PEDS HESI LATEST VERSIONS 2024 (VERSION A AND B) COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)

The mother of a 14-year old who had a below-the-knee amputation for osteosarcoma tells the nurse that her child is angry and blaming her for allowing the amputation to occur. Which response is best for the nurse to provide? A. "I will ask the HCP for a psychiatric consult for your child" B. "This type of acting out behavior is normal for adolescents" C. "It is important to focus on your child's needs at this difficult time" D. "A reaction of anger is your child's attempt to cope with this loss" - ANSWERS,ANS: D "A reaction of anger is your child's attempt to cope with this loss" The nurse provides information about the human papilloma virus (HPV) vaccine to the mother of a 14-year-old adolescent who came to the clinic this morning complaining of menstrual cramping. Which explanation should the nurse provide to support administering the HPV vaccine to the adolescent who came to the clinic this morning complaining of menstrual cramping. Which explanation should the nurse provide to support administering the HPV vaccine to the adolescent at this visit? A. Use of protective barriers during sexual activity prevents most strains of HPV infection B. Most adolescents are not honest about being sexually active C. Not all strains of HPV will be covered if given at a later date D. Immunity must be established to prevent future HPV infection and risk for cervical cancer - ANSWERS,ANS: A Use of protective barriers during sexual activity prevents most strains of HPV infection An adolescent's mother calls the primary HCP's office to inquire about the results of her daughter's serum test results that were drawn last week. Since it is the teenager's 18th birthday, how should the nurse respond to this mother's inquiry? A. Ask when the adolescent was last seen in the clinic B. Tell the mother to have the teenager call the clinic C. Since the serum samples were drawn last week provide the mother with the findings D. Explain that the information cannot be released without the 18-year olds permission - ANSWERS,ANS: D Explain that the information cannot be released without the 18-year olds permission The parents of 15-month old boy tell the nurse that they are concerned because their son brings his spoon to his mouth but does not turn it over. What action should the nurse implement first? A. Discuss referral to an occupational therapist B. Question the parents about their concern C. Tell the parents to hold the spoon correctly in the child's hand D. Suggest longer mealtimes so the child can finish eating - ANSWERS,ANS: B Question the parents about their concern A child with Grave's disease who is taking propranolol (Inderal) is seen in the clinic. The nurse should monitor the child for which therapeutic response? A. Increased weight gain B. Decreased heart rate C. Reduce headaches D. Diminished fatigue - ANSWERS,ANS: B Decreased heart rate A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse that she would like to use a pump instead of insulin injections to manage her diabetes. Which assessment of the girl is most important for the nurse to obtain? A. Understanding of quality control process used to troubleshoot the pump B. Interpretation of fingerstick glucose levels that influence diet selections C. Knowledge of her glycosylated hemoglobin A1c levels for past year D. Ability to perform the pump for basal insulin with mealtime boluses - ANSWERS,ANS: A Ability to perform the pump for basal insulin with mealtime boluses In developing a behavior modification program for an extremely aggressive 10 year old boy, what should the nurse do first? A. Determine what activities, foods, and toys the child enjoys B. Evaluate the child's previous reactions to punishment C. Provide the child with positive feedback D. Encourage other children on the unit to describe the token system - ANSWERS,ANS: A Determine what activities, foods, and toys the child enjoy