peds hesi Flashcards
The nurse is planning care for a 5 - month-old with gastroesophageal reflux disease whose
weight has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric
intake and decrease vomiting, what instruction should the nurse provide this mother?
a. Dilute the child’s formula with equal parts of water
b. Offer 10% dextrose in water between most feeding
c, Give small amounts of baby food with each feeding
d. Thicken formula with cereal for each feeding
d. Thicken formula with cereal for each feeding
4-years-old boy was recently diagnosed with Duchenne muscular dystrophy (DMD). Which
characteristic of the disease is most important for the nurse to focus on during the initial
teaching?
a. Muscular strength can be regained with physical exercise and therapy
b. Growth and development have been abnormal since birth
c. Respiratory dysfunction and aspiration are prime concerns at this stage of the disease
d. Lower legs become progressively weaker, causing a wedding, unsteady gait
d. Lower legs become progressively weaker, causing a wedding, unsteady gait
In caring for an client with acute epiglottitis, which nursing action takes priority?
a. Obtain a STAT CBC
b. Prepare for endotracheal intubation
c. Auscultate breath sounds
d. Apply ice packs to the neck
b. Prepare for endotracheal intubation
Which client requires immediate intervention by the nurse?
- A toddler with chickenpox who is scratching
- An adolescent with a migraine and photophobia
- A child with cystic fibrosis who is constipated
- A Child with acute renal failure and hyperkalemia
•A Child with acute renal failure and hyperkalemia
A toddler with hemophilia is being discharged from the hospital. Which teaching should the
nurse include in the discharge instructions to the mother?
a. Apply padding on the sharp corners of the furniture
b. Prevent the child from running inside the house
c. Give an 81 mg tablet of aspirin for pain relief
d. Use a soft toothbrush for frequent cleaning
a. Apply padding on the sharp corners of the furniture
The nurse is using the Stage Questionnaire (b) to assess a 24 - month-old child. What is the best
intervention for the nurse to initiate after the assessment is completed?
a. Assess for changes in the vital signs
b. Review the child’s birth history
c. Provide the parents with a list of stimulating activities
d. Meet with a social worker to review the results
c. Provide the parents with a list of stimulating activities
When caring for a child sickle cell disease, the nurse knows that the child will most likely exhibit which sign when experiencing a sickle cell crisis?
- Decreased hemoglobin
- Pain
- Infection
- Dehydration
Pain
The nurse is administering an oral medication to a reluctant preschool-age boy. Which
intervention should the nurse implement?
- Advise the parents that they will need to give the medication
- Use straightforward approach with the child
- Mix the medication in with the child’s favorite breakfast cereal
- Offer to bring the medicine back later in the day
• Use straightforward approach with the child
The nurse is planning care for a newborn infant scheduled for a cardiac catheterization. Which
occurrence poses the greatest risk for this child?
- Loss of pulse proximal to the entry side of the catheter
- Allergic response to the plastics in the catheter used for catheterization
- Acute hemorrhage from the entry site of the catheter after the procedure
- Fever associated with nausea and vomiting after the procedure
• Acute hemorrhage from the entry site of the catheter after the procedure
The school nurse is presenting a seminar to parents about child safety that focuses on
prevention of spinal cord injuries. What information is most important for the nurse include in
the teaching plan?
- Trampoline activities of school-aged children should be supervised by adults
- Protective gear to prevent neck flexion should be worn during contact sports
- Seat belt and car seat laws for use in motor vehicles should be reinforced
- Monkey bars should be removed from school playgrounds to reduce falls
• Seat belt and car seat laws for use in motor vehicles should be reinforced
A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his
earlobe for the past 12 hours. The child’s oral temperature is 101.2 F (38 C). Which intervention
should the nurse implement?
- Provide parent education to prevent recurrence
- Clearance purulent exudate from the affected ear canal
- Apply a topical antibiotic to the preauricular area
- Ask the mother if the child has had a runny nose
• Ask the mother if the child has had a runny nose
A 4-month-old boy has an inguinal hernia that is visible when he cries, but it does not cause him
discomfort. His parents ask if the hernia should be repaired now. The nurse’s response should
be based on what information?
- An inguinal hernia is treated as a surgical emergency
- Surgical repair is planned after successful toilet training
- An inguinal hernia is surgically repaired if persistent diarrhea occurs
- Surgical correction is indicated if the hernia is incarcerated
• Surgical repair is planned after successful toilet training
A 2-year-old child with heart failure (HF) is admitted for replacement of a graft for coarctation of
the aorta. Prior to administering the dose of digoxin (Lanoxin), the nurse obtains an apical heart
rate of 128 beast| minute. What action should the nurse implement?
- Determined the pulse déficit
- Calculate the safe dose range
- Administer the scheduled dose
- Review the serum digoxin level
• Administer the scheduled dose
The nurse is assisting the mother of child with phenylketonuria (PKU) to select foods that are in keeping with the child’s dietary restrictions. Which foods are contraindicated for this child?
- High fat foods
- Foods sweetened with aspartame
- Wheat products
- High calorie foods
• Foods sweetened with aspartame
During a routine physical exam, a male adolescent client tell the nurse, “ Sometimes, my mother
gets angry because I want to be with my own friends”. What is the best initial response by the
nurse?
- Offer to discuss his concerns together with his mother
- Ask about client’s response to his mother’s age
- Determine if his friends are engaged unsafe behaviors
- Offer reassurance that his mother’s concern is normal
• Ask about client’s response to his mother’s age
