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Evolve HESI peds Practice Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
- Surgery is being delayed for an infant with undescended testes. In collaboration
- A trial of adrenocorticotrophic hormone injections.
- Frequent stimulation of the cremasteric reflex.
- A trial of human chorionic gonadotrophic hormone.
- Frequent warm baths to gently dilate the scrotal area.
with the healthcare provider and the family, which prescription should the nurse anticipate?
Correct Answer: C. A trial of human chorionic gonadotrophic hormone.
- The nurse is assessing an 8-month-old child who has a medical diagnosis of
- Bradycardia.
- Machinery murmur.
- Weak pedal pulses.
- Clubbed fingers.
Tetrology of Fallot. Which symptom is this client most likely to exhibit?
Correct Answer: D. Clubbed fingers.
- At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a
- Give the client her 9 a.m. prescription for an oral diuretic early.
female adolescent client with 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?
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- Administer PRN prescription of nifedipine (Procardia) sublingually.
- Notify the healthcare provider and inform the nursing supervisor of the client's
- Attempt to calm the client and retake the blood pressure in thirty minutes.
- Preoperative nursing care for a child with Wilms' tumor should include which
- Gently percuss the abdomen for evidence of trapped air.
- Observe the abdomen for any noticeable discolorations.
- Apply cold compresses to the abdomen to reduce edema.
- Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
- A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The
- Monitor the infant's weight and number of wet diapers per day.
- Increase the infant's intake per feeding by 1 to 2 ounces per week.
- Mix the dose of prophylactic antibiotic in a full bottle of formula.
- Allow the infant to rest and refeed on demand or every 2 hours.
- Use a softer nipple or increase the size of the nipple opening.
condition.
Correct Answer: B. Administer PRN prescription of nifedipine (Procardia) sublingually.
intervention?
Correct Answer: D. Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
mother reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse auscultates a loud murmur characteristic of a ventricular 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.)
Correct Answer: A, B, D, E.
- An infant is born with a ventricular septal defect (VSD) and surgery is planned to
- Stop the flow of unoxygenated blood into systemic circulation.
- Increase the flow of unoxygenated blood to the lungs.
correct the defect. The nurse recognizes that surgical correction is designed to achieve which outcome?
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- Prevent the return of oxygenated blood to the lungs.
- Reduce peripheral tissue hypoxia and nailbed clubbing
Correct Answer: C. Prevent the return of oxygenated blood to the lungs.
- What preoperative nursing intervention should be included in the plan of care for an
- Monitor for signs of metabolic acidosis.
- Estimate the quantity of diarrhea stools.
- Place in a supine position after feeding.
- Observe for projectile vomiting.
infant with pyloric stenosis?
Correct Answer: D. Observe for projectile vomiting.
- A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris.
- Use sunscreen when lying by the pool.
- Cleanse the skin at least 4 times a day.
- Take the medication with a glass of milk.
- Menstrual periods may become irregular.
What is the most important instruction for the nurse to include in this client's teaching plan?
Correct Answer: A. Use sunscreen when lying by the pool.
- The nurse is teaching the parents of a 5-year-old with cystic fibrosis about
- Perform postural drainage before starting aerosol therapy.
- Give respiratory treatments when the child is coughing a lot.
- Administer aerosol therapy followed by postural drainage before meals.
- Ensure respiratory therapy is done daily during any respiratory infection.
respiratory treatments. Which statement indicates to the nurse that the parents understand?
Correct Answer: C. Administer aerosol therapy followed by postural drainage before meals.
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- A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir.
- Apical heart rate of 60.
- Sweating across the forehead.
- Doesn't suck well.
- Respiratory rate of 30 breaths per minute.
Which observation by the nurse warrants immediate intervention?
Correct Answer: A. Apical heart rate of 60.
- A preschool-age child who is hospitalized for hypospadias repair is most strongly
- Ability to communicate verbally.
- Response to separation from family.
- Concern for body integrity.
- Socialization with other children.
influenced by which behavior?
Correct Answer: C. Concern for body integrity.
- A six-month-old returns from surgery with elbow restraints in place. What nursing
- Keep restraints on at all times.
- Remove restraints one at a time and provide range of motion exercises.
- Remove all restraints simultaneously and provide play activities.
- Renew the healthcare provider's prescription for restraints every 72 hours.
- All of the following interventions can be used to evaluate the effectiveness of
- Weighing diapers.
- Assessing fontanels.
- Checking skin turgor.
care should be included when caring for any restrained child?
Correct Answer: B. Remove restraints one at a time and provide range of motion exercises.
nursing and medical interventions used to treat diarrhea. Which intervention is least useful in the nurse's evaluation of a 20-month-old child?
