HESI Pediatric Evolve Peds practice
questions
When taking the health history of a child, the nurse know what which finding is an early
indication of hypothyroidism in children? - answersCessation of growth in a child that
had been normal
The nurse received a lab report stating a child w/ asthma has theophyline level of 15
mcg/dl. What action will the nurse take? - answersPass the information on in the report.
a.i. Therapeutic levels of theophylline is 10-20 mcg/dl, so the child's level is w/in the
therapeutic rage. this information evaluates the prescribed therapy and should be
communicated in the nurse's report.
Surgery is being delayed for an infant with undescended testes. In collaboration w/ the
health care provider and the family, which prescription should the nurse anticipapte? -
answerstrial of human chorionic gonadotrophic hormone
a.i A trial of HCG may aid in testicular descent, but does not replace surgical repair for
true undescended testes. (cryptorchidism: may be found in the inguinal canal due to
exaggerated creamasteric reflex
Which menu selection by a child w/ celiac disease indicates to the nurse that the child
understands necessary dietary considerations? - answersa. Oven baked potato chips &
cola
a.i. Celiac disease causes an intolerance to the protein gluten found in oats, rye, wheat,
and barley. The child should avoid any produces containing these indredients to avoid
symptoms such as diarrhea.
The mother of a 2-year-old boy consults the nurse about her son's increased temper
tantrums. The mother states, "yesterday he threw a fit in the grocery store, and I did not
know what to do. I was so embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother? - answersa. Walk away
from him and ignore the behavior
,a.i. The best approach for a toddler is to ignor the attention-seeking behavior. The
parents should be somewhat nearby, w/in view of the child but should avoid reinforcing
the behavior in any way. Tantrums can sometimes be avoided by talking to the child
before the situation occurs
Which restraint should be used for a toddler after a cleft palate repair? - answersa.
Elbow
a.i. Elbow restraints prevent children from bending their arms and brining their hands to
the oral surgical site, (A) restrains the hands but the child can bend and bring their head
to their ands. (B) is used during procedures (mummy). (D)-jacket, restrains the body
torso and is not appropriate
The mother of a 4-year-old child asks the nurse what she can do to help her other
children cope with their sibling's hospitalizations. Which is the best response that the
nurse should offer? - answersa. Encourage the mother to have the children visit the
hospitalized sibling.
a.i. Needs of a sibling will be better met with facture information and contact w/ the ill
child, so siblings visitation should be encouraged (D). Parents are experts on their
children and should determine when their children are old enough to visit. (A) in the
hospital/ Separation fr. a family & home (B) may intensify fear & anxiety (suggest that
the child visit a grandmother until the sibling returns home. Children may have difficulty
expressing questions (C) ask the mother if the child asks when the sibling will be
discharged, so the support of parents & other caregivers are needed to help alleviate
their fears.
The nurse is giving preoperative instruction to a 14-year-old female client who is
scheduled for surgery to correct a spinal curvature. Which statement by the client best
demonstrates that learning has taken place? - answersa. I understand that I will be in a
body cast and I will show you how you taught me to turn
a.i. Outcome of learning is best demonstrated when the client not only verbalizes an
understand, but can also provide a return demonstration
During administration of a blood transfusion, a child complains of chills, headache, and
nausea. Which action should the nurse implement? - answersa. Stop the infusion
immediately and notify the healthcare provider
a.i. The child is exhibiting signs of a reaction to the blood transfusion. The blood
transfusion should be stopped immediately and the healthcare provider notified ©. After
the transfusion is discontinused, IV access should be maintained. (A) w/ fluids that do
not introduce any more cellular products. (B & D) place the child @ risk for further blood
reactions
The clinic nurse is taking the hx for a new 6-month-old client. The mother reports that
she took a great deal of aspirin while pregnant. Which assessment should the nurse
obtain? - answersa. Type of reaction to loud noises
a.i. Ototoxicity diminishes hear acuity and causes symptoms of tinnitus and vertigo in
older children who can express subjective symptoms, so assessing the infant's reation
, to loud noises (A) helps to determine an infant's risk for hearing deficit r/t to a hx of the
mother taking ototoxic drug, such as aspirin, while pregnancy (B,C,D are not assoc w/
