UPDATED PEDIATRIC HESI RN NURSING CARE OF CHILDREN NEWEST 2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory? A. Describes that stress is inevitable B. Emphasizes that change with one member affects the entire family C. Provides guidance to assist families adapting to stress D. Defines consistencies in how families change - CORRECT ANSWER ANS: D The nurse should include that the developmental theory defines consistencies in how families change. The family stress theory describes (A) and (C). The family systems theory describes (B). A nurse is assisting a group of parents on adolescents to develop skills that will improve communications within the family. The nurse hears one parent state, "My son knows he better do what I say." Which of the following parenting styles is the parent exhibiting? A. Authoritarian B. Permissive C. Authoritative D. Passive - CORRECT ANSWER ANS: A Using the authoritarian style, the parent controls the adolescent's behaviors and attitudes through unquestioned rules and expectations. Using the permissive parenting style, the parent exerts little or no control over the adolescent's behaviors, and consults the adolescent when making decisions. Using the authoritative parenting style, the parent directs the adolescent's behavior by setting rules and explaining the reason for each rule setting. Using the passive parenting style, the parent is uninvolved, indifferent, and emotionally removed. A nurse is performing a family assessment. Which of the following should the nurse include? (Select all that apply.) A. Medical history B. Parents' educational level C. Child's physical growth D. Support systems E. Stressors - CORRECT ANSWER ANS: A, B, D, E The nurse should include the child's physical growth (C) when performing an individual assessment on the child. A nurse is preparing to assess a preschool-age child. Which of the following is an appropriate action by the nurse to prepare the child? A. Allow the child to role-play using miniature equipment. B. Use medical terminology to describe what will happen. C. Separate the child from her parent during the examination. D. Keep medical equipment visible to the child. - CORRECT ANSWER ANS: A The nurse should allow the child to role-play, or manipulate, actual or miniature equipment to reduce anxiety and fear related to the examination. The nurse should keep medical equipment out of sight unless showing or using it on the child. A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the following findings should the nurse report to the provider? A. Temperature 99.0 F B. Pulse 114/min C. Respirations 30/min D. Blood pressure 88/54 mm Hg - CORRECT ANSWER ANS: C Respirations of 30/min is above the expected reference range for a 3-year-old child. The other findings are within the expected reference range for a 3-year-old child. A nurse is assessing a child's ears. Which of the following is an expected finding? A. Light reflex is located at the 2 o'clock position. B. Tympanic membrane is red in color. C. Bony landmarks are not visible. D. Cerumen is present bilaterally. - CORRECT ANSWER ANS: D The light reflex should be located around the 5 or 7 o'clock position. The tympanic membrane should be a pearly pink, gray color. Bony landmarks should be visible. A nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks the trigeminal cranial nerve? (Select all that apply.) A. Clenching teeth together tightly B. Recognizes sour tastes on the back of the tongue C. Identifying smells through each nostril D. Detecting facial touches with eyes closed E. Looking down and in with the eyes - CORRECT ANSWER ANS: A, D (B) is an appropriate reaction when checking the glossopharyngeal cranial nerve. (C) is an appropriate reaction when checking the olfactory nerve. (E) is an appropriate reaction when checking the trochlear cranial nerve. A nurse is assessing a 6-month-old infant. Which of the following reflexes should the infant exhibit? A. Moro B. Plantar Grasp C. Stepping D. Tonic neck - CORRECT ANSWER ANS: B The plantar grasp is exhibited by infants from birth to the age of 8 months. The moro reflex is exhibited by infants from birth to the age of 4 months. The stepping reflex is exhibited by infants from birth to the age of 4 weeks. The tonic neck reflex is exhibited by infants from birth to the age of 3 to 4 months. The nurse is assessing a 12-month-old infant at a well-child visit. Which of the following findings should the nurse report to the provider? A. Closed anterior fontanel B. Eruption of six teeth C. Birth weight doubled D. Birth length increased by 50% - CORRECT ANSWER ANS: C By the age of 12 months, the infant's birth weight should have tripled. By the age of 12 to 18 months, the infant's anterior fontanel should close. By the age of 12 months, the infant should have six to eight teeth erupted. A nurse is performing a developmental screening on a 10-month-old infant. Which of the following fine motor skills should the infant be able to perform? (Select all that apply.) A. Grasp a rattle by the handle. B. Try building a two-block tower C. Use a crude pincer grasp D. Place objects into a container E. Move objects from hand to hand - CORRECT ANSWER ANS: A, C, E The infant should try building a two-block tower at the age of 12 months. The infant should be able to place objects into a container at the age of 11 months. A nurse is conducting a well-baby visit with a 4-month-old infant. Which of the following immunizations should the nurse administer to the infant? (Select all that apply.) A. Measles, mumps, rubella (MMR) B. Polio (IPV) C. Pneumococcal vaccine (PCV) D. Varicella E. Rotavirus vaccine (RV) - CORRECT ANSWER ANS: B, C, E The first MMR vaccine is given between the ages of 12 and 15 months. The first varicella vaccine is given at a minimum age of 12 months.