(Peds) HESI Practice Questions
The nurse is caring for a 3-month-old infant whose abdomen is distended and whose vomitus is bile stained. Which clinical manifestation supports the suspicion of intestinal obstruction? Select all that apply A. Weak pulse B. Hypotonicity C. High-pitched cry D. Paroxysmal pain E. Grunting respirations
D. Paroxysmal pain (episodic pain) E. Grunting respirations
Which conclusion would the nurse have when a parent shares, "My 2.5-year-old child only uses two-word phrases when talking, and I can only understand them maybe a quarter of the time"? A. This is expected for the child's age B. This is advanced beyond the age of 2.5 years C. This evidence of an overall developmental delay D. This indicates a likely language delay
D. This indicates a likely language delay
An infant w/ persistent diarrhea is subject to significant fluid and electrolyte alterations. Which physiologic imbalance would the nurse MOST likely encounter? Select all that apply. A. Hypovolemia B. Hyperkalemia C. Hypercalcemia D. Metabolic acidosis E. Decreased hematocrit
A. Hypovolemia D. Metabolic acidosis
The nurse documents that a child lacks physical readiness for toilet training. Which assessment finding supports the nurse's conclusion? A. The child wets 2 diaper per day B. The child stays dry for 1 hour during the day C. The child behaves impatiently w/ soiled diapers D. The child sits on the toilet for 6 minutes w/out fussing
B. The child stays dry for 1 hour during the day
Which assessment findings would indicate a possible asthma exacerbation? Select all that apply A. Fever B. Stridor C. Wheezing D. Tachycardia E. Hypotension
C. Wheezing D. Tachycardia
The nurse is documenting the assessment findings of four preschool children. Which child would the nurse suspect had delayed cognitive development? Preschooler A- No proper understanding of left and right Preschooler B- Unable the cause and effect of an injury Preschooler C- Unable to interpret time Preschooler D- Unable to imitate others
Preschooler D- Unable to imitate others
The nurse is teaching a child w/ asthma breathing exercises using techniques in play situation, and the child performs a repeat demonstration for the nurse. Which technique indicates the child needs further teaching? A. Moving a cotton ball when inhaling B. Singing songs containing long phrases C. Puffing through a straw to move small items D. Blowing through a plastic pipe to make soap bubbles
A. Moving a cotton ball when inhaling
Which procedure would the nurse anticipate to confirm the diagnosis of Hirschsprung disease (congenital aganglionic megacolon) in a 1-month-old infant? A. Colonoscopy B. Rectal biopsy C. Multiple saline enemas D. Fiberoptic nasoenteric tube
B. Rectal biopsy
Which physical assessment finding would the nurse expect in a 9-month-old infant w/ severe dehydration? A. Frothy stools B. Weak, rapid pulse C. Pale, copious urine D. Bulging anterior fontanel
B. Weak, rapid pulse
Which therapy would the nurse manager recommend for young children w/ viral infection-related diarrhea? A. A bananas, rice, applesauce, and tea/toast (BRAT) diet until after the diarrhea has stopped B. An antiviral agent until the prescription is finished C. Oral rehydration therapy (ORT) until fluid balance is restored D. Antidiarrheal agent after each stool until stools become formed
C. Oral rehydration therapy (ORT) until fluid balance is restored
Which action of a female client after teaching on prevention of urinary tract infections indicates need for additional teaching? A. Drinking yeast-active milk B. Wearing loose-fitted clothes C. Taking frequent bubble baths D. Using hosiery with a cotton crotch
C. Taking frequent bubble baths
Which assessment finding would the nurse recognize as a sign that intravenous lactated Ringer solution was effective in treating an infant w/ dehydration from acute gastroenteritis? A. Tenting turgor B. Pale mucous membranes C. Three wet diapers in 24 hours D. Capillary refill longer than 2 seconds
C. Three wet diapers in 24 hours
Which instruction would the nurse give to the parent of a child who has had one episode of diarrhea according to evidence-based practice for this situation? A. Limit the child's activities, withhold oral feedings, and call the clinic in 4 hours B. Wrap the child snugly, offer sugar water, and bring the child to the clinic immediately C. Allow the child to continue activities, withhold oral feedings for 24 hours, and call the clinic tomorrow D. Continue the child's feedings as usual, observe the frequency of stools, and bring the child to the clinic tomorrow if the diarrhea continues
D. Continue the child's feedings as usual, observe the frequency of stools, and bring the child to the clinic tomorrow if the diarrhea continues
Which action is a priority for the nurse to implement for an infant admitted w/ a diagnosis of diarrhea caused by a Salmonella infection? A. Monitoring oral fluid intake B. Establishing a play schedule C. Obtaining a recent food history D. Establishing a skin care routine
