Peds HESI

Peds HESI Final Exams 100% Correct!! The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? A. Blood pressure trend is downward and pulse is rapid and irregular B. Right foot I cool to the touch and appears pale and blanched C. Pulse distal to the femoral artery is weaker on the left foot than right foot D. The pressure dressing at right femoral area is moist and oozing blood Ans- B. Right foot is cool to the touch and appears pale and blanched Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which toy is best for the nurse for this 3 year old child? A. Duck that squeaks B. Fashion doll and clothes C. Set of cloth and hand puppets D. Hand held video game Ans- C. Set of cloth and hand puppets An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse implement first? A. Administer morphine sulphate B. Start IV fluids C. Place the infant in a knee-chest position D. Provide 100% oxygen by face mask Ans- C. Place the infant in a knee-chest position A child admitted with diabetic keto acidosis is demonstrating Kussmaul respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid baed alteration? A. Metabolic alkalosis B. Respiratory acidosis C. Respiratory alkalosis D. Metabolic acidosis Ans- D. Metabolic acidosis A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare provider? A. Gastric output of 100 mL in the last 8 hours B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips C. Serum potassium of 3.0 mg/dL D. Serum pH of 7.45 Ans- C. serum potassium of 3.0 mg/dL The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing which food indicates that the teaching has been effective? A. Creamed corn B. Pancakes C. Rye crackers D. Cooked oatmeal Ans- A. Creamed corn During a well-baby check, the nurse hides a block under the baby's blanket, and the baby looks for the block. Which normal growth and development milestones is the baby developing? A. Separation anxiety B. Associative play C. Object prehension D. Object permanence Ans- D. Object permanence The nurse is measuring the frontal occipital circumference (FOC) of a 3 month old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears large in relation to body size. Which action is most appropriate for the nurse to take next? A. Measure the infant's head to toe length B. Palpate the anterior fontanel for tension and bulging C. Observe the infant for sunken eyes D. Plot the measurement on the infant's growth chart Ans- B. Palpate the anterior fontanel for tension and bulging The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both parents and 12 year old sibling are at the child's bedside. Which instruction best supports family? A. While waiting for the healthcare provider, only one visitor may stay with the child B. All of you should leave while the healthcare provider sutures the child's forehead C. It is best if the sibling goes to the waiting room until the suturing is completed D. Please decide who will stay when the healthcare provider begins suturing Ans- D. Please decide who will stay when the healthcare provider begins suturing The nurse is planning for a 5 month old with gastroesophageal reflux disease whose weight has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease vomiting, which instructions should the nurse provide this mother? A. Give small amounts of baby food with each feeding B. Thicken formula with cereal for each feeding C. Dilute the Childs formula with equal parts of water D. Offer 10% dextrose in water between most feedings Ans- B. Thicken formula with cereal for each feeding While teaching a parenting class to new parents the nurse describes the needs of infants and toddlers regarding discipline and limit setting. What is the most important reason fro implementing such parenting behaviors? A. Children need help in developing social skills B. This age child fears loss of self control C. They provide the child with a sense of security D. Children must learn to deal with authority Ans- C. They provide the child with a sense of security The parents of a newborn infant with hypospadias are concerned about when the surgical correction should occur. What information should the nurse provide? A. Repair should be done by one month to prevent bladder infection B. To form a proper urethra repair, it should be done after sexual maturity C. Repairs typically should be done before the child is potty trained D. Delaying the repair until school age reduces castration fears Ans- C. Repairs typically should be done before the child is potty trained Which drink choice on a hot day indicates to the nurse that a teenager with sickle cell anemia understands dietary consideration related to the disease? A. milkshake B. iced tea C. diet cola D. Lemonade Ans- D. Lemonade The nurse is assessing an infant with diarrhea and lethargy. Which findings should the nurse identify that is consistent with early dehydration? A. Tachycardia B. Bradycardia C. Dry mucous membrane D. Increased skin turgor Ans- A. Tachycardia While auscultating the lung sounds of a 5 year old Chinese boy who recently completed antibiotic therapy for pneumonia, the nurse notices symmetrical, round, bruise-like blemishes on his chest. What action is best for the nurse to take? A. Identify the antibiotic used to treat the pneumonia B. Inquire about the use of alternative methods of treatmen