PEDS HESI ACTUAL LATEST NEW ALL QUESTIONS
AND ANSWERS SURE A+
✔✔A 3-month-old infant returns from surgery with elbow restraints and a Logan's bow
over a cleft lip suture line. Which intervention should the nurse implement to maintain
suture line integrity during the initial postoperative period?
A.Place the infant upright in an infant seat position.
B.Provide mittens with the use of elbow restraints.
C.Use soft rubber catheters for nasal suctioning.
D.Apply water-soluble lubricant to the suture line. - ✔✔ANS: A
The use of an infant seat simulates a supine position with the head elevated (A) and
also prevents aspiration. Prone positioning should be avoided to prevent disruption of
the protective Logan's bow and prevent the infant from rubbing the face on the bed
surface. Mittens (B) are not necessary and decrease the ability to provide sensory
comfort, such as hand holding. Nasal suctioning (C) should be avoided to prevent
trauma or dislodging clots at the surgical site. Water-soluble lubricant (D) will dry the
suture line and cause crusting, which predisposes the suture line to poor healing and
scarring.
, ✔✔Which nursing diagnosis has the highest priority when planning care for an infant
with eczema?
A.High risk for altered parenting related to feelings of inadequacy
B.Altered comfort (pruritus) related to vesicular skin eruptions
C.Altered health maintenance related to knowledge deficit of treatment
D.Risk for impaired skin integrity related to eczema - ✔✔ANS: B
Altered comfort (pruritus) (B) has the highest priority because itching will cause the
infant to scratch, creating complications such as scarring or infection. (A, C, and D) are
all important nursing diagnoses and should be considered when developing the infant's
plan of care, but they do not have the priority of (B).
✔✔A mother calls the clinic because her 6-year-old son, who has been taking
prescribed antibiotics for 7 of the previous 10 days, continues to have a cough that she
reports is worsening. Further questioning by the nurse reveals that the cough is
nonproductive. What advice should the nurse provide to this mother?
A.Watch the boy a few more days and see if the cough begins to produce sputum.
B.The full 10-day course of antibiotics must be completed before effectiveness can be
evaluated.
C.Give the child plenty of fluids and an over-the-counter cough suppressant.
D.Bring the child to the clinic today for an examination related to the cough. - ✔✔ANS:
D
The child should be evaluated as soon as possible for pneumonia (D). Antibiotics
usually improve symptoms during the first few days of treatment but should be
continued for the full prescribed course. A continued cough after 7 days of antibiotic
treatment may indicate an infectious process in the lower lungs, which could cause a
nonproductive cough. Children with pneumonia can deteriorate unexpectedly and
rapidly and can become seriously ill, with no sputum production (A). (B) delays
evaluation too long. Although giving fluids is advisable, cough suppressants might mask
symptoms of a serious condition (C).
✔✔A 6-month-old male infant is admitted to the postanesthesia care unit with elbow
restraints in place. He has an endotracheal tube and is ventilator-dependent but will be
extubated soon following recovery from anesthesia. Which nursing intervention should
be included in this child's plan of care?
A.Keep restraints on at all times to prevent unplanned extubation.
AND ANSWERS SURE A+
✔✔A 3-month-old infant returns from surgery with elbow restraints and a Logan's bow
over a cleft lip suture line. Which intervention should the nurse implement to maintain
suture line integrity during the initial postoperative period?
A.Place the infant upright in an infant seat position.
B.Provide mittens with the use of elbow restraints.
C.Use soft rubber catheters for nasal suctioning.
D.Apply water-soluble lubricant to the suture line. - ✔✔ANS: A
The use of an infant seat simulates a supine position with the head elevated (A) and
also prevents aspiration. Prone positioning should be avoided to prevent disruption of
the protective Logan's bow and prevent the infant from rubbing the face on the bed
surface. Mittens (B) are not necessary and decrease the ability to provide sensory
comfort, such as hand holding. Nasal suctioning (C) should be avoided to prevent
trauma or dislodging clots at the surgical site. Water-soluble lubricant (D) will dry the
suture line and cause crusting, which predisposes the suture line to poor healing and
scarring.
, ✔✔Which nursing diagnosis has the highest priority when planning care for an infant
with eczema?
A.High risk for altered parenting related to feelings of inadequacy
B.Altered comfort (pruritus) related to vesicular skin eruptions
C.Altered health maintenance related to knowledge deficit of treatment
D.Risk for impaired skin integrity related to eczema - ✔✔ANS: B
Altered comfort (pruritus) (B) has the highest priority because itching will cause the
infant to scratch, creating complications such as scarring or infection. (A, C, and D) are
all important nursing diagnoses and should be considered when developing the infant's
plan of care, but they do not have the priority of (B).
✔✔A mother calls the clinic because her 6-year-old son, who has been taking
prescribed antibiotics for 7 of the previous 10 days, continues to have a cough that she
reports is worsening. Further questioning by the nurse reveals that the cough is
nonproductive. What advice should the nurse provide to this mother?
A.Watch the boy a few more days and see if the cough begins to produce sputum.
B.The full 10-day course of antibiotics must be completed before effectiveness can be
evaluated.
C.Give the child plenty of fluids and an over-the-counter cough suppressant.
D.Bring the child to the clinic today for an examination related to the cough. - ✔✔ANS:
D
The child should be evaluated as soon as possible for pneumonia (D). Antibiotics
usually improve symptoms during the first few days of treatment but should be
continued for the full prescribed course. A continued cough after 7 days of antibiotic
treatment may indicate an infectious process in the lower lungs, which could cause a
nonproductive cough. Children with pneumonia can deteriorate unexpectedly and
rapidly and can become seriously ill, with no sputum production (A). (B) delays
evaluation too long. Although giving fluids is advisable, cough suppressants might mask
symptoms of a serious condition (C).
✔✔A 6-month-old male infant is admitted to the postanesthesia care unit with elbow
restraints in place. He has an endotracheal tube and is ventilator-dependent but will be
extubated soon following recovery from anesthesia. Which nursing intervention should
be included in this child's plan of care?
A.Keep restraints on at all times to prevent unplanned extubation.
