2024 HESI RN PEDS EXAM V1

A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for last 3 days. Which assessment is most important for nurse to make? A. Assess infant abdomen for tenderness b. Determine if the infant was exposed to a virus C. Measure the infant's pulse d. Evaluate the infant's cry - C. Measure the infant's pulse While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning, the nurse observes the child swallowing every 2-3 minutes. Which assessment should the nurse implement? - Inspect the posterior oropharynx parents of a 3-year-old boy who has Duchenne muscular dystrophy ask, "How can our son have this disease? We are wondering if we should have any more children." What information should the nurse provide to parents? - This is an inherited X-linked recessive disorder, which primarily affects male children in the family 2-weck-old female infant is hospitalized for the surgical repair of an umbilical hernia. After retuming to the postoperative neonatal unit, her R and HR have increased during the last hour. Which intervention should the nurse implement? - Administer a PRN analgesic prescription 2-year-old girl is brought to the clinic by her 17-year-old mother. When the nurse observes that the child is drinking sweetened soda from her bottle, what information should the nurse discuss with this mother? - -Dental caries is associated with drinking soda -Toddlers should be drinking from a cup by age 2 mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family? a. The mother is a single parent and lives with her parents b. The mother states the baby is irritable during feedings C. the infant's formula has been changed twice D. The diaper area shows severe skin breakdown - D.The diaper area shows severe skin breakdown The nurse determines that an infant admitted for surgical repair of an inguinal hernia voids a urinary stream from the ventral surface of the penis. What action should the nurse take? - Document the finding 16-year-old with acute myelocytic leukemia is receiving chemotherapy (CT) via an implanted medication port at the out-patient oncology clinic. What action should the nurse implement when the infusion is complete? - Flush mediport w/ saline and heparin solution mother brings her 3-week old infant to the clinic because the baby vomits after eating and always seems hungry. Further assessment indicates that the infant's vomiting is projectile, and the child seems listless. Which additional assessment finding indicates the possibility of a life-threatening complication? - Irregular palpable pulse nurse is performing a routine assessment of a &-year old at a sommunity health center. Which behavior by the child should alert she nurse to request a follow up for a posaible autism spectrum disorder? - Perform odd repetitive behaviors Following admission for cardiac catheterization, the nurse is providing discharge teaching to the parents of a 2-year-old toddler with tetralogy of Fallot. What instruction should the nurse give the parents if their child becomes pale, cool, lethargic? - Contact their HCP immediately mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child's oral temperature is 101.2 F. Which intervention should the nurse implement? - Ask the mother if the child has had a runny nose 13. During a follow up olinical visit a mother tells tia nurse that her 5-monih-old son who had surgical correction for tetralogy of fallot has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. Which intervention should the nurse implement? - Auscultate heart and lungs while infant is held The mother of an 11-year old boy who has juvenile arthritis tells the nurse, "I really don't want my son to become dependent on pain medication, so I only allow him to take it when he is really hurting." Which information is most important for the nurse to provide this mother? - Giving pain medication around the clock helps control the pain mother of a 4-month-old baby girl asks the nurse when she should introduce solid foods to her infant. The mother states, "My mother says I should put rice cereal in the baby's bottle now." The nurse should instruct the mother to introduce solid foods when her child exhibits which behavior? - Opens mouth when food comes her way A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol (Proventil). The child's mother tells the nurse that she uses this medication to open her son's airway when he is having trouble breathing. What is the nurse's best response? - Assure the mother that she is using the medication correctly mother brings her school-aged daughter to the pediatric clinic for evaluation of her anti-epileptic medication regimen. What information should the nurse provide to the mother? - medication dose will be tapered over a period of 2 weeks when being discontinued A child receives a prescription for amantadine 42 mg PO BID. Amantadine is available as a 50 mg/5 mL syrup. Using a supplied calibrated measuring device, how many mL should the nurse administer per dose? (round to nearest tenth) - 0.5 ml male toddler is brought to the emergency center approximately three hours after swallowing tablets from his grandmother's bottle of digoxin (Lanoxin). What prescription should the nurse implement first? Administer activated charcoal orally - Give IV digoxin immune fab (Digibind) An 8-year-old male client with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response? - Decreased periorbital edema A mother of a 3-year old boy has just given birth to a new baby girl. The little boy asks the nurse, "why is my baby sister eating my mommy's breast?" how should the nurse respond? Select all that apply - -Remind him that his mother breastfed him too -Reassure the older brother that it does not hurt his mother -Explain that newborns get milk from their mothers in this way middle school male student was recently diagnosed with attention-deficit hyperactivity disorder (ADHD) and is having trouble with his grades. He is referred to the school nurse by the teacher because he continues to have learning problems. Which action should the school nurse take? - Ask the parents to have the child seen by a clinical psychologist A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both his hands and feet. Which intervention should the nurse instruct