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 teaching a class about puberty in males. Which of the following should the nurse include as the first manifestation of sexual maturation? Pubic hair growth Vocal changes Testicular enlargement Facial hair growth - ANSWER-ANS:C Pubic hair appears during early puberty, but is not the first manifestation of sexual maturation in males. Vocal changes occur after the appearance of pubic hair, typically in early to mid puberty, and are not the first manifestation of sexual maturation in males. Facial hair growth typically appears 2 | P a g e about 2 years after pubic hair, and is not the first manifestation of sexual maturation. A nurse is planning to administer the influenza vaccination to a toddler. Which of the following is an appropriate action for the nurse to take? 3 | P a g e Administer subcutaneously in the abdomen. Use a 20-gauge needle Divide the medication into two injections. Place the child in the supine position. - ANSWER-ANS:D The influenza vaccination is administered intramuscularly. A 22- to 25 gauge needle is recommended for IM injections. The total volume of the influenza vaccination is 05 mL, which can be administered in the vastus lateralis. The vastus lateralis is recommended therefore, placing the toddler in a supine position is the appropriate action. A nurse is preparing to administer an intramuscular (IM) injection to a child. Which of the following muscle groups is contraindicated? Deltoid Ventrogluteal Vastus lateralis Dorsal gluteal - ANSWER-ANS:D The dorsal gluteal site has major nerves and blood vessels and is not a recommended site. 4 | P a g e The deltoid muscle can be used once developed fro IM injections in children for medication containing up to 1 mL of fluid. The ventrogluteal muscle and vastus lateralis site can be used for IM injections in children for medications containing up to 2 mL of fluid. A nurse is teaching a parent of an infant about administration of oral medications. Which of the following should the nurse include in the teaching? (Select all that apply.) Use a universal dropper for medication administration. Ask the pharmacy to add flavoring to the medication. Add the medication to the formula bottle before feeding. Use the nipple of the bottle to administer the medication. 5 | P a g e Hold the infant in an semireclining position. - ANSWER-ANS:B, D, E Medication has different viscosities, and droppers do not have a standard opening. A universal dropper is not an accurate way to measure medications. Because an infant may not finish an entire bottle of formula, it is not recommended to add medication to the bottle. A nurse is preparing to administer medication to a toddler. Which of the following are appropriate actions for the nurse to take? (Select all that apply.) Identify the toddler by asking the parent. Tell the parent to administer the medication. Calculate the safe dosage. Ask the toddler what toy he wants to hold during administration. Offer juice after the medication - ANSWER-ANS:C, D, E For safe medication administration, confirm two identifiers by looking at the ID band or having the toddler state his or her name and date of birth. The nurse should assess the preferred