HESI EXIT PEDIATRICS EXAM QUESTIONS AND CORRECT ANSWERS|ALREADY GRADED A+
A 3-year-old female is hospitalized for a femur fracture. As her nurse, what nursing action would help foster the child's sense of autonomy? - Allow the child to administer her own dose of Keflex (cephalexin) via oral syringe. A 16 -year-old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while he receives IV antibiotics. As the nurse caring for this patient, what action can you take that will most enhance his psychosocial development? - Encourage the teen's friends to visit him in the hospital. A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is: - "At 6 months his weight should be approximately twice his birth weight." The nurse caring for a 4-year-old female in the ER is about to start a peripheral IV. The nurse's best method for explaining the procedure to the child is to: - Show the child the IV placement equipment, adn demonstrate the procedure on a doll. A 17-year-old male is being seen in the ER. In order to obtain the adolescents health information, his nurse should - Gather information during a casual conversation. A 7-year-old female is being admitted to the hospital for a diagnosis of acute lymphocytic leukemia. The nurse wants to gather information from the child regarding her feeling about her diagnosis. Which nursing action is most appropriate to gain information about how the child is feeling? - The nurse should provide the child with some paper to draw a picture of how she is feeling. How can the nurse best facilitate the trust relationship between infant and parent while the infant is hospitalized? - The nurse should encourage the parents to hold their child as much as possible. The nurse is caring for a 7-year-old female on the school-age unit. Her mother is concerned that she may have some developmental delays. Which of the following statements would indicate to the nurse that the child is not developmentally on track for her age: - The child has an imaginary friend named Kelly The nurse is caring for a 6-month-old in the ER. The physician orders the nurse to give the child a dose of Rocephin IM. The 1.5 mL dose arrives from the pharmacy. The nurse must do which of the following? - Split the dose into two injections. A 3-year-old female is hospitalized for an ASD repair. Her parents have decided to go home for a few hours to spend time with her siblings. The child asks when her mommy and daddy will be back. The nurse's best response is: - "Your mommy and daddy will be back after your nap." A male infant is visiting the pediatrician for his 6-month wellchild checkup. His mother tells the nurse she wants to advance the infant's diet. Which statement by the infant's mother leads the nurse to believe that she needs further education about the nutritional needs of a 6-month-old - "I will start my son on fruits and gradually introduce vegetables" An ER nurse is assessing a 12-month old female. Which statement accurately describes the best method for assessing this child? - The nurse should assess the child while she is in her mother's lap. An 11-year-old male is being evaluated in the ER for an inguinal hernia. Which statement accurately describes how the nurse should approach him for his physical assessment? - The nurse should explain to the child what the nurse will be doing in basic understandable terms. The school nurse is planning an educational program centered on abstinence for adolescents. Which of the following methods does the nurse recognize as the most effective way to present this program? - Use peer-led programs that emphasize the consequences of unprotected sexual contact The nurse is instructing a new breastfeeding mother in the need to provide her premature infant with an adequate source of iron in her diet. Which one of the following statements reflects a need for further education of the new mother? - "I will need to add iron supplements to my baby's diet when she is 9 months old'" A first-time mother brings in her 5-day-old baby for a well-child visit. The nurse weighs the infant and reports a weight of 7 lb 5 oz to the mother. The mother looks concerned and tells the nurse that her baby weighed 7 lb 10 0z when she was discharged 4 days ago. The nurse's best response to the mother is: - "An inital weight loss of a few ounces is common among newborns, especially for breastfeeding mothers." The nurse is caring for a 12-month-old rl. The child's mother asks is the unit has any toys that her daughter can play with. The nurse goes to the toy area in search of a toy for the child. Which toy is the best choice for this child? - A muscial rattle Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay? - "My child is able to stand but is not yet taking steps independently." The mother of a child 2 years 6 months has arranged a play date with he neighbor and her 3-year-old daughter. During the play date the two mothers should expect that the children will do which of the following? - The children will play alongside one another but not actively with one another. A 2-year-old boy has been admitted to the hospital for anemia. His mother asks the nurse what foods to include in his diet to improve his nutritional status. Which of the following should the nurse recommend? - Increase the child's intake of meats, eggs, and green vegetables The parents of a 2-year-old boy are concerned about his behavior. Since the child's admission to the hospital 2 days ago he has been crying much more than usual and is inconsolable much of the time. The nurse's best response to the child's parents is: - The child is in the protest stage of separation anxiety, which is normal for children during hospitalization.
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