4
a.m. blood pressure reading was
170/88. The client reports to the
UAP that she is upset because
her boyfriend did not visit last
night. What action should the
nurse take first?
56. A 3-year-old client with Sequestration.- pooling of blood causes and pain and anemia
sickle cell anemia is admitted to d/t blockage of blood in the spleen
the Emergency Department with
abdominal pain. The nurse 1. Aplastic anemia- anemia d/t drugs
palpates an enlarged liver, an x- 2. Hyperhemolytic anemia- anemia d/t the breakdown of RBC
ray reveals an enlarged spleen, 3.Vaso-occlusive anemia- sickle cells are clogging up small
and a CBC reveals anemia. capillaries- and pain but not enlarged spleen and liver
These findings indicate which
type of crisis?
pre school age children are conceded about lost of body
49. A preschool-age child who is
mutilation or body integrity.
hospitalized for hypospadias
repair is most strongly
nurse should explain- they did not cause the illness, procedure is
influenced by which behavior?
not punishment, restoring body image with a band-aid.
26. The vital signs of a 4-year- Start an IV infusion of normal saline- patient is experiencing fluid
old child with polyuria are: BP vole deficit
80/40, Pulse 118, and
Respirations 24. The child's
pedal pulses are present with a
volume of +1, and no edema is
observed. What action should
the nurse implement first?
40. A 6-month-old boy and his 6 month shots: DTAP; HEP -B (1st dose: birth, 2nd dose: 1-2
mother are at the healthcare months, 3rd dose 6-9 months); PCV; IPV; INFLUENZA~ adminster
provider's office for a well-baby at a different site
check-up and routine
immunizations. The healthcare
provider recommends to the
mother that the child receive an
influenza vaccine. What
medications should the nurse
plan to administer today?
38. A 3-year-old boy is brought Determine the child's pulse and respiration~ always ABC
to the emergency room assess: respiratory, cardiac, and neuro
because he swallowed an entire
bottle of children's vitamin pills.
Which intervention should the
nurse implement first?