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HESI Pediatric Evolve Peds Practice Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
- The clinic nurse is taking the hx for a new 6-month-old client. The mother reports
that she took a great deal of aspirin while pregnant. Which assessment should the nurse obtain?
• Correct Answer: Type of reaction to loud noises
• Rationale: Ototoxicity diminishes hearing acuity and causes symptoms of tinnitus and vertigo. Assessing the infant's reaction to loud noises helps determine an infant's risk for hearing deficit related to a history of the mother taking ototoxic drugs, such as aspirin, while pregnant.
- During administration of a blood transfusion, a child complains of chills, headache,
- The nurse is giving preoperative instruction to a 14-year-old female client who is
- The mother of a 4-year-old child asks the nurse what she can do to help her other
and nausea. Which action should the nurse implement?• Correct Answer: Stop the infusion immediately and notify the healthcare provider.• Rationale: The child is exhibiting signs of a reaction to the blood transfusion. The blood transfusion should be stopped immediately.
scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place?• Correct Answer: "I understand that I will be in a body cast and I will show you how you taught me to turn." • Rationale: Outcome of learning is best demonstrated when the client not only verbalizes an understanding but can also provide a return demonstration.
children cope with their sibling's hospitalizations. Which is the best response that the nurse should offer?
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• Correct Answer: Encourage the mother to have the children visit the hospitalized sibling.• Rationale: Needs of a sibling will be better met with factual information and contact with the ill child. Parents are experts on their children and should determine when their children are old enough to visit.
- Which restraint should be used for a toddler after a cleft palate repair?
• Correct Answer: Elbow
• Rationale: Elbow restraints prevent children from bending their arms and bringing their hands to the oral surgical site.
- The mother of a 2-year-old boy consults the nurse about her son's increased temper
tantrums. The mother states, "yesterday he threw a fit in the grocery store, and I did not know what to do. I was so embarrassed. What can I do if this occurs again?" Which recommendation is best for the nurse to provide this mother?
• Correct Answer: Walk away from him and ignore the behavior.
• Rationale: The best approach for a toddler is to ignore the attention-seeking behavior. The parents should be somewhat nearby, within view of the child, but should avoid reinforcing the behavior in any way.
- Which menu selection by a child w/ celiac disease indicates to the nurse that the
child understands necessary dietary considerations?
• Correct Answer: Oven baked potato chips & cola
• Rationale: Celiac disease causes an intolerance to the protein gluten found in oats, rye, wheat, and barley. The child should avoid any products containing these ingredients.
- Surgery is being delayed for an infant with undescended testes. In collaboration w/
the health care provider and the family, which prescription should the nurse anticipate?
• Correct Answer: Trial of human chorionic gonadotrophic hormone
• Rationale: A trial of HCG may aid in testicular descent, but does not replace surgical repair for true undescended testes.
- The nurse received a lab report stating a child w/ asthma has a theophylline level of
15 mcg/dl. What action will the nurse take?
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• Correct Answer: Pass the information on in the report.
• Rationale: Therapeutic levels of theophylline are 10-20 mcg/dl, so the child's level is within the therapeutic range.
- When taking the health history of a child, the nurse knows that which finding is an
early indication of hypothyroidism in children?
• Correct Answer: Cessation of growth in a child that had been normal
- The mother of a preschool-aged child asks the nurse if it is all right to administer
- A 3-month-old infant develops oral thrush. Which pharmacologic agent should the
Pepto Bismol to her son when he has a "tummy ache." After reminding the mother to check the label of all OTC drugs for the presence of aspirin, which instruction should the nurse include when replying to this mother's question?• Correct Answer: Do not give if the child has chickenpox, the flu, or any other viral illness.• Rationale: Pepto Bismol contains aspirin and there is the potential of Reye's syndrome.
nurse plan to administer for treatment of this disorder?
• Correct Answer: Nystatin (Mycostatin)
• Rationale: Nystatin is an antifungal drug that is effective in treating thrush, an oral fungal infection.
- 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?• Correct Answer: Give the child a ride on a gurney to visit the cardiac catheterization lab and meet a nurse who works there.
• Rationale: Familiarizing the child and mother with the department will help
decrease anxiety.
- A 3-year-old boy is brought to the ER because he swallowed an entire bottle of
children's vitamin pills. Which intervention should the nurse implement first?
• Correct Answer: Determine the child's pulse and respirations.
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• Rationale: The most important principle in dealing with a poisoning is to treat the child first, not the poison. Initiate immediate life support measures with assessment of VS, in particular respirations.
- A 4-year-old girl continues to interrupt her mother during a routine clinic visit. The
mother appears irritated w/ the child and asks the nurse, "Is this normal behavior for a child this age?" The nurse's response should be based on which information?• Correct Answer: Children need to retain a sense of initiative w/o impinging on the rights and privileges of others.
• Rationale: Children aged 3-6 are in Erickson's initiative vs. guilt stage.
- The nurse is planning the care of a 2-year-old w/ severe eczema on the face, neck,
and scalp fr. scratching the affected areas. Which nursing intervention is most effective in preventing further excoriation due to the purities?
• Correct Answer: Place elbow restraints on the child's arms.
• Rationale: Elbow restraints prevent arm flexion and scratching of involved area, but do not inhibit use of the hands for play activities.
- A 6-year-old admitted to the pediatric unit after falling off a bicycle. Which
intervention should the nurse implement to assist the child's adjustments to hospitalization?
• Correct Answer: Explain hospital schedules to the child, such as mealtimes.
• Rationale: Altered daily schedules and loss of rituals are upsetting to children.Explaining the hospital schedules and establishing an individual schedule familiarizes the child to the hospital environment and decreases anxiety.
- A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris.
What is the most important instruction for the nurse to include in this client's teaching plan?
• Correct Answer: Use sunscreen when lying by the pool.
• Rationale: Photosensitivity is a common side effect of tetracycline HCL. Severe sunburn can occur with minimal sun exposure.
- The nurse is caring for a 12-year-old w/ Syndrome of Inappropriate Antidiuretic
Hormone (SIADH). This child should be carefully assessed for which complication?
