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HESI RN PEDIATRICS EXAM V1, Exams of Biology

Columbia International University (CIU)Biology

HESI RN PEDIATRICS EXAM V1 HESI RN PEDIATRICS EXAM V1

Typology: Exams

2024/2025

Available from 07/09/2025

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HESI RN PEDIATRICS EXAM V1
A mother brings her 8 mo. old baby boy to clinic because he has been
vomiting and had diarrhea for last 3
days. Which assessment is most important for nurse to make?
A.Assess infant abdomen for tenderness
b.Determine if the infant was exposed to a virus
C. Measure the infant's pulse
d. Evaluate the infant's cry - Correct answer C. Measure the infant's pulse
While obtaining the vital signs of a 10-year-old who had a tonsillectomy this
morning, the nurse observes
the child swallowing every 2-3 minutes. Which assessment should the
nurse implement? - Correct answer Inspect the posterior oropharynx
parents of a 3-year old boy who has Duchenne muscular dystrophy ask,
"How can our son have this
disease? We are wondering if we should have any more children." What
information should the nurse
provide to parents? - Correct answer This is an inherited X-linked
recessive disorder, which primarily affects male children in the
family
2-weck-old female infant is hospitalized for the surgical repair of an
umbilical hernia. After retuming to the postoperative neonatal unit, her R
and HR have increased during the last hour. Which intervention should the
nurse implement? - Correct answer Administer a PRN analgesic
prescription
2-year-old girl is brought to the clinic by her 17-year-old mother. When the
nurse observes that the child
is drinking sweetened soda from her bottle, what information should the
nurse discuss with this mother? - Correct answer -Dental caries is
associated with drinking soda
-Toddlers should be drinking from a cup by age 2
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HESI RN PEDIATRICS EXAM V

A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for last 3 days. Which assessment is most important for nurse to make? A.Assess infant abdomen for tenderness b.Determine if the infant was exposed to a virus C. Measure the infant's pulse d. Evaluate the infant's cry - Correct answer C. Measure the infant's pulse While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning, the nurse observes the child swallowing every 2-3 minutes. Which assessment should the nurse implement? - Correct answer Inspect the posterior oropharynx parents of a 3-year old boy who has Duchenne muscular dystrophy ask, "How can our son have this disease? We are wondering if we should have any more children." What information should the nurse provide to parents? - Correct answer This is an inherited X-linked recessive disorder, which primarily affects male children in the family 2-weck-old female infant is hospitalized for the surgical repair of an umbilical hernia. After retuming to the postoperative neonatal unit, her R and HR have increased during the last hour. Which intervention should the nurse implement? - Correct answer Administer a PRN analgesic prescription 2-year-old girl is brought to the clinic by her 17-year-old mother. When the nurse observes that the child is drinking sweetened soda from her bottle, what information should the nurse discuss with this mother? - Correct answer -Dental caries is associated with drinking soda -Toddlers should be drinking from a cup by age 2

mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family? a.The mother is a single parent and lives with her parents b.The mother states the baby is irritable during feedings C the infant's formula has been changed twice D.The diaper area shows severe skin breakdown - Correct answer D.The diaper area shows severe skin breakdown The nurse determines that an infant admitted for surgical repair of an inguinal hernia voids a urinary stream from the ventral surface of the penis. What action should the nurse take? - Correct answer Document the finding 16-year-old with acute myelocytic leukemia is receiving chemotherapy (CT) via an implanted medication port at the out-patient oncology clinic. What action should the nurse implement when the infusion is complete? - Correct answer Flush mediport w/ saline and heparin solution mother brings her 3-week old infant to the clinic because the baby vomits after eating and always seems hungry. Further assessment indicates that the infant's vomiting is projectile, and the child seems listless. Which additional assessment finding indicates the possibility of a life- threatening complication? - Correct answer Irregular palpable pulse nurse is performing a routine assessment of a &-year old at a sommunity health center. Which behavior by the child should alert she nurse to request a follow up for a posaible autism spectrum disorder? - Correct answer Perform odd repetitive behaviors Following admission for cardiac catheterization, the nurse is providing discharge teaching to the parents of a 2-year-old toddler with tetralogy of Fallot. What instruction should the nurse give the parents if their child becomes pale, cool, lethargic? - Correct answer Contact their HCP immediately

medication regimen. What information should the nurse provide to the mother? - Correct answer medication dose will be tapered over a period of 2 weeks when being discontinued A child receives a prescription for amantadine 42 mg PO BID. Amantadine is available as a 50 mg/5 mL syrup. Using a supplied calibrated measuring device, how many mL should the nurse administer per dose? (round to nearest tenth) - Correct answer 0.5 ml male toddler is brought to the emergency center approximately three hours after swallowing tablets from his grandmother's bottle of digoxin (Lanoxin). What prescription should the nurse implement first? Administer activated charcoal orally - Correct answer Give IV digoxin immune fab (Digibind) An 8-year-old male client with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response? - Correct answer Decreased periorbital edema A mother of a 3-year old boy has just given birth to a new baby girl. The little boy asks the nurse, "why is my baby sister eating my mommy's breast?" how should the nurse respond? Select all that apply - Correct answer -Remind him that his mother breastfed him too -Reassure the older brother that it does not hurt his mother -Explain that newborns get milk from their mothers in this way middle school male student was recently diagnosed with attention-deficit hyperactivity disorder (ADHD) and is having trouble with his grades. He is referred to the school nurse by the teacher because he continues to have learning problems. Which action should the school nurse take? - Correct answer Ask the parents to have the child seen by a clinical psychologist A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is

