Peds Hesi 2020 questions and answers| 100% correct
The nurse is conducting an admission assessment of an 11-months old infant with congestive heart
failure who is scheduled repair of restenosis of coarctation of the aorta that was repaired 4 days after
birth. Findings include blood pressure higher in the arms than the lower, with pathophysiologic
mechanism support these findings? Correct Answer: The lumen of the aorta reduces the volume of flow
to the lower extremities
A child is to receive vancomycin (Vancocin) 20 mg/kg IV one hour before a scheduled procedure. The
child weight 77 pounds. How many mg of the medication should the nurse prepare to administer? (Enter
numeric value only) Correct Answer: 700mg
A toddler with hemophilia is being discharged from the hospital. Which teaching should the nurse
include in the discharge instructions to the mother? Correct Answer: Apply padding on the sharp
corners of the furniture
The nurse is using the Stage Questionnaire (b) to assess a 24 - month-old child. What is the best
intervention for the nurse to initiate after the assessment is completed? Correct Answer: Provide the
parents with a list of stimulating activities
When caring for a child sickle cell disease, the nurse knows that the child will most likely exhibit which
sign when experiencing a sickle cell crisis? Correct Answer: Pain
The nurse is administering an oral medication to a reluctant preschool-age boy. Which intervention
should the nurse implement? Correct Answer: Use straightforward approach with the child
The nurse is planning care for a newborn infant scheduled for a cardiac catheterization. Which
occurrence poses the greatest risk for this child? Correct Answer: Acute hemorrhage from the entry site
of the catheter after the procedure
The school nurse is presenting a seminar to parents about child safety that focuses on prevention of
spinal cord injuries. What information is most important for the nurse include in the teaching plan?
Correct Answer: Seat belt and car seat laws for use in motor vehicles should be reinforced
A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe
for the past 12 hours. The child's oral temperature is 101.2 F (38 C). Which intervention should the nurse
implement? Correct Answer: Ask the mother if the child has had a runny nose
A mother is concerned that her 3-year-old son wants to play with female doll figures. The child is not
interested in building blocks, trucks, or other typical "boy" toys. How should the nurse respond to the
mother's concern? Correct Answer: Exploring different roles in imaginary play is typical at this age
Which nursing intervention is most important to assist in detecting hypopituitarism and hyperpituitarism
in children? Correct Answer: Carefully recording the height and weight of children to detect
inappropriate growth rates
,The parents of a 4 week-old infant phone the pediatric clinic to report that their infant eats well but
vomits after each feeding. To differentiate between normal regurgitation and pyloric stenosis, which
information is most important for the nurse to obtain? Correct Answer: Degree of forcefulness of
vomiting episodes
A 4-month-old boy has an inguinal hernia that is visible when he cries, but it does not cause him
discomfort. His parents ask if the hernia should be repaired now. The nurse's response should be based
on what information? Correct Answer: Surgical correction is indicated if the hernia is incarcerated
A 2-year-old child with heart failure (HF) is admitted for replacement of a graft for coarctation of the
aorta. Prior to administering the dose of digoxin (Lanoxin), the nurse obtains an apical heart rate of 128
beast| minute. What action should the nurse implement? Correct Answer: Administer the scheduled
dose
The nurse is assisting the mother of child with phenylketonuria (PKU) to select foods that are in keeping
with the child's dietary restrictions. Which foods are contraindicated for this child? Correct Answer:
Foods sweetened with aspartame
During a routine physical exam, a male adolescent client tell the nurse, " Sometimes, my mother gets
angry because I want to be with my own friends". What is the best initial response by the nurse? Correct
Answer: Ask about client's response to his mother's age
Which response demonstrates that the mother of a young girl with a urinary tract infection (UTI)
understands home care for the child? Correct Answer: I will bring her back to the doctor's office for
another urine test
The nurse is caring for a one-year-old boy who has type 1 diabetes mellitus (DM). His mother asks how
will she recognize hypoglycemia in her infant who cannot tell her how he feels. Which information
should the nurse provide? Correct Answer: Hypoglycemia in infants causes changes in behavior and cold
clammy skin
An 8 year-old child is admitted to the Emergency Department because of lower right quadrant pain,
nausea, and vomiting. Which assessment of the abdomen should the nurse conduct after all other
assessments are complete? Correct Answer: Palpation
An infant is admitted for surgery who has a Wilms' tumor. What nursing intervention should the nurse
implement during the preoperative period? Correct Answer: Careful bathing and handling that avoids
abdominal manipulation
A female of child - bearing age receives a rubella vaccination. She has two children at home, ages 13
months and 3 years. Which instruction is most important for the nurse to provide to this client? Correct
Answer: Encourage the client to immunize the children
The teacher notifies the school nurse that a child's nose is bleeding for no apparent reason. What action
should the nurse implement first? Correct Answer: Pinch the nose using thumb and finger for 10
minutes
, A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of thyroxine
(T4) and high levels of thyroid stimulating hormone (TSH). What is the best explanation for this finding?