the exposure to aspirin in utero
The mother of a preschool aged child asks the nurse if it is all right to administer Pepto
Bismol to her son when he has a "tummy ache" After reminding the mother to check the
label of all OTC drugs for the presence of aspirin, which instruction should the nurse
include when replying to this mother's question? - answersa. Do not give if the child has
chickenpox, the flu, or any other viral illness
a.i. Pepto Bismol contains aspirin and there is the potential of Reye's syndrome (B). (a)
is a common effect of peptobismol and does not warrant discontinuation. Pepto Bismol
can be used by children (C). Pepto Bismol does not cause rebound hyperacidity (D)
complication of antacids containing calcium
A 3 moth old infant develops oral thrush. Which pharmacologic agent should the nurse
plan to administer for treatment of this disorder? - answersa. Nystatin (Mycostatin)
a.i. Nystatin (mycostatin) (A) is an antifungal drug that is effective in treating thrush, an
oral fungal infection
The nurse is developing a plan of care for a 3 yr old who is scheduled for a cardiac
catherization. To assist in decreasing anxiety for the child on the day of the procedure,
which intervention is best for the nurse to implement? - answersa. C-give the child a
ride on a gurney to visit the cardiac catheterization lab and meet a nurse who works
there
a.i. Familizaring the child and mother w/ the department will help decrease anxiety of
the child and mother (who may have more anxiety than the child). Three is a difficult
age to undergo a procedure that requires cooperation. Restraints and possible sedation
may be required
A 3 yr old boy is brought to the ER because he swallowed an entire bottle of children's
vitamin pills. Which intervention should the nurse implement first? - answersa. B-
determine the child's pulse and respirations
a.i. The most important principle in dealing w/ a poisoning is to treat the child first, not
the poison. Initiate immediate life support measures w/ assessment of VS (B), in
particular, respirations. Inserting an airway or initiating mechanical ventilation may be
necessary. Assessment and identification of the poison should occur prior to A. (C & D
after assessing the airway.)
A 4- year- old girl continues to interrupt her mother during a routine clinic visit. The
mother appears irritated w/ the child and asks the nurse, "Is this normal behavior for a
child this age?" The nurse's response should be based on which information? -
answersa. A- children need to retian a sense of initiative w/o impinging on the rights and
privileges others
a.i. Children aged 3-6 are in Erickson's initiative vs. guilt stage, which is characterized
by vigorous, intrusive behavior, enterprise, and strong imagination. At this age, children
questions
When taking the health history of a child, the nurse know what which finding is an early
indication of hypothyroidism in children? - answersCessation of growth in a child that
had been normal
The nurse received a lab report stating a child w/ asthma has theophyline level of 15
mcg/dl. What action will the nurse take? - answersPass the information on in the report.
a.i. Therapeutic levels of theophylline is 10-20 mcg/dl, so the child's level is w/in the
therapeutic rage. this information evaluates the prescribed therapy and should be
communicated in the nurse's report.
Surgery is being delayed for an infant with undescended testes. In collaboration w/ the
health care provider and the family, which prescription should the nurse anticipapte? -
answerstrial of human chorionic gonadotrophic hormone
a.i A trial of HCG may aid in testicular descent, but does not replace surgical repair for
true undescended testes. (cryptorchidism: may be found in the inguinal canal due to
exaggerated creamasteric reflex
Which menu selection by a child w/ celiac disease indicates to the nurse that the child
understands necessary dietary considerations? - answersa. Oven baked potato chips &
cola
a.i. Celiac disease causes an intolerance to the protein gluten found in oats, rye, wheat,
and barley. The child should avoid any produces containing these indredients to avoid
symptoms such as diarrhea.
The mother of a 2-year-old boy consults the nurse about her son's increased temper
tantrums. The mother states, "yesterday he threw a fit in the grocery store, and I did not
know what to do. I was so embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother? - answersa. Walk away
from him and ignore the behavior
,a.i. The best approach for a toddler is to ignor the attention-seeking behavior. The
parents should be somewhat nearby, w/in view of the child but should avoid reinforcing
the behavior in any way. Tantrums can sometimes be avoided by talking to the child
before the situation occurs
Which restraint should be used for a toddler after a cleft palate repair? - answersa.
