Hesi Exam Pediatric II

The mother of a 4-year-old child asks the nurse what she can do to help her other children cope with their sibling’s repeated hospitalizations. Which is the best response that the nurse should offer?

 

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The nurse assigning care for a 5-year-old child with otitis media is concerned about the child’s increasing temperature over the past 24 hours. Which statement is accurate and should be considered when planning care for the remainder of the shift?

A 2-year-old child with gastro-esophageal reflux has developed a fear of eating. What instruction should the nurse include in the parents’ teaching plan?

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What preoperative nursing intervention should be included in the plan of care for an infant with pyloric stenosis?

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The nurse is assessing a 2-year-old. What behavior indicates that the child’s language development is within normal limits?

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The nurse receives a lab report stating a child with asthma has a theophylline level of 15 mcg/dl. What action will the nurse take?

 

A 4-year-old girl continues to interrupt her mother during a routine clinic visit. The mother appears irritated with the child and asks the nurse, “Is this normal behavior for a child this age?” The nurse’s response should be based on which information?

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A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurse warrants immediate intervention?

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Which restraint should be used for a toddler after a cleft palate repair?

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When taking the health history of a child, the nurse knows that which finding is an early indication of hypothyroidism in children?

 

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The mother of a preschool-aged child asks the nurse if it is all right to administer Pepto Bismol to her son when he “has a tummy ache.” After reminding the mother to check the label of all over-the-counter drugs for the presence of aspirin, which instruc Do not give if the child has chickenpox, the flu, or any other viral illness.

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Which growth and development characteristic should the nurse consider when monitoring the effects of a topical medication for an infant?

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The nurse is preparing a health teaching program for parents of toddlers and preschoolers and plans to include information about prevention of accidental poisonings. It is most important for the nurse to include which instruction?

 

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A 16-year-old is brought to the Emergency Center with a crushed leg after falling off a horse. The adolescent’s last tetanus toxoid booster was received eight years ago. What action should the nurse take?

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During administration of a blood transfusion, a child complains of chills, headache, and nausea. Which action should the nurse implement?

 

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A hospitalized 16-year-old male refuses all visits from his classmates because he is concerned about his distorted appearance. To increase the client’s social interaction, what intervention is best for the nurse to initiate?

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The nurse is caring for a 12-year-old with Syndrome of Inappropriate Antidiuretic Hormone (SIADH). This child should be carefully assessed for which complication?

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The nurse is assessing the neurovascular status of a child in Russell’s traction. Which finding should the nurse report to the healthcare provider?

 

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Which class of antiinfective drugs is contraindicated for use in children under 8 years of age?

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The nurse is assessing an 8-month-old child who has a medical diagnosis of Tetrology of Fallot. Which symptom is this client most likely to exhibit?

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The mother of a 2-year-old boy consults the nurse about her son’s increased temper tantrums. The mother states, “Yesterday he threw a fit in the grocery store, and I did not know what to do. I was so embarrassed. What can I do if this occurs again?” Which Advice should the nurse give?

 

When assessing a child with asthma, the nurse should expect intercostal retractions during

 

The nurse is planning the care of a 2-year-old with severe eczema on the face, neck, and scalp from scratching the affected areas.

Which nursing intervention is most effective in preventing further excoriation due to the pruritis?

Place elbow restraints on the child’s arms.

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?

 

A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris. What is the most important instruction for the nurse to include in this client’s teaching plan?

 

The nurse is giving a liquid iron preparation to a 3-year-old child. Which technique should the nurse implement to engage the child’s cooperation?

 

The nurse is giving preoperative instructions to a 14-year-old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place?

 

Surgery is being delayed for an infant with undescended testes. In collaboration with the healthcare provider and the family, which prescription should the nurse anticipate?

 

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A 12-month-old boy is admitted with a respiratory infection and possible pneumonia. He is placed in a mist tent with oxygen.

Which nursing intervention has the greatest priority for this infant?

Have a bulb syringe readily available to remove secretions.

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The nurse is planning care for school-aged children at a community care center. Which activity is best for the children?

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Which measurements should be used to accurately calculate a pediatric medication dosage? (Select all that apply.)

Child’s height and weight. Body surface area of child. Nomogram determined mathematical constant.

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During routine screening at a school clinic, an otoscope examination of a child’s ear reveals a tympanic membrane that is pearly gray, slightly bulging, and not movable. What action should the nurse take next?

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Which finding in a 19-year-old female client should trigger further assessment by the nurse?

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In developing a teaching plan for a 5-year-old child with diabetes, which component of diabetic management should the nurse plan for the child to manage first?

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The nurse is having difficulty communicating with a hospitalized 6-year-old child. Which approach by the nurse is most helpful in establishing communication?

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The nurse is assigning care for a 4-year-old child with otitis media and is concerned about the child’s increasing temperature over the past 24 hours. When planning care for this child, it is important for the nurse to consider that

A 14-year-old female client tells the nurse that she is concerned about the acne she has recently developed. Which recommendation should the nurse provide?

 

When discussing discipline with the mother of a 4-year-old child, the nurse should include which guideline?

 

A child falls on the playground and is brought to the school nurse with a small laceration on the forearm. Which action should the nurse implement first?

 

The nurse is assessing a 13-year-old girl with suspected hyperthyroidism. Which question is most important for the nurse to ask her during the admission interview?

 

A 6-year-old is admitted to the pediatric unit after falling off a bicycle. Which intervention should the nurse implement to assist the child’s adjustment to hospitalization?

Surgery is being delayed for an infant with undescended testes. In collaboration with the health care provider and the family, which prescription should the nurse anticipapte?

A trial of HCG may aid in testicular descent, but does not replace surgical repair for true undescended testes. (cryptorchidism: may be found in the inguinal canal due to exaggerated cremasteric reflex

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Which menu selection by a child with celiac disease indicates to the nurse that the child understands necessary dietary considerations?

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The mother of a 2-year-old boy consults the nurse about her son’s increased temper tantrums. The mother states, “yesterday he threw a fit in the grocery store, and I did not know what to do. I was so embarrassed. What can I do if this occurs again?” Which recommendation is best for the nurse to provide this mother?

The mother of a 4-year-old child asks the nurse what she can do to help her other children cope with their sibling’s hospitalizations. Which is the best response that the nurse should offer?

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The nurse is giving preoperative instruction to a 14-year-old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place?

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The clinic nurse is taking the hx for a new 6-month-old client. The mother reports that she took a great deal of aspirin while pregnant. Which assessment should the nurse obtain?

helps to determine an infant’s risk for hearing deficit r/t to a hx of the mother taking ototoxic drug, such as aspirin, while pregnancy (B,C,D are not assoc with the exposure to aspirin in utero

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A 3 yr old boy is brought to the ER because he swallowed an entire bottle of children’s vitamin pills. Which intervention should the nurse implement first?

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A 4- year- old girl continues to interrupt her mother during a routine clinic visit. The mother appears irritated with the child and

 

asks the nurse, “Is this normal behavior for a child this age?” The nurse’s response should be based on which information?

???       

A 2 yr old child with gastro-esophageal reflux has developed a fear of eating. What instruction should the nurse include in the parent’s teaching plan?

???       

The nurse is assessing a 2 year old. What behavior indicates that the child’s language development is within normal limits?

???       

What preoperative nursing intervention should be included in the plan of care for an infant with pyloric stenosis?

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When evaluating the effectiveness of interventions to improve the nutritional status of an infant with gastro-esophageal reflux, which intervention is most important for the nurse to implement?

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Which finding in a 19 yr old female client should trigger further assessment by the nurse?

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A 6 month old boy and his mother are at 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?