2024 HESI Pediatric (PEDS) RN Exit Exam: V1 & V2

A 16-year-old is brought to the Emergency Center with a crushed leg after falling off a horse. The adolescent's last tetanus toxoid booster was received eight years ago. What action should the nurse take? - answer-Administer tetanus toxoid booster. A 4-year-old boy was admitted to the emergency room with a fractured right ulna and a short arm cast is applied. When preparing the parents to take the child home, which discharge instruction has the highest priority? - answer-Call the healthcare provider immediately if his nail beds appear blue. A 3-year-old boy is brought to the emergency room because he swallowed an entire bottle of children's vitamin pills. Which intervention should the nurse implement first? - answer-Determine the child's pulse and respirations. As part of the physical assessment of children, the nurse observes and palpates the fontanels. Which child's fontanel finding should be reported to the healthcare provider? - answer-A 6-month-old with failure to thrive that has a closed anterior fontanel. The nurse is developing a plan of care for a 3-year-old who is scheduled for a cardiac catheterization. To assist in decreasing anxiety for the child on the day of the procedure, which intervention is best for the nurse to implement? - answer-Give the child a ride on a gurney to visit the cardiac catheterization lab and meet a nurse who works there. A premature newborn girl, born 24 hours ago, is diagnosed with a patent ductus arteriosus (PDA) and placed under an oxygen hood at 35%. The parents visit the nursery and ask to hold her. Which response should the nurse provide to the parents? - answer-The oxygen hood is holding the baby's oxygen level just at the point which is needed. You may stroke and talk to her. A 2-year-old child with Down syndrome is brought to the clinic for his regular physical examination. The nurse knows which problem is frequently associated with Down syndrome? - answer-Congenital heart disease