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HESI PEDS LATEST 2024-2025 TEST BANK (3 VERSION
A, B AND C) EACH VERSION WITH 90 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+ (NEW!!)
HESI PEDS LATEST 2024 -2025 VERSION A
When assessing a child with asthma, the nurse should expect intercostal retractions during
- inspiration.
- coughing.
- apneic episodes.
- expiration. - Correct Answer -A - (Intercostal retractions result from respiratory effort
to draw air into restricted airways, A)
When planning the care for a child who has had a cleft lip repair, the nurse knows that crying should be minimized because it
- increases salivation.
- increases the respiratory rate.
- leads to vomiting.
- stresses the suture line. - Correct Answer - D - (Prevention of stress on the lip suture
line, D, is essential for optimum healing and the cosmetic appearance of a cleft lip repair.)
A 14-year-old female client tells the nurse that she is concerned about the acne she has recently developed. Which recommendation should the nurse provide?
- Remove all blackheads and follow with an alcohol scrub.
- Use medicated cosmetics only to help hide the blemishes. 1 / 4
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- Wash the hair and skin frequently with soap and hot water.
- Encourage her to see a dermatologist as soon as possible. - Correct Answer - C -
(Washing the hair and skin with soap and hot water, C, removes oil and debris from the skin and helps prevent and treat acne. Oily skin is especially bothersome during adolescence when hormones cause enlargement of sebaceous glands and increased glandular secretions which predispose the teenager to acne.)
Which instructions should the nurse include in the discharge teaching plan of 7 year old girl with history of frequent urinary tract infections?
- Take frequent bubble baths
- Perform intermittent catheterization
- Check oral temperature daily
- Monitor for changes in urinary odor - -ANS: D- Monitor for changes in urinary odor
A male infant with bronchiolitis is brought to the clinic by his mother. The infant is congested and febrile with a capillary refill of 2 seconds. Which information should the nurse discuss with the mother?
- Encourage infant to play
- Limit the amount of oral intake
- Keep infant isolated from others
D. Lay infant on back for naps - -ANS: C - Keep infant isolated from others
During a routine physical exam, a male adolescent client tells the nurse, "sometimes, my mother gets angry because I want to be with my own friends." What is the best initial response by the nurse?
- Offer reassurance that his mother's concern is normal
- Determine is his friends are engaged in unsafe behaviors
- Ask about the client's response to his mother's anger
- Offer to discuss his concerns together with his mother - -ANS: C - Ask about the
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client's response to his mother's anger
pg. 3 Prophylactic antibiotics are prescribed for a child who has mitral valve damage. The nurse should advise the parents to give the antibiotics prior to which occurrence?
- Adjustment of orthodontic appliances or braces
- Loss of deciduous teeth (baby teeth)
- Urinary catheterization
- Insect bites - Correct Answer -C - (Prophylactic antibiotics are usually prescribed
prior to any invasive procedure for children who have valvular damage. Of the choices listed, only urinary catheterization ,C, is an invasive procedure.)
The nurse admits a child to the intensive care unit with a diagnosis of acquired aplastic anemia. What is the most common cause of this type of anemia?
- Bacterial infections
- A diet deficient in iron
- Heart-lung congenital defects
- Exposure to certain drugs - Correct Answer -D - (Aplastic anemia often follows
exposure to certain drugs, D, such as chloramphenicol, sulfonamides, and phenylbutazone, Butazolidin, insecticides such as DDT, and chemicals, especially, benzene.)
The nurse is conducting an initial admission assessment of a 12-month-old child in celiac crisis. Which intervention is most important for the nurse to implement?
- Assess the child's mucous membranes and skin turgor.
- Contact food services about needed menu restrictions.
- Determine the child's food likes and dislikes.
- Ask the parents about the child's recent dietary intake. - Correct Answer -A - (An
infant having a celiac crisis has severe diarrhea and is at high risk for fluid volume deficit. The nurse should first assess for indications of fluid volume deficit, A, and then implement, B, C, and D.)
A child comes to the school nurse complaining of itching. Further assessment reveals that the child has impetigo. What action should the nurse take?
- Send the child home with the parents to see the health care provider before returning
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- Send the child home with the parents and report this to the health department.
- Cover the lesion with a dry gauze dressing and send the child back to class.
- Wash the lesion with antimicrobial soap, air-dry, and send the child back to class. -
Correct Answer - A - (Impetigo is a staphylococcal infection and is transmitted by person-to-person contact. The child should be sent home with a note to the parents explaining the condition, A.)
A 5-month-old is admitted to the hospital with vomiting and diarrhea. The pediatrician prescribes dextrose 5% and 0.25% normal saline with 2 mEq KCl/100 ml to be infused at 25 ml/hour. Prior to initiating the infusion, the nurse should obtain which assessment finding?
- Frequency of emesis in the last 8 hours.
- Serum BUN and creatinine levels.
- Current blood sugar level.
- Appearance of the stool. - Correct Answer -B - (Regardless of a client's age,
adequate renal function must be present before adding potassium to IV fluids, B.)
The nurse is teaching a 12-year-old male adolescent and his family about taking injections of growth hormone for idiopathic hypopituitarism. Which adverse symptoms, commonly associated with growth hormone therapy, should the nurse plan to describe to the child and his family?
- Polyuria and polydipsia.
- Lethargy and fatigue.
- Increased facial hair.
- Facial bone structure changes. - Correct Answer - A - (Signs and symptoms of
diabetes or hyperglycemia, A, need to be reported. Those receiving growth hormone should be monitored to detect elevated blood sugars and glucose intolerance.)
The nurse is planning the care of a 2-year-old with severe eczema on the face, neck, and scalp from scratching the affected areas. Which nursing intervention is most effective in preventing further excoriation due to the pruritis?
- Obtain gloves for the child's hands.
- Apply finger cots on the child's fingers.
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