2022-23 HESI RN PEDS EXAM Version one (V1) with complete solution

2022-23 HESI RN PEDS EXAM Version one (V1) with complete solution A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for last 3 days. Which assessment is most important for nurse to make? A.Assess infant abdomen for tenderness b.Determine if the infant was exposed to a virus C. Measure the infant's pulse d. Evaluate the infant's cry {{Correct Ans- C. Measure the infant's pulse While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning, the nurse observes the child swallowing every 2-3 minutes. Which assessment should the nurse implement? {{Correct Ans- Inspect the posterior oropharynx Parents of a 3-year old boy who has Duchenne muscular dystrophy ask, "How can our son have this disease? We are wondering if we should have any more children." What information should the nurse provide to parents? {{Correct Ans- This is an inherited X-linked recessive disorder, which primarily affects male children in the family 2-weck-old female infant is hospitalized for the surgical repair of an umbilical hernia. After resuming to the postoperative neonatal unit, her R and HR have increased during the last hour. Which intervention should the nurse implement? {{Correct Ans- Administer a PRN analgesic prescription 2-year-old girl is brought to the clinic by her 17-year-old mother. When the nurse observes that the child is drinking sweetened soda from her bottle, what information should the nurse discuss with this mother? {{Correct Ans- -Dental caries is associated with drinking soda -Toddlers should be drinking from a cup by age 2 Mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family? a.The mother is a single parent and lives with her parents b.The mother states the baby is irritable during feedings C the infant's formula has been changed twice D.The diaper area shows severe skin breakdown {{Correct Ans- D.The diaper area shows severe skin breakdown The nurse determines that an infant admitted for surgical repair of an inguinal hernia voids a urinary stream from the ventral surface of the penis. What action should the nurse take? {{Correct Ans- Document the finding 16-year-old 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 complete? {{Correct Ans- Flush mediport w/ saline and heparin solution Mother brings her 3-week old infant to the clinic because the baby vomits after eating and always seems hungry. Further assessment indicates that the infant's vomiting is projectile, and the child seems listless. Which additional assessment finding indicates the possibility of a life-threatening complication? {{Correct Ans- Irregular palpable pulse Nurse is performing a routine assessment of a &-year old at a sommunity health center. Which behavior by the child should alert she nurse to request a follow up for a posaible autism spectrum disorder? {{Correct Ans- Perform odd repetitive behaviors