Pediatrics HESI Practice set 1

1 Pediatrics HESI Practice set 1 1.A mother brings her 8-month-old baby boy to the clinic because he has been vomiting and had diarrhea for the last 3 days. Which assessment is more important for the nurse to make?

• Assess the infant's abdomen for tenderness.
• Determine if the infant was exposed to a virus.
• Measure the infant's pulse.
• Evaluate the infant's cry.

2.While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning, the nurse observes the child swallowing every 2 to minutes. Which assessment should the nurse implement?

• Inspect the posterior oropharynx
• Asses for teeth clenching or grinding.
• Touch the tonsillar pillars to stimulate the gag reflex.
• Ask the child to speak to evaluate change in voice tone.

3.The parents of a 3-year old boy who has Duchenne muscular dystrophy ask, "How can our son have this disease? We are wondering if we should have any more children." What information should the nurse provide to parents?

• This is an inherited X-linked recessive disorder, which primarily affects male children in the family.
• The striated muscle groups of males can be impacted by a lack of protein dystrophin in their mothers.
• The male infant had a viral infection that went unnoticed and untreated so muscle damage was incurred.
• Birth trauma with a breech vaginal birth causes damage to the spinal cord, thus weakening the muscles.

4.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?

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

HESI OB PEDS / Pediatrics HESI Exam Review Q & As 1 / 2

2 5.A 2-year-old girl is brought to the clinic by her 17-year-old mother. When the nurse observes that the child is drinking sweetened soda from her bottle, what information should the nurse discuss with this mother?(Select all that apply)

• A 2-year-old should be speaking in 2 word phrases.
• Dental caries are associated with drinking soda.
• Drinking soda is related to childhood obesity.
• Toddlers should be sleeping 10 hours a night.
• Toddlers should be drinking from a cup by age 2.

6.A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night.What finding is most significant in planning care for this family?

• The mother is a single parent and lives with her parents.
• The mother states the baby is irritable during feedings.

C.The infant's formula has been changed twice.

• The diaper area shows severe skin breakdown.

7.The nurses determines that an infant admitted for surgical repair of an inguinal hernia voids a urinary stream from the ventral surface of the penis. What action should the nurse take?

• Document the finding.
• Palpate scrotum for testicular descent.
• Assess for bladder distention.
• Auscultate bowl sounds.

8.A 16-year-old with acute myelocytic leukemia is receiving chemotherapy (CT) via an implanted medication port at the out-patient oncology clinic. What action should the nurse implement when the infusion is complete?

• Administer ondansetron (Zofran).
• Obtain blood samples for RBCs, WBCs, and platelets.
• Flush the mediport with saline and a heparin solution.
• Initiate an infusion of normal saline.
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