PEDS HESI UPDATED EXAMS TEST PAPER
QUESTIONS AND ANSWERS SURE A+
✔✔A nurse reviews the methods for preventing recurring urinary tract infections (UTI)
with the parent of a female child. Which response by the parent indicates that further
teaching is needed in caring for the child?
-States they will buy the child only nylon underclothes.
-Increases oral fluids and encourages the child to void frequently.
-Provides the child with cotton underwear for daily use.
-Teaches the child to cleanse the perineal area from front to back. - ✔✔States they will
buy the child only nylon underclothes.
Nylon underwear traps moisture and can contribute to bacterial growth, thus the
parent's statement indicates the need for further teaching.
✔✔A 14-year-old returns to the pediatric unit after corrective surgery for scoliosis. In the
immediate postoperative period, the nurse should include which action in this client's
plan of care? (Select all that apply.)
Select all that apply
-Record intake and output every 8 hours.
-Elevate the head of the bed 30 degrees.
-Assess bowel sounds every 4 hours.
-Initiate a logrolling schedule every 2 hours.
,-Ambulate for 5 minutes, 12 hours postoperative.
-Give morphine sulfate, 2 mg IV every 4 hours PRN. - ✔✔Record intake and output
every 8 hours.
Initiate a logrolling schedule every 2 hours.
Give morphine sulfate, 2 mg IV every 4 hours PRN.
Recording intake and output and assessing bowel sounds are critical when determining
if the body systems are recovering from the effects of anesthesia. Using a logrolling
technique to turn the client maintains spinal alignment postoperatively and prevents
complications of immobility. Since this is a painful surgery, the nurse should maintain
pain control as prescribed. The pain associated is not just due to the incisions of
surgery, but also to the manipulation and placement of the spinal hardware and
muscular pain as the involved muscles adjust to the corrective realignment of the spine.
Following corrective surgery for scoliosis, a client should be immobilized without spinal
flexion for 24 to 48 hours, and then ambulated by the physical therapist.
✔✔An adolescent female's susceptibility to vaginitis could be related to which causative
factor?
-Swimming pool chlorine.
-Sexual activity.
-Urinary incontinence.
-Menarche. - ✔✔Sexual activity.
Vaginitis can result from irritation, foreign objects, allergens, and sexual activity.
✔✔The parents of a 14-year-old girl tell the nurse that their daughter dresses as a
tomboy and plays baseball one day and the next day dresses in feminine clothes and
becomes a teenage "drama queen." What information should the nurse use to respond
to the parents?
-Teenagers need a strong role mode to emulate.
-Adolescents try on different roles while seeking their identity.
-Such erratic behavior needs further investigation.
-Fourteen-year-olds often try to please parents with their role choices. - ✔✔Adolescents
try on different roles while seeking their identity.
As teenagers seek their own identity, they "try on" different roles to see if they fit and
which feels more natural and comfortable.
✔✔The mother of a 2-month-old reports that she often lets the baby cry in the middle of
the night instead of going to pick up or sooth the infant. What information should the
nurse provide the mother?
-Picking up the infant in the middle of the night fosters dependency on the mother.
-A sense of trust is developed in an infant when others respond to the infant's cry.
-An infant is learning to manipulate others when the infant is picked up unnecessarily.
, -A 2-month-old who does not sleep through the night should be evaluated further. -
✔✔A sense of trust is developed in an infant when others respond to the infant's cry.
According to Erikson, a crucial element in the developmental stage of the infant is "Trust
versus mistrust", which is nurtured when the mother or the primary caregiver is
responsive and consistent in responding to the infant's needs and cries.
✔✔A nurse who is working in the Poison Control Center receives a telephone call from
a parent of a 16-month-old child who drank 2 ounces of acetaminophen elixir. Which
action should the nurse recommend to the parent?
-Administer oral syrup of ipecac.
-Give the child a glass of whole milk.
-Transport the child to the emergency department for gastric decontamination.
-Obtain oral activated charcoal tablets from the pharmacy. - ✔✔Transport the child to
the emergency department for gastric decontamination.
Each 5 mL of elixir contains 160 mg of acetaminophen. This child has ingested twice
the maximum recommended 24-hour dose, which can cause acetaminophen toxicity.
The parent should transport the child to the emergency department for gastrointestinal
decontamination and the possible administration of the antidote, acetylcysteine.
Overdosing of acetaminophen can cause serious liver damage.
✔✔The nurse is assessing the coping behaviors of the parents whose child has been
recently diagnosed with a chronic illness. What reaction by the parents is a positive step
in the ability to cope with this new situation?
-Endowing the illness with meaning.
-Refusing to believe the child is ill.
-Entertaining an unrealistic future plan for the child.
-Placing complete faith in religion to the point of relinquishing responsibility. -
✔✔Endowing the illness with meaning.
Coping mechanisms are behaviors directed at reducing the tension elicited by a crisis.
Approach behaviors are coping mechanisms resulting in movement toward adjustment
and resolution of the crisis. The parents' ability to assign the illness meaning within an
existing medical, scientific, or spiritual philosophy of life is a long-term coping strategy
significantly related to successful family functioning.
✔✔What is the best action for the nurse to take when initiating contact with a toddler for
the first time?
-Ask the toddler to point to where it hurts.
-Tell the child your name and that you are the nurse.
-Call the child by name while picking up the toddler.
-Kneel in front of the toddler and speak softly. - ✔✔Kneel in front of the toddler and
speak softly.
