PRIORITY OB/PEDS Hesi Exam with
complete solutions
Which nutritional information should the nurse plan to provide the mother of a 6-month-old regarding
introduction of solid foods? - ANSWER-Food should be introduced into a child's diet one at a time, at 4 to
7 day intervals
The nurse is conducting discharge teaching with the mother of a 22-month-old with respiratory syncytial
virus (RSV) who has one younger and one old sibling living in the home. Which priority instruction should
the nurse include in this teaching plan? - ANSWER-Institute airborne precautions for the infected child
A 17-year-old male student with cystic fibrosis talks with the school nurse about his disease and wonders
how it will affect getting married and having children. Which relevant information would the nurse
include in this discussion? - ANSWER-He is likely to have infertility problems and needs further
evaluation
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. Which
action is best for the nurse to take? - ANSWER-Inquire about the use of alternative methods of
treatment
The mother of a 6-year-old girl is concerned about her child's obesity. The child's weight plots at the 75
percentile, and height at the 25 percentile. The child's body mass index (BMI) is at the 85 percentile for
age and gender. Which intervention should the nurse implement? (Select all that apply) - ANSWER--
Determine the child's usual physical activity pattern
-Obtain the child's 3-day diet history based on the mother's input
-Inquire as to whether or not the school has a physical education program
During a well baby clinic visit, the mother of a 6-month-old infant asks the nurse if she can have a
prescription for Poly VI Sol with fluoride. Though the infant is still breast feeding, the mother provides
the child with supplemental formula feedings. Which assessment is most important for the nurse to
obtain? - ANSWER-Water source used with supplemental feedings
,A mother of a one month old infant calls the clinic to report that the back of her infant's head is flat.
How should the nurse respond? - ANSWER-Position the infant on the stomach occasionally when awake
and active
A toddler with nephrotic syndrome receives a prescription from the healthcare provider for enalapril.
Which action should the nurse implement prior to administering the medication? - ANSWER-Observe fait
and balance while ambulating
The healthcare provider prescribes Cephalexin 350 mg by mouth every 6 hours for a child who weighs 88
pounds. The available suspension is labeled, "Cephalexin Suspension 125 mg/5 mL." The recommended
safe dose range is 25 to 50 mg/kg/24 hours in 4 divided doses. How many milliliters should the nurse
administer based on the child's weight? (enter numerical value only. If rounding is required, round to the
nearest whole number). - ANSWER-14
A 16-year-old adolescent with acute myelocyte leukemia is receiving chemotherapy via an implanted
medication port at the outpatient oncology clinic. What action should the nurse implement when the
infusion is complete? - ANSWER-Flush the mediport with saline and a heparin solution
An adolescent with pelvic inflammatory disease (PID) is admitted to the hospital after 14 days of taking
levofloxacin 500 mg orally daily and (medication) 500 mg twice daily. She asks the nurse, "Why do I have
to be in the hospital? Why can't I get my treatment at home?" Which purpose should the nurse provide
that supports an effective outcome? - ANSWER-Detection of early symptoms of Jarisch-Hersheimer
reaction
To maintain patency of the ductus arteriosus, the nurse administers a prescribed dose of prostaglandin
IV to a week old infant diagnosed with transposition of the greta vessels. Based on which assessment
finding should the nurse stop the medication administration immediately? - ANSWER-Blood pressure of
80/50
While obtaining the vital signs of a 10-year-old child who has a tonsillectomy this morning, the nurse
observes the child swallowing every 2 to 3 minutes. Which assessment should the nurse implement? -
ANSWER-Inspect the posterior oropharynx
The nurse is admitting a child with a diagnosis of untreated hypoparathyroidism. Which finding indicative
of hypocalcemia should the nurse report to the healthcare provider? - ANSWER-Positive Chvostek sign
, How should the nurse instruct the parents of a 4-month-old with sebotheic dermatitis (cradle cap) to
shampoo the child's hair? - ANSWER-Use a soft brush and gently scrub the area
Then ruse is caring for a child newly diagnosed with attention deficit hyperactive disorder (ADHD). The
child's mother asks about information of the treatment options. Which information is most helpful for
the nurse to provide? - ANSWER-Explore the combination of medication and behavioral therapies
The nurse is conducting an admission assessment of an 11-month-old infant with hear failure who is
scheduled for repair of stenosis of concentration at the aorta that was repaired 4 days after birth.
Findings include blood pressure higher in the arms than the lower extremities, pouncing brachial pulses,
and slightly palatable femoral pulses. Which pathophysiologic mechanism supports these findings? -
ANSWER-The lumen of the aorta reduces the volume of blood flow to the lower extremities.
The nurse administers digoxin to a 9-month-old infant with an apical heart rate of 150 beats per minute.
