PEDIATRIC HESI RN NURSING CARE OF CHILDREN EXAM LATEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

PEDIATRIC HESI RN NURSING CARE OF CHILDREN EXAM LATEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+) 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 - 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. - 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 2 | P a g e 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 - 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 - 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% - ANSWER-ANS: C By the age of 12 months, the infant's birth weight should have tripled. A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired 3 | P a g e 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 - ANSWERANS: 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 - 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. 4 | P a g e 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 - ANSWER-ANS: A, B, D, E The nurse should include the child's physical growth (C) when performing an individual assessment on the child.