QUESTIONS AND ANSWERS SURE A+
✔✔A nurse reviews the methods for preventing recurring urinary tract infections (UTI)
with the parent of a female child. Which response by the parent indicates that further
teaching is needed in caring for the child?
-States they will buy the child only nylon underclothes.
-Increases oral fluids and encourages the child to void frequently.
-Provides the child with cotton underwear for daily use.
-Teaches the child to cleanse the perineal area from front to back. - ✔✔States they will
buy the child only nylon underclothes.
Nylon underwear traps moisture and can contribute to bacterial growth, thus the
parent's statement indicates the need for further teaching.
✔✔A 14-year-old returns to the pediatric unit after corrective surgery for scoliosis. In the
immediate postoperative period, the nurse should include which action in this client's
plan of care? (Select all that apply.)
Select all that apply
-Record intake and output every 8 hours.
-Elevate the head of the bed 30 degrees.
-Assess bowel sounds every 4 hours.
-Initiate a logrolling schedule every 2 hours.
,-Ambulate for 5 minutes, 12 hours postoperative.
-Give morphine sulfate, 2 mg IV every 4 hours PRN. - ✔✔Record intake and output
every 8 hours.
Initiate a logrolling schedule every 2 hours.
Give morphine sulfate, 2 mg IV every 4 hours PRN.
Recording intake and output and assessing bowel sounds are critical when determining
if the body systems are recovering from the effects of anesthesia. Using a logrolling
technique to turn the client maintains spinal alignment postoperatively and prevents
complications of immobility. Since this is a painful surgery, the nurse should maintain
pain control as prescribed. The pain associated is not just due to the incisions of
surgery, but also to the manipulation and placement of the spinal hardware and
muscular pain as the involved muscles adjust to the corrective realignment of the spine.
Following corrective surgery for scoliosis, a client should be immobilized without spinal
flexion for 24 to 48 hours, and then ambulated by the physical therapist.
✔✔An adolescent female's susceptibility to vaginitis could be related to which causative
factor?
-Swimming pool chlorine.
-Sexual activity.
-Urinary incontinence.
-Menarche. - ✔✔Sexual activity.
Vaginitis can result from irritation, foreign objects, allergens, and sexual activity.
✔✔The parents of a 14-year-old girl tell the nurse that their daughter dresses as a
tomboy and plays baseball one day and the next day dresses in feminine clothes and
becomes a teenage "drama queen." What information should the nurse use to respond
to the parents?
-Teenagers need a strong role mode to emulate.
-Adolescents try on different roles while seeking their identity.
-Such erratic behavior needs further investigation.
-Fourteen-year-olds often try to please parents with their role choices. - ✔✔Adolescents
try on different roles while seeking their identity.
As teenagers seek their own identity, they "try on" different roles to see if they fit and
which feels more natural and comfortable.
✔✔The mother of a 2-month-old reports that she often lets the baby cry in the middle of
the night instead of going to pick up or sooth the infant. What information should the
nurse provide the mother?
-Picking up the infant in the middle of the night fosters dependency on the mother.
-A sense of trust is developed in an infant when others respond to the infant's cry.
-An infant is learning to manipulate others when the infant is picked up unnecessarily.
, -A 2-month-old who does not sleep through the night should be evaluated further. -
✔✔A sense of trust is developed in an infant when others respond to the infant's cry.
According to Erikson, a crucial element in the developmental stage of the infant is "Trust
versus mistrust", which is nurtured when the mother or the primary caregiver is
responsive and consistent in responding to the infant's needs and cries.
✔✔A nurse who is working in the Poison Control Center receives a telephone call from
a parent of a 16-month-old child who drank 2 ounces of acetaminophen elixir. Which
action should the nurse recommend to the parent?
-Administer oral syrup of ipecac.
-Give the child a glass of whole milk.
-Transport the child to the emergency department for gastric decontamination.
-Obtain oral activated charcoal tablets from the pharmacy. - ✔✔Transport the child to
the emergency department for gastric decontamination.
Each 5 mL of elixir contains 160 mg of acetaminophen. This child has ingested twice
the maximum recommended 24-hour dose, which can cause acetaminophen toxicity.
The parent should transport the child to the emergency department for gastrointestinal
decontamination and the possible administration of the antidote, acetylcysteine.
Overdosing of acetaminophen can cause serious liver damage.
✔✔The nurse is assessing the coping behaviors of the parents whose child has been
recently diagnosed with a chronic illness. What reaction by the parents is a positive step
in the ability to cope with this new situation?
-Endowing the illness with meaning.
-Refusing to believe the child is ill.
-Entertaining an unrealistic future plan for the child.
-Placing complete faith in religion to the point of relinquishing responsibility. -
✔✔Endowing the illness with meaning.
Coping mechanisms are behaviors directed at reducing the tension elicited by a crisis.
Approach behaviors are coping mechanisms resulting in movement toward adjustment
and resolution of the crisis. The parents' ability to assign the illness meaning within an
existing medical, scientific, or spiritual philosophy of life is a long-term coping strategy
significantly related to successful family functioning.
✔✔What is the best action for the nurse to take when initiating contact with a toddler for
the first time?
-Ask the toddler to point to where it hurts.
-Tell the child your name and that you are the nurse.
-Call the child by name while picking up the toddler.
-Kneel in front of the toddler and speak softly. - ✔✔Kneel in front of the toddler and
speak softly.