Which apical pulse rate indicates that the therapeutic effect of the mediation has been achieved? -
ANSWER-120 beats per minute
The nurse is administering a secondary infusion of amilacin 600 mg IV in 100 mL of D5W over 45 minutes
every 8 hours for a child who weighs 40 kg. The nurse should program the infusion pump to deliver how
many mL/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number) -
ANSWER-133
The nurse plans to screen only the highest risk children for scoliosis. Which group of children should the
nurse screen first? - ANSWER-Girls between ages 10 and 114
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? - ANSWER-Exploring different roles in imaginary play is typical at this age
A 4-year-old girl returns to the pediatrician's office for a postoperative visit following hospitalization for
minor surgery. When observing the child in the waiting area, which behavior should the nurse consider
normal for this age child? - ANSWER-"Talks" to an imaginary friend
complete solutions
Which nutritional information should the nurse plan to provide the mother of a 6-month-old regarding
introduction of solid foods? - ANSWER-Food should be introduced into a child's diet one at a time, at 4 to
7 day intervals
The nurse is conducting discharge teaching with the mother of a 22-month-old with respiratory syncytial
virus (RSV) who has one younger and one old sibling living in the home. Which priority instruction should
the nurse include in this teaching plan? - ANSWER-Institute airborne precautions for the infected child
A 17-year-old male student with cystic fibrosis talks with the school nurse about his disease and wonders
how it will affect getting married and having children. Which relevant information would the nurse
include in this discussion? - ANSWER-He is likely to have infertility problems and needs further
evaluation
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. Which
action is best for the nurse to take? - ANSWER-Inquire about the use of alternative methods of
treatment
The mother of a 6-year-old girl is concerned about her child's obesity. The child's weight plots at the 75
percentile, and height at the 25 percentile. The child's body mass index (BMI) is at the 85 percentile for
age and gender. Which intervention should the nurse implement? (Select all that apply) - ANSWER--
Determine the child's usual physical activity pattern
-Obtain the child's 3-day diet history based on the mother's input
-Inquire as to whether or not the school has a physical education program
During a well baby clinic visit, the mother of a 6-month-old infant asks the nurse if she can have a
prescription for Poly VI Sol with fluoride. Though the infant is still breast feeding, the mother provides
the child with supplemental formula feedings. Which assessment is most important for the nurse to
obtain? - ANSWER-Water source used with supplemental feedings
,A mother of a one month old infant calls the clinic to report that the back of her infant's head is flat.
How should the nurse respond? - ANSWER-Position the infant on the stomach occasionally when awake
and active
A toddler with nephrotic syndrome receives a prescription from the healthcare provider for enalapril.
Which action should the nurse implement prior to administering the medication? - ANSWER-Observe fait
and balance while ambulating
The healthcare provider prescribes Cephalexin 350 mg by mouth every 6 hours for a child who weighs 88
pounds. The available suspension is labeled, "Cephalexin Suspension 125 mg/5 mL." The recommended
safe dose range is 25 to 50 mg/kg/24 hours in 4 divided doses. How many milliliters should the nurse
administer based on the child's weight? (enter numerical value only. If rounding is required, round to the
nearest whole number). - ANSWER-14
A 16-year-old adolescent with acute myelocyte leukemia is receiving chemotherapy via an implanted
medication port at the outpatient oncology clinic. What action should the nurse implement when the
infusion is complete? - ANSWER-Flush the mediport with saline and a heparin solution
An adolescent with pelvic inflammatory disease (PID) is admitted to the hospital after 14 days of taking
levofloxacin 500 mg orally daily and (medication) 500 mg twice daily. She asks the nurse, "Why do I have
to be in the hospital? Why can't I get my treatment at home?" Which purpose should the nurse provide
that supports an effective outcome? - ANSWER-Detection of early symptoms of Jarisch-Hersheimer
reaction
To maintain patency of the ductus arteriosus, the nurse administers a prescribed dose of prostaglandin
IV to a week old infant diagnosed with transposition of the greta vessels. Based on which assessment
finding should the nurse stop the medication administration immediately? - ANSWER-Blood pressure of
80/50
While obtaining the vital signs of a 10-year-old child who has a tonsillectomy this morning, the nurse
observes the child swallowing every 2 to 3 minutes. Which assessment should the nurse implement? -
ANSWER-Inspect the posterior oropharynx
The nurse is admitting a child with a diagnosis of untreated hypoparathyroidism. Which finding indicative
of hypocalcemia should the nurse report to the healthcare provider? - ANSWER-Positive Chvostek sign
, How should the nurse instruct the parents of a 4-month-old with sebotheic dermatitis (cradle cap) to
shampoo the child's hair? - ANSWER-Use a soft brush and gently scrub the area
Then ruse is caring for a child newly diagnosed with attention deficit hyperactive disorder (ADHD). The
child's mother asks about information of the treatment options. Which information is most helpful for
the nurse to provide? - ANSWER-Explore the combination of medication and behavioral therapies
The nurse is conducting an admission assessment of an 11-month-old infant with hear failure who is
scheduled for repair of stenosis of concentration at the aorta that was repaired 4 days after birth.
Findings include blood pressure higher in the arms than the lower extremities, pouncing brachial pulses,
and slightly palatable femoral pulses. Which pathophysiologic mechanism supports these findings? -
ANSWER-The lumen of the aorta reduces the volume of blood flow to the lower extremities.
The nurse administers digoxin to a 9-month-old infant with an apical heart rate of 150 beats per minute.
Which apical pulse rate indicates that the therapeutic effect of the mediation has been achieved? -
ANSWER-120 beats per minute
The nurse is administering a secondary infusion of amilacin 600 mg IV in 100 mL of D5W over 45 minutes
every 8 hours for a child who weighs 40 kg. The nurse should program the infusion pump to deliver how
many mL/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number) -
ANSWER-133
The nurse plans to screen only the highest risk children for scoliosis. Which group of children should the
nurse screen first? - ANSWER-Girls between ages 10 and 114
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? - ANSWER-Exploring different roles in imaginary play is typical at this age
A 4-year-old girl returns to the pediatrician's office for a postoperative visit following hospitalization for
minor surgery. When observing the child in the waiting area, which behavior should the nurse consider
normal for this age child? - ANSWER-"Talks" to an imaginary friend
