Evolve HESI peds Practice Final Exam questions and correct
detailed answers\ Verified 100% Graded A+ \NSG 434
Grand Canyon University
A 2-year-old child recently diagnosed with hemophilia A is discharged home.
What information should the nurse include in a teaching plan about home care?
Minimize interactive play with other children to lessen chances for injury.
Give low-dose children's chewable aspirin in orange flavor for joint discomfort. Use
a firm and dry toothbrush to clean teeth at least twice per day.
Apply pressure and ice for bleeding while elevating and resting the extremity.
Apply pressure and ice for bleeding while elevating and resting the extremity.
Hemophilia, a blood disorder, causes joint bleeding which is treated with rest, ice,
compression, and elevation (RICE) (D). (A, B, and C) are inaccurate.
,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.
Wash the hair and skin frequently with soap and hot water.
Encourage her to see a dermatologist as soon as possible.
Wash the hair and skin frequently with soap and hot water.
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. (A) is contraindicated. Cosmetics ("medicated" or not)
should be used sparingly to avoid further blocking sebaceous gland ducts (B).
(D) might be indicated at a later time, if healthcare recommendations are not
successful.
,A 12-month-old boy is admitted with a respiratory infection and possible
pneumonia. He is placed in a mist tent with oxygen. Which nursing intervention has
the greatest priority for this infant?
Give small, frequent feedings of fluids.
Accurately chart observations regarding breath sounds.
Have a bulb syringe readily available to remove secretions.
Encourage older siblings to visit.
Have a bulb syringe readily available to remove secretions.
A patent airway has the highest priority. Humidification will liquefy the nasal secretions
thereby increasing the amount of secretions and making (C) the
highest priority. (A) maintains hydration and prevent tiring, but an open airway has a
higher priority! (B) is important for evaluation of therapy. When asked "priority"
questions, REMEMBER MASLOW! Physical needs usually have a
higher priority than psychosocial needs (D) and an open airway is the highest
physiological need!
, When taking the health history of a child, the nurse knows that which finding is an
early indication of hypothyroidism in children?
Hyperactive behavioral traits.
Delay in the eruption of permanent teeth.
Slow sexual development, but within normal range. Cessation
of growth in a child that had been normal.
Cessation of growth in a child that had been normal.
Since the thyroid gland is responsible for metabolism, cessation of growth (D)
which was previously within normal range, is the most common sign for
hypothyroidism in children. The child with hypothyroidism is likely to be
HYPOactive, not (A). Although (B and C) may occur with hypothyroidism, they are
late signs (not early indications) and are signs more often associated with a lack of
growth hormone.
detailed answers\ Verified 100% Graded A+ \NSG 434
Grand Canyon University
A 2-year-old child recently diagnosed with hemophilia A is discharged home.
What information should the nurse include in a teaching plan about home care?
Minimize interactive play with other children to lessen chances for injury.
Give low-dose children's chewable aspirin in orange flavor for joint discomfort. Use
a firm and dry toothbrush to clean teeth at least twice per day.
Apply pressure and ice for bleeding while elevating and resting the extremity.
Apply pressure and ice for bleeding while elevating and resting the extremity.
Hemophilia, a blood disorder, causes joint bleeding which is treated with rest, ice,
compression, and elevation (RICE) (D). (A, B, and C) are inaccurate.
,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.
Wash the hair and skin frequently with soap and hot water.
Encourage her to see a dermatologist as soon as possible.
Wash the hair and skin frequently with soap and hot water.
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. (A) is contraindicated. Cosmetics ("medicated" or not)
should be used sparingly to avoid further blocking sebaceous gland ducts (B).
(D) might be indicated at a later time, if healthcare recommendations are not
successful.
,A 12-month-old boy is admitted with a respiratory infection and possible
pneumonia. He is placed in a mist tent with oxygen. Which nursing intervention has
the greatest priority for this infant?
Give small, frequent feedings of fluids.
Accurately chart observations regarding breath sounds.
Have a bulb syringe readily available to remove secretions.
Encourage older siblings to visit.
Have a bulb syringe readily available to remove secretions.
A patent airway has the highest priority. Humidification will liquefy the nasal secretions
thereby increasing the amount of secretions and making (C) the
highest priority. (A) maintains hydration and prevent tiring, but an open airway has a
higher priority! (B) is important for evaluation of therapy. When asked "priority"
questions, REMEMBER MASLOW! Physical needs usually have a
higher priority than psychosocial needs (D) and an open airway is the highest
physiological need!
, When taking the health history of a child, the nurse knows that which finding is an
early indication of hypothyroidism in children?
Hyperactive behavioral traits.
Delay in the eruption of permanent teeth.
Slow sexual development, but within normal range. Cessation
of growth in a child that had been normal.
Cessation of growth in a child that had been normal.
Since the thyroid gland is responsible for metabolism, cessation of growth (D)
which was previously within normal range, is the most common sign for
hypothyroidism in children. The child with hypothyroidism is likely to be
HYPOactive, not (A). Although (B and C) may occur with hypothyroidism, they are
late signs (not early indications) and are signs more often associated with a lack of
growth hormone.
