HESI RN PEDS EXAMPACK Done

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.