HESI PEDS FINAL EXAM QUESTIONS AND ANSWERS {ALREADY GRADED A+ } NEWEST VERSION

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HESI PEDS FINAL EXAM QUESTIONS AND

ANSWERS {ALREADY GRADED A+ } NEWEST

VERSION

• A 16-year-old adolescent with acute myelocytic leukemia is receiving

chemotherapy via an implanted medication port at the outpatient oncology clinic.Which action should the nurse implement when the infusion is complete?

• Administer ondansetron.
• Obtain blood samples for red blood cells (RBCs), white blood cells (WBCs), and

platelets.

• Flush the mediport with saline and a heparin solution.
• Initiate an infusion of normal saline

Correct Answer: C. Flush the mediport with saline and a heparin solution.

• A 2-week-old female infant is hospitalized for the surgical repair of an umbilical

hernia. After returning to the postoperative neonatal unit, her respiratory rate and heart rate have increased during the last hour. Which intervention should the nurse implement?

• Administer a prescription for a PRN analgesic.
• Wrap the infant tightly and rock in rocking chair.
• Record the findings in the child's record.
• Notify the healthcare provider of these findings.

Correct Answer: D. Notify the healthcare provider of these findings.

• What are some possible changes that might explain the trend in glycosylated

haemoglobin in this client? Select all that apply.• The client may be experiencing stress at home or at school.• The client may be taking too much insulin.

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• The client may be ingesting too many calories for his energy needs.• The client may be eating fewer carbohydrates.• The client may have increased insulin requirements due to puberty.

Correct Answer:

• The client may be experiencing stress at home or at school.• The client may be ingesting too many calories for his energy needs.• The client may be eating fewer carbohydrates.• The client may have increased insulin requirements due to puberty.

• An infant diagnosed with respiratory syncytial virus is being discharged. Which

instruction should the nurse include in caregiver education?

• Place in a prone position during sleep to help breathing.
• Recline when feeding to decrease work of breathing.
• Administer albuterol nebulizer treatments every 4 hours.
• Perform bulb syringe suction with nasal saline drops

Correct Answer: D. Perform bulb syringe suction with nasal saline drops.

• The nurse knows that a shunt procedure is the therapy of choice in almost all cases

of hydrocephalus. Which is the most common reason for revision of a child's ventriculoperitoneal shunt?

Correct Answer: C. Malfunction of the valves.

• A healthy 2-day-old newborn received the first dose of hepatitis B prior to being

discharge home with the parents. The nurse should instruct the parents to return to the clinic for the infant's next dose of hepatitis B in how many months?

Correct Answer: D. 2 months.

• A clinic nurse is assessing infants and toddlers for fine and gross motor

development. Which child should the nurse refer to the healthcare provider for further follow-up?

• An 18-month-old attempting to scribble on paper
• A 5-month-old with use of hand grasp in both hands

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• A 3-year-old preferring to walk only on tip toes
• A 3-year-old with diminished Moro reflex

Correct Answer: A. 3-year-old preferring to walk on the tip toes.

• A female infant recently admitted with vomiting and diarrhea now weighs 10 kg. Her

weight at a previous well-baby visit was 11 kg. Which percentage of body weight loss for this infant should the nurse document in the electronic medical record?

Correct Answer: 9.09%

• The healthcare provider prescribes amoxicillin-clavulanic acid suspension 300 mg

by mouth (PO) three times daily (TID) for a child with a lower respiratory infection. The bottle is labelled, 250 mg/5 mL. How many mL should the nurse administer in a single dose? (Enter numeric value only.)

Correct Answer: 6 mL

• One week after removing a tick, a student arrives at the school nurse's office with

reports of flu-like symptoms. Which intervention should the school nurse implement 1st?

• Observe for a rash around the tick bite site
• Measure the student's oral temperature
• Inform the student of Lyme disease signs and symptoms
• Instruct the student's parents to seek medical attention

Correct Answer: B. Observe for a rash around the tick bite site.

• A 6-year-old with heart failure (HF) gained 2 pounds (0.9 kg) in the last 24 hours.

Which intervention is most important for the nurse to implement?

• Restrict intake of oral fluids.
• Assess bilateral lung sounds.
• Graph the daily weight for the past week.
• Decrease Intravenous (IV) flow rate.

Correct Answer: B. Assess bilateral lung sounds.

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• The nurse is providing education to a group of adolescents about smoking

prevention. Which approach should the nurse include to incorporate Piaget's cognitive development theory of formal operations?

• Classify health behaviours as healthy and unhealthy.
• Define terms and correct misinformation about smoking.
• Create a handout that lists the dangers of smoking.
• Discuss the undesirable consequences of smoking.

Correct Answer: A. Classify health behaviours as healthy and unhealthy.

• The nurse is planning care for a 4-year-old girl who is diagnosed as having a

developmental disability. What should be the primary focus of treatment for this child?

• Assist in preventing further disability.
• Ensure her participation in group activities.
• Teach her social skills.
• Help her achieve her maximum potential.

Correct Answer: D. Help her achieve her maximum potential.

• A newborn infant is diagnosed with hypospadias and the parents have requested a

circumcision prior to discharge. Which response should the nurse provide?

• The foreskin will be needed for a later hypospadias repair.
• Circumcision is delayed until puberty in infants with hypospadias.
• Scar tissue could interfere with hypospadias reconstruction.
• Local anaesthesia for circumcision is not recommended in infants with hypospadias

Correct Answer: A. The foreskin will be needed for a later hypospadias repair.

• The nurse is caring for a school-age child with cystic fibrosis and reviews the

admission medication prescriptions. Which medication should the nurse obtain a prescription for to be administered with every meal?

• Calcium acetate.
• Albuterol inhaler.