NURS 320 PEDS HESI 2023-2024 ACTUAL EXAM TEST BANK
250 QUESTIONS AND CORRECT DETAILED ANSWERS
(100%VERIFIED ANSWERS) |ALREADY GRADED A+|BRAND
NEW!!2023
An infant is born with a ventricular septal defect (VSD) and surgery is planned to
correct the defect. The nurse recognizes that surgical correction is designed to
achieve which outcome? – ANSWER- Prevent the return of oxygenated blood into
the lungs.
A three-month-old boy weighing 10 lbs 15 oz has an axillary temperature of 98.9
F. The nurse determines the daily caloric need for this child is approximately… –
ANSWER- 600 calories per day
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? –
ANSWER- Store all toxic agents and medicines in locked cabinets.
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin
elixir. Which observation by the nurse warrants immediate intervention? –
ANSWER- Apical HR of 60
At 8 am the unlicensed assistive personal (UAP) informs the charge nurse that a
female adolescent client with acute glomerulonephritis has a BP of 210/110. The 4
am BP 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.
The nurse is developing a plan of care for a 3-year-old who is scheduled for a
cardiac catheterization. To assist in decreasing anxiety for the child on the day of
the procedure, which intervention is best for the nurse to implement? – ANSWERGive the child a ride on a gurney to visit the cardiac catheterization lab and meet a
nurse who works there.
The nurse is teaching a 12-year-old male adolescent and his family about taking
injections of growth hormone for idiopathic hypopituitarism. Which adverse
symptoms commonly associated with growth hormone therapy, should the nurse
plan to describe to the child and his family? – ANSWER- Polyuria and polydipsia
The nurse is teaching a 12-year-old male adolescent and his family about taking
injections of growth hormone for idiopathic hypopituitarism. Which adverse
symptoms commonly associated with growth hormone therapy, should the nurse
plan to describe to the child and his family? – ANSWER- Polyuria and polydipsia
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? –
ANSWER- Walk away from him and ignore he behavior.
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? –
ANSWER- Wash the hair and skin frequently with soap and hot water.
During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse
should stress to the parents the importance of obtaining which diagnostic testing? –
ANSWER- eye exams
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? – ANSWER- Arrange
for internet connection in the client’s room for email communication.
The nurse is assessing a 2-year-old. What behavior indicates that the child’s
language development is within normal limits? – ANSWER- Is capable of making
a three word sentence.
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? – ANSWER- record weight daily
Which menu selection by a child with celiac disease indicates to the nurse that the
child understands necessary dietary considerations? – ANSWER- oven-baked
potato chips and cola
The parents of a 3-week-old infant report that the child eats well but vomits after
each feeding. What information is most important for the nurse to obtain? –
ANSWER- description of vomiting episodes in past 24 hours
Which class of antiinfective drugs is contraindicated for use in children under 8 yrs
of age? – ANSWER- Tetracyclines
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? – ANSWER- Use sunscreen when lying by the pool.
The mother of a 6-month-old asks the nurse when her baby will get the first
measles, mumps, and rubella (MMR) vaccine. Based on the recommended
childhood immunization schedule published by the CDC, which response is
accurate? – ANSWER- 12-15 months
Preoperative nursing care for a child with Wilm’s tumor should include which
intervention? – ANSWER- Put a sign on the bed reading, “DO NOT PALPATE
ABDOMEN”.
A 4-year-old boy was admitted to the ER with a fractured right ulna and a short
arm cast was applied. When preparing the parents to take the child home, which
discharge instruction has the highest priority? – ANSWER- Call the healthcare
provider immediately if his nail beds appear blue.
An 18-month-old is admitted to the hospital with possible Hirchsprung’s disease.
When obtaining a nursing history, the nurse asks about bowel habits. What
describes the disease? – ANSWER- Ribbon-like and brown
The nurse must prevent 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 pruritus? – ANSWER- Place elbow restraints on the child’s arms.
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? – ANSWER- Tympanic and oral temperatures are equally accurate.
A 3-year-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? –
ANSWER- Determine the child’s pulse and RR
A 2-year old with gastro-esophageal reflux has developed a fear of eating. What
instruction should the nurse include in the parents’ teaching plan? – ANSWERConsistently follow a set mealtime routine.
A 6-month-old boy and his mother are at the healthcare provider’s office for a wellbaby 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- All the immunizations with the
influenza vaccine given at a separate site from any other injection.
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?
- ANSWER- Are you experiencing any type of nervousness?
The nurse is planning care for school-aged children at community care center.
Which activity is best for the children? – ANSWER- Playing follow-the-leader
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? – ANSWER- a trial of human chorionic gonadotrophic hormone
A 3-year-old client with sickle cell anemia is admitted to the ED 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
To assess the effectiveness of an analgesic administered to a 4-year-old, what
intervention is best for the nurse to implement? – ANSWER- Use a happy face/sad
face pain scale.
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? – ANSWER- Process of glucose testing.
A 17-year-old male student reports to the school clinic one morning for a
scheduled health exam. He tells the nurse that he just finished football practice and