PEDS HESI REMEDIATION {ALREADY GRADED A+ } NEWEST VERSION

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PEDS HESI REMEDIATION {ALREADY GRADED

A+ } NEWEST VERSION

• Which medication is administered to premature infants to reduce the severity of

symptoms associated with respiratory syncytial virus (RSV) infection?

• respaire
• singulair
• menomune
• synagis

Correct Answer: D. synagis

• A 12-month-old client is being discharged with a body spica cast. Which information

should the nurse include in the parents' discharge teaching plan?

• foul odor from cast may indicate infection or skin breakdown
• pillows should not be placed under cast
• the child can safely transported in a stroller
• use pillows to elevate the child's head

Correct Answer: A. foul odor from cast may indicate infection or skin breakdown

• The nurse is reviewing an electronic medical record (EMR) of a four-year-old child

who is scheduled for an outpatient cardiac catheterization. The child has midazolam prescribed pre-procedure to alleviate anxiety. Which prescription should the nurse seek further clarification from the healthcare provider?

• Parents may administer the med just prior to coming to the hospital
• the child may have clear liquids up to two hours prior to administration of medicine
• the child is to be accompanied the resuscitative equipment during transport to cardiac

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• parents may accompany the child during transportation to cardiac procedure room.

Correct Answer: A. Parents may administer the med just prior to coming to the

hospital

• A six-year-old client, who received a kidney transplant presents with signs including

fever, decreased urine output, and tenderness over the transplanted organ. Laboratory results reveal an elevated serum creatinine level. This presentation is likely due to which cause?

• immunosuppression medications
• obstructive uopathy
• transplant rejection
• nephrotic syndrome

Correct Answer: C. transplant rejection

• The nurse is assessing a two-month-old in preparation for surgery for coarctation of

the aorta repair. Which best describes the pathophysiology of coarctation of the aorta?

• acyanotic defect, increase pulmonary blood flow
• cyanotic defect, obstructed blood flow from ventricles
• acyanotic defect, obstructed blood flow from ventricles
• cyanotic defect, decreased pulmonary blood flow

Correct Answer: C. acyanotic defect, obstructed blood flow from ventricles

• The nurse recognizes signs that a 9-month-old toddler may be living in an abusive

home. Which action is the priority for the nurse?

• encourage the child to speak freely
• report the suspected abuse to local authorities
• document head to toe assessment
• test the child for STD

Correct Answer: B. report suspected abuse

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• A mother brings in a three-year-old child who has respiratory rate of 36 breathes per

minute; heart rate of 160 beats per minute; weaken and thready pulse; and pale and sweaty skin. The nurse suspects the child is going into shock which action should the nurse perform first?

• obtain ABG's
• obtain vitals
• administer O2
• Establish IV access

Correct Answer: C. Administer oxygen

• Which information about toxic shock syndrome should the nurse emphasize when

counseling an adolescent female client?

• symptoms
• prevention
• medication
• treatment

Correct Answer: B. Prevention

• The nurse is reviewing the lab values for an eight-year-old client and notes that the

child's absolute neutrophil count (ANC) is below 500 cells/mm3. Which nursing intervention should the nurse implement first?

• Transfer the child to a negative pressure room
• Notify the HCP of the lab result
• Initiate reverse isolation
• Call the lab and request stat unit of plt

Correct Answer: C. Initiate reverse isolation precautions for this child

• An alert child has been treated for a submersion injury (near drowning). Which

complication should the nurse anticipate?

• hypertension
• Edema

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• Oliguria
• Hypothermia

Correct Answer: D. Hypothermia

• A child has been diagnosed with chicken pox and the nurse teaches the parent not

to give the child aspirin. Which condition may result when a child with chickenpox is given aspirin?

• Reye's syndrome
• Huntingtons disease
• Raynaud syndrome
• purpura disorder

Correct Answer: A. reye's syndrome

• A 10-year-old client with asthma arrives at an urgent care clinic with apparent

bronchial constriction. Which class of drugs should the nurse expect to be administered for this condition?

• methylxanthines
• anticholinergic
• long-acting beta2 agonists
• oral corticosteroids

Correct Answer: D. oral corticosteroids

• The nurse is preparing to administer furosemide (lasix) to an adolescent who has

developed congestive heart failure as the result of cystic fibrosis. Which condition would indicate the medication regime is being effective?

• decrease of crackles
• decrease of BMI
• decrease of urine output
• decrease of blood glucose

Correct Answer: D. decrease of blood glucose

• Which action should the nurse take when caring for a child with epiglottitis?