PEDIATRIC PEDS HESI EXIT VERSION 5

PEDIATRIC (PEDS) HESI EXIT VERSION 5

(V5) TEST BANK: PDF-FORMAT

(ALL 55 QUESTIONS & ANSWERS) VERSION 5 (V5) LATEST QUESTIONS & 100% CORRECT

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ALL CORRECT ANSWERS

• The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac

catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction?

• Blood pressure trend is downward and pulse is rapid and irregular.
• Right foot is cool to the touch and appears pale and blanched.
• Pulse distal to the femoral artery is weaker on the left foot than right foot.
• The pressure dressing at right femoral area is moist and oozing blood.

{{Correct Ans:- b.Right foot is cool to the touch and appears pale and

blanched.

• Following a motor vehicle collision, a 3-year old girl has a spica cast applied.

Which toy is best for the nurse for this 3-year-old child?

• Duck that squeaks.
• Fashion doll and clothes.
• Set of cloth and hand puppets.
• Hand held video game.

{{Correct Ans:- C. Set of cloth and hand puppets.

• An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic.

Which action should the nurse implement first?

• Administer morphine sulphate.
• Start IV fluids.
• Place the infant in a knee-chest position.
• Provide 100% oxygen by face mask.

{{Correct Ans:- C. Place the infant in a knee-chest position.

• A child admitted with diabetic ketoacidosis is demonstrating Kussmaul

respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration?

• Metabolic alkalosis.
• Respiratory acidosis.
• Respiratory alkalosis.
• Metabolic acidosis.

{{Correct Ans:- D. Metabolic acidosis.

• 7 years old is admitted to the hospital with persistent vomiting, and a nasogastric

tube attached to low intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare provider?

• Gastric output of 100 mL in the last 8 hours.
• Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
• Serum potassium of 3.0 mg/dL.
• Serum pH of 7.45.

{{Correct Ans:- C. Serum potassium of 3.0 mg/dL.

• The nurse is evaluating diet teaching for a client who has nontropical sprue

(celiac disease). Choosing which food indicates that the teaching has been effective?

• Creamed corn.
• Pancakes.
• Rye crackers.
• Cooked oatmeal.

{{Correct Ans:- A. Creamed corn.

• During a well-baby check, the nurse hides a block under the baby's blanket, and

the baby looks for the block. Which normal growth and development milestone is the baby developing?

• Separation anxiety.
• Associative play.
• Object prehension.
• Object permanence.

{{Correct Ans:- D. Object permanence.

• The nurse is measuring the frontal occipital circumference (FOC) of a 3-months

old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears large in relation to body size. Which action is most important for the nurse to take next?

• Measure the infant's head-to-toe length.
• Palpate the anterior fontanel for tension and bulging.
• Observe the infant for sunken eyes.
• Plot the measurement on the infant's growth chart.

{{Correct Ans:- B. Palpate the anterior fontanel for tension and bulging.

• The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both

parents and 12-year-old sibling are at the child's bedside. Which instruction best supports family?

• While waiting for the healthcare provider, only one visitor may stay with the

child.

• All of you should leave while the healthcare provider sutures the child's

forehead.

• It is best if the sibling goes to the waiting room until the suturing is

completed.

• Please decide who will stay when the healthcare provider begins suturing.

{{Correct Ans:- D. Please decide who will stay when the healthcare provider

begins suturing.

• The nurse is planning for a 5-month old with gastroesophageal reflux disease

whose weight has decreased by 3 ounces since the last clinic visit one month ago.To increase caloric intake and decrease vomiting, what instructions should the nurse provide this mother?

• Gives mall amounts of baby food with each feeding.
• Thicken formula with cereal for each feeding.
• Dilute the child's formula with equal parts of water.
• Offer 10 % dextrose in water between most feedings.

{{Correct Ans:- B. Thicken formula with cereal for each feeding.

• While teaching a parenting class to new parents the nurse describes the needs

of infants and toddlers regarding discipline and limit setting. What is the most important reason for implementing such parenting behaviors?

• Children need help in developing social skills.
• This age child fears loss of self-control.
• They provide the child with a sense of security
• Children must to learn to deal with authority.

{{Correct Ans:- B.They provide the child with a sense of security

• The parents of a newborn infant with hypospadias are concerned about when

the surgical correction should occur. What information should the nurse provide?

• Repair should be done by one month to prevent bladder infection.
• To form a proper urethra repair, it should be done after sexual maturity.
• Repairs typically should be done before the child is potty trained.
• Delaying the repair until school age reduces castration fears.

{{Correct Ans:- C. Repairs typically should be done before the child is potty

trained.

• Which drink choice on a hot day indicates to the nurse that a teenager with

sickle cell anaemia understands dietary consideration related to the disease?

• Milkshake.
• Iced tea.
• Diet cola.
• Lemonade.

{{Correct Ans:- D. Lemonade.

• The nurse is assessing an infant with diarrhea and lethargy. Which finding

should the nurse identify that is consistent with early dehydration?

• Tachycardia.
• Bradycardia.
• Dry mucous membrane.
• Increased skin turgor.

{{Correct Ans:- A. Tachycardia.

• While auscultating the lung sounds of a 5-year-old Chinese boy who recently

completed antibiotic therapy for pneumonia, the nurse notices symmetrical, round, bruise-like blemishes on his chest. What action is best for the nurse to take?

• Identify the antibiotic used to treat the pneumonia.
• Inquire about the use of alternative methods of treatment.
• Ask the parents if the child has been in a recent accident.
• Report suspected child abuse to the authorities.

{{Correct Ans:- B. Inquire about the use of alternative methods of treatment.