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➢ HESI PEDIATRICS 2024 LATEST EXAM FORM
A PAGE 1-34
➢ HESI PEDIATRICS 2024 LATEST EXAM
FORM B PAGE 35-88
HESI PEDIATRICS 2024 LATEST EXAM FORM
A&B CONTAINS 250 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS AGRADE
(NEWEST VERSION)
A 6-month-old infant w/ congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurse warrants immediate intervention? - ANSWER✅✅a. A- Apical heart rate of 60
a.i. A heart rate of 60 is much lower than normal for a 6-month old and warrants immediate intervention. The normal heart rate for a 6 month old is 80-150 when awake, and a rate of 70 while sleeping is considered w/in normal limits.
To assess the effectiveness of an analgesic administered to a 4-yr old, what intervention is best for the nurse to implement? - ANSWER✅✅a. A- use a happy-face/sad face pain scale.
a.i. A 4 year old can readily identify w/ simple picures to show the nurse how he/she is feeling.Could be used to validate what the child is telling the nurse via the "faces" pain scale, but it is best to elicit the child's assessment of his/her pain level (C-assess for changes in the child's vs), may not accurately reflect the effectiveness of pain medication as they can also be affected by other variables, such as fear
The nurse is assessing an 8 month old child who has a medical diagnosis of tetrology of Fallot. 1 / 4
Which symptom is the client most likely to exhibit? - ANSWER✅✅a. D-clubbed fingers
a.i. Tetrology of fallot, a cyanotic heart defect, causes clubbing of fingers and toes due to tissue hypoxia
Which action by the nurse is most helpful in communicating w/ a preschool aged child? - ANSWER✅✅a. B- use a doll to play and communicate
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a.i. Communicating through play w/ a doll or other toy gives time for the child to feel comfortable w/ a stranger
Preoperative nursing care for a child w/ Wilm's tumor should include which intervention? - ANSWER✅✅a. D-put a sign on the bed reading, "DO NOT PALPATE ABDOMEN"
a.i. Prevention of abdominial palpation minimizes the risk of rupturing the encapsulated tumor and subsequent metastasis.
The nurse is preparing a health teaching program for parents of toddlers and preschoolers and plans to include information about prevention of accidental poisonings. It is most important for the nurse to include which instruction? - ANSWER✅✅a. B- store all toxic agents and medicines in locked cabinets.
a.i. The only reliable way to prevent poisoning in young children is to make them inaccessible
The nurse observes a 4 yr old boy in a daycare setting. Which behavior would the nurse consider normal for this child? - ANSWER✅✅a. C- demonstrates aggressiveness by boasting when telling a story
a.i. C- 4yr old children are aggressive in their behavior and enjoy "tale telling"
A 2 yr old child w/ Down syndrome is brought to the clinic for his regular physical examination.The nurse knows which problem is frequently associated w/ Down syndrome? - ANSWER✅✅a. A- congenital heart disease
a.i. Is the most common assoc w/ defect in children w/ Down Syndrome
In developing a teaching plan for a 5 year old child w/ diabetes, which component of diabetic management should the nurse plan for the child to manage first? - ANSWER✅✅a. C-process of glucose testing
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a.i. Developmentally a 5 yr old has the cognitive and psychomotor skills to use a glucometer and to read the number (it is especially helpful if the nurse presents this activity as a game
The nurse is assessing a 13 yr old girl w/ susptected hyperthyroidism. Which question is most important for the nurse to ask her during the admission interview? - ANSWER✅✅a. B-are you experiencing any type of nervousness?
a.i. Assessing the client's physiological state upon admission is priority, and nervousness, apprehension, hyperexcitability, and palpitations are signs of hyperthyroidism, but assessing loss (even w/ a hearty appetite) (A) occurs in those w/ hyperthyroidism, but assessing the client's neurological state has a higher priority. Hormone replacement is not administered to a client who is already producing too much thyroid
The mother of a 6 month old asks the nurse when her baby will get the first MMR vaccine.Based on the recommended childhood immunization schedule published by the CDC, which response is accurate? - ANSWER✅✅a. (b) the MMR vaccine should be given no sooner than 12 months of age, and ideally between 12 & 15 months of age. (a) 3-6 months should not receive the MMR vaccine due to the presence of maternal antibodies. MMR is not routinely administered @ 18-24, but others like dTaP and Hep B may be given at that time.
A 16 y old is brought to the ER with a crushed leg after falling off a horse. The adolescent's last tetanus toxoid booster was received 8 ys ago. What action should the nurse take? - ANSWER✅✅a. C- administer the tetanus toxoid booster.
a.i. After the completion of the initial tetanus immunization schedule, the recommended booster for an adolescent or adult if every 10 years or less if a traumatic injury occurs that is contaminated by dirt, feces, soil, or saliva, such as puncture or crushing injuries, avulsions, wounds fr. missiles, burns or frostbite. The adolescent's injury is considered a contaminated wound requiring prophylactic therapy, so the tetanus toxoid booster should be administered
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