irritable, refuses to eat, and has skin peeling on both his hands and feet. Which intervention should the nurse instruct the mother to implement first? - Correct answer Place the child in a quiet environment The nurse is preparing a teaching plan for the parents of a 6-month-old infant with GERD. What instruction should the nurse include when teaching the parents measures to promote adequate nutrition? - Correct answer Mix the formula with rice cereal A child with pertussis is receiving azithromycin (Zithromax Injection) IV. Which intervention is most important for the nurse to include in the child's plan of care? - Correct answer Assess for abdominal pain and vomiting nurse is conducting an admission assessment of an 11-month old infant with CHF who is scheduled for repair of restenosis of coarction of the aorta hat was repaired 4 days after birth. Findings include blood pressure higher in the arms than the lower extremities, pounding brachial pulses, and slightly palpable femoral pulses. What pathophysiologic mechanisms support these findings? - Correct answer The lumen of the aorta reduces the volume of the blood flow to the lower extremities A child who is admitted to the hospital with anemia is anxious, fearful, and hyperventilating. The nurse anticipates the child developing which acid base imbalance? - Correct answer Respiratory alkalosis mother of a toddler reports to the nurse working in the pediatric clinic that her child has had a fever and sore throat for the past two days. The nurse observes several swollen red spots in the child's body, a few of which are fluid filled blisters. Which action should the nurse implement? - Correct answer Implement transmission precautions The mother of a 14-year old who had a below-the-knee amputation for osteosarcoma tells the nurse that her child is angry and blaming her for allowing the amputation to occur. Which response is best for the nurse to

developing a behavior modification program for an extremely aggressive 10-year-old boy, what should the nurse do first? - Correct answer Determine what activities, foods, and toys the child enjoys In assessing a 10-year old newly diagnosed with osteomyelitis, which informations most important for the nurse to obtain? - Correct answer Recent occurrence of infection 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs). Which information should the nurse provide to the parents? - Correct answer The chorea or movements are temporary and will eventually disappear 3-year-old boy is receiving a weekly chemotherapy treatment. Which toy is best for the nurse to provide for this child? - Correct answer Coloring book with crayons A 9-week-old infant is scheduled for cleft lip repair. Which information is most important for the nurse to convey to the surgeon before transporting the infant to the surgical suite? - Correct answer Red blood cell count of 2.3 million/mm The nurse is caring for a 3-year old child who has been recently diagnosed with cystic fibrosis, which discharge instruction by the nurse is most important to promote pulmonary function? - Correct answer Chest physiotherapy should be performed before meals and at bedtime adolescent who is taking antiretroviral therapy for HIV infection arrives at the clinic for a follow up visit. Which information is most important for the nurse to obtain? - Correct answer Missed medication doses A S-ycar-old boy with leukemin is receiving chemotherapy through a peripherally inserted central catheter (PICC), Twenty minutes after the infusion is begun, the child feels dizzy and complains of itching. Which

intervention should the nume implement finer? - Correct answer Discontinue the medication infuxion A school-aged male is brought to the school nurse after he was thrown off his bicycle into the trunk of a pine tree. The child's face and arms are speckled with embedded pine bark. He has copious tearing and complains that "there is stuff in my eyes." Which action should the nurse implement? a. Patch both of child's eyes and send him to the family ophthalmologist - Correct answer Patch both of child's eyes and send him to the family ophthalmologist A nurse is teaching a class for mothers of premature infants, and is asked about "a shot for respiratory virus." What information about plaibizumab (Synagis) is correct? - Correct answer It is recommended for infants who meet established high-risk criteria When assessing a 5-year-old, which ability should the nurse expect the child to be developing at this age? - Correct answer Tying shoelaces mother brings her 2-month old son to the clinic for a well-baby exam. During the assessment the nurse finds that the right testicle is, not distended into the scrotum but the left is palpable. Which action should the nurse take? - Correct answer Ask if the right testis has been seen in the scrotum before An 8-year-old girl with precocious sexual development is being treated medically with injections of luteinizing hormone-releasing hormone (LRHR) to regulate the pituitary gland. Which statement by the parents indicates that they understand the treatment? - Correct answer "Sexual maturity differences between my daughter and her peers will disappear within a few years" While auscultating the lung sounds of a 5-year-old Chinese boy who recently completed antibiotic therapy for pneumonia, the nurse notices symmetrical, round, bruise-like blemishes on his chest. Which action is best for the nurse to take? - Correct answer Inquire about the use of alternative methods of treatment