2023 HESI PEDIATRICS (PEDS) PRACTICE EXAM 400 PRACTICE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+<\/p>\n\n\n\n
2023 HESI PEDIATRICS (PEDS) PRACTICE EXAM 400
PRACTICE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Which menu selection by a child with celiac disease indicates to the
nurse that the child understands necessary dietary considerations?
A. Oven-baked potato chips and cola
B. Peanut butter and banana sandwich
C. Oatmeal-raisin cookies and milk
D. Graham crackers and fruit juice – ANSWER- A
Avoid anything with oats, rye, wheat, and barely
The mother of a 6 months old asks the nruse when her baby will get the
first measles, mumps, and rubella (MMR) vaccine. Based on the
recommended childhood immunization schedule published by the CDC
A. 3-6 mos
B. 12-15 mos
C. 18-24 mos
D. 4-6 years – ANSWER- B
MMR shouldn’t given be sooner than 12 mos of age
A 4 y\/o 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?<\/p>\n\n\n\n
A. Call the healthcare provider immediately if his nail beds appear blue
B. Chichk his fingers hourly for the first 48 hours to see that he is able to
move them w\/o pain
C. Be sure your child’s arm remains above his heart for the first 24 hours
D. Take his temperature every 4 hours for the next 2 days and call if an
elevation is noted – ANSWER- A
Sign of cyanosis >> report immediately
The nurse must prevent a 2 y\/o 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?
A. Obtain gloves for the child’s hands
B. Apply fingers cots on the child’s fingers
C. Place elbow restraints on the child’s arms
D. Apply soft restraints to the child’s wrists – ANSWER- C
Prevents arm flexion and scratching of involved areas but doesn’t inhibit
use the hands for play activities
The nurse assigning care for a 5 y\/o 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. RN should be assigned to take temperatures frequently
B. Tympanic and oral temperatures are equally accurate
C. PN should take rectal temperatures on this child<\/p>\n\n\n\n
D. Pediatrician should decide how to assess the temperature –
ANSWER- B
The nurse is planning care for school-aged children at a community care
center. Which activity is best for the children?
A. Building model airplanes
B. Playing follow the leader
C. Stringing large and small beads
D. Playing with Playdough and clay – ANSWER- B
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?
A. Trial of adrencorticotrophic hormone injections
B. Frequent stimulation of the cremasteric reflex
C. Trial of HCG
D. Frequent warm baths to gently dilate the scrotal area – ANSWER- C
A 3 y\/o 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?
A. Aplastic
B. Sequestration
C. Hyperhemolytic<\/p>\n\n\n\n
D. Vaso-occulusive – ANSWER- B
In developing a teaching plan for a 5 y\/o with diabetes, which
component of diabetic management should the nurse plan for the child to
manage first?
A. Food planning and selection
B. Administering insulin injections
C. Process of glucose testing
D. Drawing up the correct insulin dose – ANSWER- C
ABD: Require more advanced cognitive and psychomotor skills and
have greater potential for errors
A 16 y\/o is brought to ED with a crushed leg after falling off a horse.
The adolescent’s last tetanus toxoid booster was received 8 years ago.
What action should the nurse take?
A. Dispense a tetanus antitoxin
B. Prepare human tetanus immune globulin
C. Administer tetanus toxoid booster
D. Delay the tetanus toxoid booster until due – ANSWER- C
The booster is recommended every 10 years UNLESS there is a
traumatic injury that is contaminated by dirt, feces, soil or saliva.
The nurse is giving a liquid iron preparation to a 3 y\/o child. Which
technique should the nurse implement to engage the child’s cooperation?
A. use a colorful straw
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