HESI PN PEDIATRICS PROCTORED EXAM VERSION 2

HESI PN PEDIATRICS PROCTORED EXAM VERSION 2

1) Which is the rationale for why young children are more prone to otitis media that the nurse should include in the teaching session with a parent?

• The eustachian tube is shorter, wider, and horizontal in younger children.
• The eustachian tube is shorter, more narrow, and horizontal in younger children.
• The eustachian tube is longer, wider, and vertical in younger children.
• The eustachian tube is longer, more narrow, and vertical in younger children.

2) Which neonate requires a close nursing assessment for the development of retinopathy of prematurity (ROP)?

• 28-weeks’-gestation infant who has been on long-term oxygen and weighed 1400 g
• 32-weeks’-gestation infant of African heritage with a congenital heart defect who

needed no oxygen and weighed 1850 g

• 28-weeks’-gestation female infant who was on short-term oxygen, weighed 1420 g, and was treated with

phototherapy

• 36-weeks’-gestation, small-for-gestational-age infant who was in an oxyhood for 12 hours and weighed 1800 g

3) Which is the priority nursing assessment for a pediatric client who is postoperative for tonsillectomy?

• Arrhythmias
• Dehydration
• Increased blood sugar
• Increased urinary output

4) A neonate is diagnosed with a herpes simplex viral infection of the eye. Which medication should the nurse prepare to administer?

• Oral erythromycin
• Fluoroquinolone eyedrops or ointment
• Parenteral acyclovir (Zovirax) and vidarabine (VIRA-A) ophthalmic ointment
• Intravenous penicillin

5) A nurse is caring for a visually impaired 20-month-old client who has notbegun to walk. Which nursing diagnosis 1 / 2

would be appropriate for this child?

• Self-care Deficit
• Impaired Physical Mobility
• Impaired Home Maintenance
• Delayed Development

6) A nurse is caring for a visually impaired school-age child. Which is the priority nursing intervention during the admission process to the hospital?

• Explaining playroom policies
• Orienting the child to where furniture is placed in the room
• Taking the child on a tour of the unit
• Letting the child touch equipment that will be used during the child’shospitalization

7) Which should the nurse include in the discharge instructions for theparents of aninfant who is diagnosed with acute otitis media?

• Keep the baby in a flat position during sleep.
• Administer a decongestant.
• Place the baby to sleep with a pacifier.
• Administer acetaminophen (Tylenol) to relieve discomfort.

8) Which parental statements indicate correct understanding of the care that isneeded for a pediatric client after the insertion of tympanostomy tubes? Select all that apply.

• “It is important to limit my child’s diet after surgery and only allow soft,bland foods.”
• “I should restrict my child to quiet activities after surgery.”
• “I should plan to administer a decongestant to my child for 1 to 2weeks following surgery.”
• “It is important for my child to drink plenty of fluids after the procedure.”
• “I will remind my child to use ear plugs prior to showering and swimming.”

9) Which nursing action is appropriate when providing care to a child with a mild hearing loss who reads lips to enhance adaptation during hospitalization?

• Touching the child lightly before speaking
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