Correct Answer: The TSH is high because of the low production of T4 by the thyroid
When administering indomethacin (Indocin) to a premature infant who has patent ductus arteriosus,
the nurse should anticipate which outcome? Correct Answer: Decreased cardiac murmur
A hospitalized child stiffens and stars to seize as the nurse enters the room. What actions should the
nurse take? (Select all apply) Correct Answer: • Turn client to the side if possible
• Pad side rails with available pillows and blankets
• Monitor duration and progress of the seizure
A middle school male student was recently diagnosed with Attention-Deficit Hyperactivity Disorder
(ADHD) and is having trouble with his grades. He is referred to the school nurse by the teacher because
he continues to have learning problems. Which action should the school nurse take? Correct Answer:
Refer the child to the school counselor for educational testing
An adolescent boy is hospitalized with full-thickness (third degreed) burns to both hands following a
house fire. Three days after his admission to the burned unit, the nurse notes that teenager's hands are
becoming more edematous. Which intervention is most important for the nurse to include in this client's
plan care? Correct Answer: Assess radial pulses every 2 hours
A 10-year-old boy has been seen frequently by the nurse over the past three weeks after school begins
in the fall. He reports headaches, stomach, and difficulty sleeping. What intervention should the nurse
implement? Correct Answer: Ask the boy to describe a typical day at school
A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden
aimless movements of the arms and legs). Which information should the nurse provide to the parents?
Correct Answer: The chorea or movements are temporary and will eventually disappear
A 3-year -old girl who has been blind since birth is hospitalized because of a compound fracture of the
femur and is now in traction. Which intervention is best for the nurse to implement to address this
child's blindness? Correct Answer: Request parents bring familiar objects as a stuffed animal from home
The nurse has provided discharge teaching to the mother of a premature infant. Which statement by the
mother would indicated that the understands the importance of making sure that her baby gets the
monthly palivizumab (Synagis) injection? Correct Answer: The medication will protect my baby from
respiratory syncytial virus
A 16 -year-old adolescent with acute myelocytic leukemia is receiving chemotherapy (CT) via an
implanted medication port at the out-patient oncology clinic. What action should the nurse implement
when the infusion is completed? Correct Answer: Flush the mediport with saline and a heparin solution
The nurse is evaluating the effects of thyroid therapy used to treat a 5-month-old with hypothyroidism.
Which behavior indicates that the treatment has been effective? Correct Answer: Laughs readily, turns
from back to side
The nurse is conducting an admission assessment of an 11-months old infant with congestive heart
failure who is scheduled repair of restenosis of coarctation of the aorta that was repaired 4 days after
birth. Findings include blood pressure higher in the arms than the lower, with pathophysiologic
mechanism support these findings? Correct Answer: The lumen of the aorta reduces the volume of flow
to the lower extremities
A child is to receive vancomycin (Vancocin) 20 mg/kg IV one hour before a scheduled procedure. The
child weight 77 pounds. How many mg of the medication should the nurse prepare to administer? (Enter
numeric value only) Correct Answer: 700mg
A toddler with hemophilia is being discharged from the hospital. Which teaching should the nurse
include in the discharge instructions to the mother? Correct Answer: Apply padding on the sharp
corners of the furniture
The nurse is using the Stage Questionnaire (b) to assess a 24 - month-old child. What is the best
intervention for the nurse to initiate after the assessment is completed? Correct Answer: Provide the
parents with a list of stimulating activities
When caring for a child sickle cell disease, the nurse knows that the child will most likely exhibit which
sign when experiencing a sickle cell crisis? Correct Answer: Pain
The nurse is administering an oral medication to a reluctant preschool-age boy. Which intervention
should the nurse implement? Correct Answer: Use straightforward approach with the child
The nurse is planning care for a newborn infant scheduled for a cardiac catheterization. Which
occurrence poses the greatest risk for this child? Correct Answer: Acute hemorrhage from the entry site
of the catheter after the procedure
The school nurse is presenting a seminar to parents about child safety that focuses on prevention of
spinal cord injuries. What information is most important for the nurse include in the teaching plan?
