NUR HESI PEDIATRIC PRACTICE EXAM 2024-2025 |COMPLETE
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS ) A GRADED.
3. A 3-week-old newborn is brought to the clinic for follow-up after a
home birth. The mother reports that her child bottle feeds for 5
minutes only and then falls asleep. The nurse auscultates a loud
murmur characteristic of a ventricular septal defect (VSD), and finds
the newborn is acyanotic with a respiratory rate of 64 breaths per
minute. What instruction should the nurse provide the mother to
ensure the infant is receiving adequate intake? (Select all that apply.)
- ANSWER -A. Monitor the the infant's weight and number of wet
diapers per day. - child should at least have 6 wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.-
child is always fatigue, need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 hours.-
child is always fatigue, this will ensure adequate feeding.
E. Use a softer nipple or increase the size of the nipple opening.-
this will save energy
33. A 15-year-old girl tells the school nurse that all of her friends have
started their periods and she feels abnormal because she has not.
Which response is best for the nurse provide? - ANSWER -Explain
that menarche varies and occurs between the ages of 12 and 18
years.
,81. Which finding in a 19-year-old female client should trigger further
assessment by the nurse? - ANSWER -Menstruation has not
occurred- menarche usually occur between the ages of 12 and 18
years old
34. At 8 a.m. the unlicensed assistive personnel (UAP) informs the
charge nurse that a female adolescent client with acute
glomerulonephritis has a blood pressure of 210/110. The 4 a.m. blood
pressure reading was 170/88. The client reports to the UAP that she is
upset because her boyfriend did not visit last night. What action
should the nurse take first? - ANSWER -Administer PRN prescription
of nifedipine (Procardia) sublingually.
-CA channel blocker
-always assess physiological needs
56. A 3-year-old client with sickle cell anemia is admitted to the
Emergency Department with abdominal pain. The nurse palpates an
enlarged liver, an x-ray reveals an enlarged spleen, and a CBC reveals
anemia. These findings indicate which type of crisis? - ANSWER
Sequestration.- pooling of blood causes and pain and anemia d/t
blockage of blood in the spleen
1. Aplastic anemia- anemia d/t drugs
2. Hyperhemolytic anemia- anemia d/t the breakdown of RBC 3.Vaso-
occlusive anemia- sickle cells are clogging up small capillaries-
and pain but not enlarged spleen and liver
, 49. A preschool-age child who is hospitalized for hypospadias repair
is most strongly influenced by which behavior? - ANSWER -pre
school age children are conceded about lost of body mutilation or
body integrity.
nurse should explain- they did not cause the illness, procedure is not
punishment, restoring body image with a band-aid.
26. The vital signs of a 4-year-old child with polyuria are: BP 80/40,
Pulse 118, and Respirations 24. The child's pedal pulses are present
with a volume of +1, and no edema is observed. What action should
the nurse implement first? - ANSWER -Start an IV infusion of normal
saline- patient is experiencing fluid vole deficit
40. A 6-month-old boy and his mother are at the healthcare provider's
office for a well-baby check-up and routine immunizations. The
healthcare provider recommends to the mother that the child receive
an influenza vaccine. What medications should the nurse plan to
administer today? - ANSWER -6 month shots: DTAP; HEP -B (1st
dose: birth, 2nd dose: 1-2 months, 3rd dose 6-9 months); PCV; IPV;
INFLUENZA~ adminster at a different site
38. A 3-year-old boy is brought to the emergency room because he
swallowed an entire bottle of children's vitamin pills. Which
intervention should the nurse implement first? - ANSWER -Determine
the child's pulse and respiration~ always ABC assess: respiratory,
cardiac, and neuro
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS ) A GRADED.
3. A 3-week-old newborn is brought to the clinic for follow-up after a
home birth. The mother reports that her child bottle feeds for 5
minutes only and then falls asleep. The nurse auscultates a loud
murmur characteristic of a ventricular septal defect (VSD), and finds
the newborn is acyanotic with a respiratory rate of 64 breaths per
minute. What instruction should the nurse provide the mother to
ensure the infant is receiving adequate intake? (Select all that apply.)
- ANSWER -A. Monitor the the infant's weight and number of wet
diapers per day. - child should at least have 6 wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.-
child is always fatigue, need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 hours.-
child is always fatigue, this will ensure adequate feeding.
E. Use a softer nipple or increase the size of the nipple opening.-
this will save energy
33. A 15-year-old girl tells the school nurse that all of her friends have
started their periods and she feels abnormal because she has not.
Which response is best for the nurse provide? - ANSWER -Explain
that menarche varies and occurs between the ages of 12 and 18
years.
,81. Which finding in a 19-year-old female client should trigger further
assessment by the nurse? - ANSWER -Menstruation has not
occurred- menarche usually occur between the ages of 12 and 18
years old
34. At 8 a.m. the unlicensed assistive personnel (UAP) informs the
charge nurse that a female adolescent client with acute
glomerulonephritis has a blood pressure of 210/110. The 4 a.m. blood
pressure reading was 170/88. The client reports to the UAP that she is
upset because her boyfriend did not visit last night. What action
should the nurse take first? - ANSWER -Administer PRN prescription
of nifedipine (Procardia) sublingually.
-CA channel blocker
-always assess physiological needs
56. A 3-year-old client with sickle cell anemia is admitted to the
Emergency Department with abdominal pain. The nurse palpates an
enlarged liver, an x-ray reveals an enlarged spleen, and a CBC reveals
anemia. These findings indicate which type of crisis? - ANSWER
Sequestration.- pooling of blood causes and pain and anemia d/t
blockage of blood in the spleen
1. Aplastic anemia- anemia d/t drugs
2. Hyperhemolytic anemia- anemia d/t the breakdown of RBC 3.Vaso-
occlusive anemia- sickle cells are clogging up small capillaries-
and pain but not enlarged spleen and liver
, 49. A preschool-age child who is hospitalized for hypospadias repair
is most strongly influenced by which behavior? - ANSWER -pre
school age children are conceded about lost of body mutilation or
body integrity.
nurse should explain- they did not cause the illness, procedure is not
punishment, restoring body image with a band-aid.
26. The vital signs of a 4-year-old child with polyuria are: BP 80/40,
Pulse 118, and Respirations 24. The child's pedal pulses are present
with a volume of +1, and no edema is observed. What action should
the nurse implement first? - ANSWER -Start an IV infusion of normal
saline- patient is experiencing fluid vole deficit
40. A 6-month-old boy and his mother are at the healthcare provider's
office for a well-baby check-up and routine immunizations. The
healthcare provider recommends to the mother that the child receive
an influenza vaccine. What medications should the nurse plan to
administer today? - ANSWER -6 month shots: DTAP; HEP -B (1st
dose: birth, 2nd dose: 1-2 months, 3rd dose 6-9 months); PCV; IPV;
INFLUENZA~ adminster at a different site
38. A 3-year-old boy is brought to the emergency room because he
swallowed an entire bottle of children's vitamin pills. Which
intervention should the nurse implement first? - ANSWER -Determine
the child's pulse and respiration~ always ABC assess: respiratory,
cardiac, and neuro
