PEDS HESI EVALUATION EXAMS TEST QUESTIONS
AND ANSWERS SURE A+
✔✔Following the administration of immunizations to a 6-month-old girl, the nurse
provides the family with home care instructions. Which statement by the mother
indicates that further teaching is needed?
A."I will give her a baby aspirin every 4 hours as needed for fever."
B."I will call the clinic if her cry becomes high-pitched or unusual."
C."I know I can expect her to be irritable over the next 2 days."
D."I will exercise her legs regularly to decrease the soreness." - ✔✔ANS: A
Although fever may occur, non-aspirin-containing medications should be used because
of the risk of Reye's syndrome (A). (B) indicates a severe reaction, whereas (C) is a
common side effect. (D) decreases soreness in the thigh injection site.
✔✔Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a solution that
contains 250 mg/5 mL. How many milliliters should the nurse administer in one dose?
A.10
, B.15
C.20
D.25 - ✔✔ANS: B
✔✔An infant is receiving digoxin (Lanoxin) for congestive heart failure. The apical heart
rate is assessed at 80 beats/min. What intervention should the nurse implement?
A.Call for a portable chest radiograph.
B.Obtain a therapeutic drug level.
C.Reassess the heart rate in 30 minutes.
D.Administer digoxin immune Fab (Digibind) stat. - ✔✔ANS: B
Sinus bradycardia (heart rate < 90 to 110 beats/min in an infant) is an indication of
digoxin toxicity, so assessment of the client's digoxin level has the highest priority (B).
(A) is not indicated at this time. (C) provides helpful assessment data but does not
address the cause of the problem and delays needed intervention. (D) is indicated for a
serious, life-threatening overdose with digoxin.
✔✔The nurse notes that a 16-year-old male client is refusing visits from his classmates.
Further assessment reveals that he is concerned about his edematous facial features.
Based on these assessment findings, the nurse should plan interventions related to
which nursing diagnosis?
A.Social isolation
B.Altered health maintenance
C.Knowledge deficit
D.Ineffective coping - ✔✔ANS: A
Peer acceptance and body image are significant issues in the growth and development
of adolescents. (A) addresses the problem of a lack of contact with peers stemming
from his desire to protect his ego. (B, C, and D) are not supported by the assessment
finding.
✔✔The nurse is preparing a teaching plan for the mother of a child who has been
diagnosed with celiac disease. Choosing which lunch will be within the therapeutic
management of a child with celiac disease?
A.Turkey salad, milk, and oatmeal cookies
AND ANSWERS SURE A+
✔✔Following the administration of immunizations to a 6-month-old girl, the nurse
provides the family with home care instructions. Which statement by the mother
indicates that further teaching is needed?
A."I will give her a baby aspirin every 4 hours as needed for fever."
B."I will call the clinic if her cry becomes high-pitched or unusual."
C."I know I can expect her to be irritable over the next 2 days."
D."I will exercise her legs regularly to decrease the soreness." - ✔✔ANS: A
Although fever may occur, non-aspirin-containing medications should be used because
of the risk of Reye's syndrome (A). (B) indicates a severe reaction, whereas (C) is a
common side effect. (D) decreases soreness in the thigh injection site.
✔✔Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a solution that
contains 250 mg/5 mL. How many milliliters should the nurse administer in one dose?
A.10
, B.15
C.20
D.25 - ✔✔ANS: B
✔✔An infant is receiving digoxin (Lanoxin) for congestive heart failure. The apical heart
rate is assessed at 80 beats/min. What intervention should the nurse implement?
A.Call for a portable chest radiograph.
B.Obtain a therapeutic drug level.
C.Reassess the heart rate in 30 minutes.
D.Administer digoxin immune Fab (Digibind) stat. - ✔✔ANS: B
Sinus bradycardia (heart rate < 90 to 110 beats/min in an infant) is an indication of
digoxin toxicity, so assessment of the client's digoxin level has the highest priority (B).
(A) is not indicated at this time. (C) provides helpful assessment data but does not
address the cause of the problem and delays needed intervention. (D) is indicated for a
serious, life-threatening overdose with digoxin.
✔✔The nurse notes that a 16-year-old male client is refusing visits from his classmates.
Further assessment reveals that he is concerned about his edematous facial features.
Based on these assessment findings, the nurse should plan interventions related to
which nursing diagnosis?
A.Social isolation
B.Altered health maintenance
C.Knowledge deficit
D.Ineffective coping - ✔✔ANS: A
Peer acceptance and body image are significant issues in the growth and development
of adolescents. (A) addresses the problem of a lack of contact with peers stemming
from his desire to protect his ego. (B, C, and D) are not supported by the assessment
finding.
✔✔The nurse is preparing a teaching plan for the mother of a child who has been
diagnosed with celiac disease. Choosing which lunch will be within the therapeutic
management of a child with celiac disease?
A.Turkey salad, milk, and oatmeal cookies