Elbow
a.i. Elbow restraints prevent children from bending their arms and brining their hands to
the oral surgical site, (A) restrains the hands but the child can bend and bring their head
to their ands. (B) is used during procedures (mummy). (D)-jacket, restrains the body
torso and is not appropriate
The mother of a 4-year-old child asks the nurse what she can do to help her other
children cope with their sibling's hospitalizations. Which is the best response that the
nurse should offer? - answersa. Encourage the mother to have the children visit the
hospitalized sibling.
a.i. Needs of a sibling will be better met with facture information and contact w/ the ill
child, so siblings visitation should be encouraged (D). Parents are experts on their
children and should determine when their children are old enough to visit. (A) in the
hospital/ Separation fr. a family & home (B) may intensify fear & anxiety (suggest that
the child visit a grandmother until the sibling returns home. Children may have difficulty
expressing questions (C) ask the mother if the child asks when the sibling will be
discharged, so the support of parents & other caregivers are needed to help alleviate
their fears.
The nurse is giving preoperative instruction to a 14-year-old female client who is
scheduled for surgery to correct a spinal curvature. Which statement by the client best
demonstrates that learning has taken place? - answersa. I understand that I will be in a
body cast and I will show you how you taught me to turn
a.i. Outcome of learning is best demonstrated when the client not only verbalizes an
understand, but can also provide a return demonstration
During administration of a blood transfusion, a child complains of chills, headache, and
nausea. Which action should the nurse implement? - answersa. Stop the infusion
immediately and notify the healthcare provider
a.i. The child is exhibiting signs of a reaction to the blood transfusion. The blood
transfusion should be stopped immediately and the healthcare provider notified ©. After
the transfusion is discontinused, IV access should be maintained. (A) w/ fluids that do
not introduce any more cellular products. (B & D) place the child @ risk for further blood
reactions
The clinic nurse is taking the hx for a new 6-month-old client. The mother reports that
she took a great deal of aspirin while pregnant. Which assessment should the nurse
obtain? - answersa. Type of reaction to loud noises
a.i. Ototoxicity diminishes hear acuity and causes symptoms of tinnitus and vertigo in
older children who can express subjective symptoms, so assessing the infant's reation
, to loud noises (A) helps to determine an infant's risk for hearing deficit r/t to a hx of the
mother taking ototoxic drug, such as aspirin, while pregnancy (B,C,D are not assoc w/
the exposure to aspirin in utero
The mother of a preschool aged child asks the nurse if it is all right to administer Pepto
Bismol to her son when he has a "tummy ache" After reminding the mother to check the
label of all OTC drugs for the presence of aspirin, which instruction should the nurse
include when replying to this mother's question? - answersa. Do not give if the child has
chickenpox, the flu, or any other viral illness
a.i. Pepto Bismol contains aspirin and there is the potential of Reye's syndrome (B). (a)
is a common effect of peptobismol and does not warrant discontinuation. Pepto Bismol
can be used by children (C). Pepto Bismol does not cause rebound hyperacidity (D)
complication of antacids containing calcium
A 3 moth old infant develops oral thrush. Which pharmacologic agent should the nurse
plan to administer for treatment of this disorder? - answersa. Nystatin (Mycostatin)
a.i. Nystatin (mycostatin) (A) is an antifungal drug that is effective in treating thrush, an
oral fungal infection
The nurse is developing a plan of care for a 3 yr old who is scheduled for a cardiac
catherization. To assist in decreasing anxiety for the child on the day of the procedure,
which intervention is best for the nurse to implement? - answersa. C-give the child a
ride on a gurney to visit the cardiac catheterization lab and meet a nurse who works
there
a.i. Familizaring the child and mother w/ the department will help decrease anxiety of
the child and mother (who may have more anxiety than the child). Three is a difficult
age to undergo a procedure that requires cooperation. Restraints and possible sedation
may be required
A 3 yr old boy is brought to the ER because he swallowed an entire bottle of children's
vitamin pills. Which intervention should the nurse implement first? - answersa. B-
determine the child's pulse and respirations
a.i. The most important principle in dealing w/ a poisoning is to treat the child first, not
the poison. Initiate immediate life support measures w/ assessment of VS (B), in
particular, respirations. Inserting an airway or initiating mechanical ventilation may be
necessary. Assessment and identification of the poison should occur prior to A. (C & D
after assessing the airway.)
A 4- year- old girl continues to interrupt her mother during a routine clinic visit. The
mother appears irritated w/ the child and asks the nurse, "Is this normal behavior for a
child this age?" The nurse's response should be based on which information? -
answersa. A- children need to retian a sense of initiative w/o impinging on the rights and
privileges others
a.i. Children aged 3-6 are in Erickson's initiative vs. guilt stage, which is characterized
by vigorous, intrusive behavior, enterprise, and strong imagination. At this age, children