Correct Answer: Seat belt and car seat laws for use in motor vehicles should be reinforced
A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe
for the past 12 hours. The child's oral temperature is 101.2 F (38 C). Which intervention should the nurse
implement? Correct Answer: Ask the mother if the child has had a runny nose
A mother is concerned that her 3-year-old son wants to play with female doll figures. The child is not
interested in building blocks, trucks, or other typical "boy" toys. How should the nurse respond to the
mother's concern? Correct Answer: Exploring different roles in imaginary play is typical at this age
Which nursing intervention is most important to assist in detecting hypopituitarism and hyperpituitarism
in children? Correct Answer: Carefully recording the height and weight of children to detect
inappropriate growth rates
,The parents of a 4 week-old infant phone the pediatric clinic to report that their infant eats well but
vomits after each feeding. To differentiate between normal regurgitation and pyloric stenosis, which
information is most important for the nurse to obtain? Correct Answer: Degree of forcefulness of
vomiting episodes
A 4-month-old boy has an inguinal hernia that is visible when he cries, but it does not cause him
discomfort. His parents ask if the hernia should be repaired now. The nurse's response should be based
on what information? Correct Answer: Surgical correction is indicated if the hernia is incarcerated
A 2-year-old child with heart failure (HF) is admitted for replacement of a graft for coarctation of the
aorta. Prior to administering the dose of digoxin (Lanoxin), the nurse obtains an apical heart rate of 128
beast| minute. What action should the nurse implement? Correct Answer: Administer the scheduled
dose
The nurse is assisting the mother of child with phenylketonuria (PKU) to select foods that are in keeping
with the child's dietary restrictions. Which foods are contraindicated for this child? Correct Answer:
Foods sweetened with aspartame
During a routine physical exam, a male adolescent client tell the nurse, " Sometimes, my mother gets
angry because I want to be with my own friends". What is the best initial response by the nurse? Correct
Answer: Ask about client's response to his mother's age
Which response demonstrates that the mother of a young girl with a urinary tract infection (UTI)
understands home care for the child? Correct Answer: I will bring her back to the doctor's office for
another urine test
The nurse is caring for a one-year-old boy who has type 1 diabetes mellitus (DM). His mother asks how
will she recognize hypoglycemia in her infant who cannot tell her how he feels. Which information
should the nurse provide? Correct Answer: Hypoglycemia in infants causes changes in behavior and cold
clammy skin
An 8 year-old child is admitted to the Emergency Department because of lower right quadrant pain,
nausea, and vomiting. Which assessment of the abdomen should the nurse conduct after all other
assessments are complete? Correct Answer: Palpation
An infant is admitted for surgery who has a Wilms' tumor. What nursing intervention should the nurse
implement during the preoperative period? Correct Answer: Careful bathing and handling that avoids
abdominal manipulation
A female of child - bearing age receives a rubella vaccination. She has two children at home, ages 13
months and 3 years. Which instruction is most important for the nurse to provide to this client? Correct
Answer: Encourage the client to immunize the children
The teacher notifies the school nurse that a child's nose is bleeding for no apparent reason. What action
should the nurse implement first? Correct Answer: Pinch the nose using thumb and finger for 10
minutes
, A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of thyroxine
(T4) and high levels of thyroid stimulating hormone (TSH). What is the best explanation for this finding?
Correct Answer: The TSH is high because of the low production of T4 by the thyroid
When administering indomethacin (Indocin) to a premature infant who has patent ductus arteriosus,
the nurse should anticipate which outcome? Correct Answer: Decreased cardiac murmur
A hospitalized child stiffens and stars to seize as the nurse enters the room. What actions should the
nurse take? (Select all apply) Correct Answer: • Turn client to the side if possible
• Pad side rails with available pillows and blankets
• Monitor duration and progress of the seizure
A middle school male student was recently diagnosed with Attention-Deficit Hyperactivity Disorder
(ADHD) and is having trouble with his grades. He is referred to the school nurse by the teacher because
he continues to have learning problems. Which action should the school nurse take? Correct Answer:
Refer the child to the school counselor for educational testing
An adolescent boy is hospitalized with full-thickness (third degreed) burns to both hands following a
house fire. Three days after his admission to the burned unit, the nurse notes that teenager's hands are
becoming more edematous. Which intervention is most important for the nurse to include in this client's
plan care? Correct Answer: Assess radial pulses every 2 hours
A 10-year-old boy has been seen frequently by the nurse over the past three weeks after school begins
in the fall. He reports headaches, stomach, and difficulty sleeping. What intervention should the nurse
implement? Correct Answer: Ask the boy to describe a typical day at school
A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden
aimless movements of the arms and legs). Which information should the nurse provide to the parents?
Correct Answer: The chorea or movements are temporary and will eventually disappear
A 3-year -old girl who has been blind since birth is hospitalized because of a compound fracture of the
femur and is now in traction. Which intervention is best for the nurse to implement to address this
child's blindness? Correct Answer: Request parents bring familiar objects as a stuffed animal from home
The nurse has provided discharge teaching to the mother of a premature infant. Which statement by the
mother would indicated that the understands the importance of making sure that her baby gets the
monthly palivizumab (Synagis) injection? Correct Answer: The medication will protect my baby from
respiratory syncytial virus
A 16 -year-old adolescent with acute myelocytic leukemia is receiving chemotherapy (CT) via an
implanted medication port at the out-patient oncology clinic. What action should the nurse implement
when the infusion is completed? Correct Answer: Flush the mediport with saline and a heparin solution
The nurse is evaluating the effects of thyroid therapy used to treat a 5-month-old with hypothyroidism.
Which behavior indicates that the treatment has been effective? Correct Answer: Laughs readily, turns
from back to side
