PEDS 2025 HESI PEDIATRICS EXIT EXAM ALL 100 QUESTIONS AND CORRECT ANSWERS| ALREADY GRADED A+

______ is a potentially life-threatening hypersensitivity reaction to penicillins sulfonamides, cephalosporins, fluoroquinolones, antiepileptic medications, NSAIDs, acetaminophen, or a reaction to infectious diseases such as Mycoplasma pneumoniae. Erosions appear similar to partial thickness burns and slough may spread and cover 10 to 30% of the body. Blindness can occur. Stevens-Johnson Syndrome List 3 protective factors that help decrease suicide risk in children and adolescents: Parent Family Connectedness Emotional Well Being School Connectedness Under the age of two, the kidneys lack the ability to? (Fill in the blank) Concentrate Urine Federal law requires that healthcare staff provide a _____ to a patient, parent, or legal representative before each dose of certain vaccines. This document explain both the benefits and risks of a vaccine to vaccine recipients. Vaccine Information Statement (VIS) The FLACC pain scale is an acronym for what? (Fill in the blank) Face Legs Activity Cry Consolability Which is an accurate statement concerning a child's musculoskeletal system and how it may be different from adults? Childrens bones have a decreased density compared to an adults bones A nurse is assessing a child after an open reduction of a fractured femur. Which three (3) assessment findings would indicate that the child is experiencing compartment syndrome? Paresthesia/Numbness Pain not relieved by pain medication Prolonged capillary-refill time Which one of the following factors should the nurse include when teaching a parent about the care of a child in a Pavlik harness for hip dysplasia? The harness is used to maintain the infant's hips in flexion and abduction and external rotation. When a child fractures a bone through a portion of the epiphyseal plate, the damage will result in which of the following? May disrupt growth of the affected bone The nurse is caring for a school-aged child who was diagnosed with Duchenne muscular dystrophy as a toddler. Which would be the most appropriate nursing diagnosis? Activity intolerance A 6-year-old patient in external traction for a femur fracture has pain and edema of the thigh and is febrile. The nurse should suspect which condition? Osteomyelitis The nurse is planning care for a child recently admitted for Guillain-Barré Syndrome has paralysis affecting the respiratory muscles and requires mechanical ventilation. When the parents ask about the paralysis, what is the best response by the nurse? The paralysis caused by the disease is temporary but the recovery can take up to 2 years An infant returns from surgery for correction of bilateral congenital clubfeet. The infant has bilateral long-leg casts. The toes on both feet are edematous, but there is color, sensitivity, and movement to them. Which action by the nurse is most appropriate? Elevate the legs on pillows You are assessing a newborn with suspected developmental dysplasia of the hip (DDH); you would expect to find which of the following? Asymmetrical gluteal folds Parents bring their 2-week-old infant to a clinic for treatment after a diagnosis of clubfoot was made at birth. Which statement by the parent indicated the need for further teaching regarding this disorder? "A spica cast will stay in place for 8-10 weeks" A 15-year-old child has third-degree burns of the hands, face, and chest. Which nursing diagnosis takes priority? Ineffective airway clearance to edema The nurse is examining a 12-month-old who is brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with bright red scaly plaques and small papules. Satellite lesions are also present. What is the most likely cause of this client's diaper rash? Candida albicans (yeast) Match the following lesions to their etiologies: Molloscum contagiousum (pox) Impetigo Folliculitis Thrush Round, firm, painless bump Honey colored crusted lesions Often due to Staph Aureus Oral candida infection Molloscum contagiousum - Round, firm, painless bump Impetigo - Honey colored crusted lesions Folliculitis - Often due to Staph Aureus Thrush - Oral candida infection An 8-year-old client is admitted to the emergency room with a deep partial-thickness burn after falling into a fire pit. Which signs and symptoms should the nurse expect to see? Necrotic tissue through most of the dermis The nurse is providing care for a pediatric client who has a thirddegree circumferential burn of the right arm. Which nursing diagnosis takes highest priority for this patient? Risk for altered tissue perfusion What should be included in teaching a patent about the management of small red macules and vesicles that become pustules around the child's mouth and cheek? (SATA) Keep the child home from school until the lesions are fully healed You are teaching a class to expecting parents about newborn care. When discussing skin care, a parent asks why newborn skin is different than adult skin? Which three (3) statements should you include in your answer to the question? Newborns have an increased absorption of topical medications The layers of skin are more loosely attached, making them more prone to friction injuries Newborn skin is thinner than adult skin A parent reports that her school-age child, who has had all recommended immunizations, had a mild fever one week ago and now has bright red cheeks and a lacy red maculopapular rash on the trunk and arms. Which disease process does the nurse suspect based on the parent's description? Fifths disease (erythema infectiosum) What is the priority nursing assessment for the nurse to perform after administering vaccines? Anaphylaxis A mother brings her 4-month-old infant in for a routine checkup and vaccinations. The mother reports that the infant was exposed to a brother who has the flu. Which action by the nurse is most appropriate based on these assessment findings? Give the vaccinations as scheduled Match the following vaccinations to the corresponding vaccine type. (Some vaccine types me be used more than once) MMR Varicella Polio Hep B Attenuated Attenuated Inactivated Subunit/Conjugate MMR - Attenuated Varicella - Attenuated Polio - Inactivated Hep B - Subunit/Conjugate A child should receive their first dose of the Hepatitis B vaccine when? Birth A school-age child diagnosed with autism is admitted to the hospital because of recent vomiting and diarrhea. Which intervention by the nurse is most appropriate upon admission? Orient the child to the hospital room Risk factors for pediatric mental health disorders such as attention deficit disorder (ADD/ADHD) include all of the following EXCEPT: Mother had gestational diabetes The community nurse visits the home of George, a child recently diagnosed with autism. The parents express feelings of shame and guilt about having somehow caused this problem. Which statement by the nurse would best help alleviate parental guilt? The specific cause of autism is unknown. However, it is known to be associated with problems in the structure of and chemicals in the brain You are a community nurse screening for psychiatric disorders in children. On which of the following risk factors would you place the priority for concern? Family history of mental illness The parents of a client recently diagnosed with Down syndrome relate to the nurse that they feel guilty about causing the condition. Which response by the nurse is the most appropriate? Down syndrome is a condition caused by an extra chromosome; the cause of it is unknown The nurse is planning activities for a toddler with a birth injury of a torn brachial plexus that resulted in muscle atrophy and weakness of his right arm. Which nursing intervention is most developmentally appropriate for this client? Offering the toddler a choice of clothing A toddler-age client is in end-stage renal failure. Which nursing intervention will assist this child most? Maintain the child's normal routines A school-age child is admitted to the pediatric intensive care unit (PICU) in critical condition after a motor vehicle accident. Which intervention should be implemented at this time? Encourage the same nurses to take care of the patient on consecutive days