D. Establishing a skin care routine
For which complication would the nurse assess an infant w/ gastroesophageal reflux? A. Bowel obstruction B. Abdominal distention C. Increased hematocrit D. Respiratory problems
D. Respiratory problems
A 15-year-old adolescent w/ Down syndrome is scheduled for surgery. The parent informs the nurse that their child has a mental age of 8 years. At which age level would the nurse prepare the child's preoperative teaching plan? A. Adult, for the parent to understand B. Specific age, as ordered by the health care provider (HCP) C. Adolescent, because this is the child's chronological age D. School-age, because this is the child's developmental age
D. School-age, because this is the child's developmental age
Which assessment finding would the nurse expect for a 2-month-old infant admitted to the pediatric unit w/ gastroenteritis and dehydration? A. Bulging fontanels B. Marked restlessness C. Resilient tissue turgor D. Tachycardia
D. Tachycardia
Why is it essential for the nurse to obtain the height and weight of a severely dehydrated toddler? A. The extent of dehydration is based on these measurements B. These measurements are used as the baseline for future growth C. The management of dietary needs is based on height and weight D. The values are used to calculate fluid replacement and medication dosages
D. The values are used to calculate fluid replacement and medication dosages
The nurse is caring for a 10-year-old male client who was admitted to the hospital with report of acute pain in the lower right abdomen. His parents are Spanish speaking only. The interpreter reports that the child complained of pain "a few days" ago, but the pain subsided until today. His parents also report that the child is up-to-date on his immunizations and had a tonsillectomy and ear tubes at 2 years of age. The nurse reviews the listed admission assessment findings. Select all that apply to the assessment findings that require follow-up by the nurse. -Parents are Spanish speaking -Pain "a few days" ago, but then improved until today -Temperature= 102 F -Heart rate= 123 BPM -Respirations= 34 breaths/min -Oxygen Sat.= 93% (on room air) -Weight= 58 lbs (26.3 kg) -Acute pain= 10/10 on a 0 to 10 pain scale -CT scan w/ contrast= inflammation of the appendix w/ fecalith present; free fluid and a 3 mm x 5 mm area of localized fluid formation present -WBCs= 18,800 -Hemoglobin= 14.8 g/dL -Platelets= 202,000/ mm -Potassium= 3.9 mEq/L -CO2= 18 mEq/L -Creatinine= 0.7 mg/dL -BUN= 17 md/dL
-Parents are Spanish speaking -Pain "a few days" ago, but then improved until today -Temperature= 102 F -Heart rate= 123 BPM -Respirations= 34 breaths/min -Acute pain= 10/10 on a 0 to 10 pain scale -CT scan w/ contrast= inflammation of the appendix w/ fecalith present; free fluid and a 3 mm x 5 mm area of localized fluid formation present -WBCs=18,800 -CO2= 18 mEq/L
Which response would the nurse provide the parent for a 2-year-old child w/ newly diagnosed cystic fibrosis who expresses concern about the child's frailty and low weight? A. "Digestive enzymes will be given to help your child digest food." B. "Your child's appetite will improve once respiratory therapy is started." C. "Your child's coughing and shortness of breath prevent the adequate chewing of food." D. "I suggest that you offer baby foods to your child because they are more easily digested."
A. "Digestive enzymes will be given to help your child digest food."
The nurse is teaching skin and basic care to the parent of a 6-month-old infant w/ eczema. Which statement indicates that the parent needs further teaching? A. "I'll have to be careful not to cut my baby's nails short." B. "I gave all of my baby's wool blankets to my nephew." C. "The baby can't use scented lotion or body wash anymore." D. "I'll moisturize my baby's skin every morning and night."
A. "I'll have to be careful not to cut my baby's nails short."
Which statement by an adolescent about sickle cell anemia would cause the nurse to conclude that the teaching has been understood? A. "I'll start to have symptoms when I drink less fluid." B. "I'll start to have symptoms when I have fewer platelets." C. "I'll start to have symptoms when I decrease the iron in my diet." D. "I'll start to have symptoms when I have fewer white blood cells."
A. "I'll start to have symptoms when I drink less fluid."
Which statement by an adolescent w/ hemophilia indicates a need for further teaching? A. "I'll use a straight razor when I start shaving." B. "I plan on trying out for the swim team next year." C. "If I injure a joint, I'll keep it still, elevate it, and apply ice." D. "If I get a little scratch, I can apply gentle pressure for 10 to 15 minutes."
A. "I'll use a straight razor when I start shaving."
The nurse is obtaining the health history of a 7-month-old infant who has had repeated episodes of otitis media. Which question is most important for the nurse to include in the interview w/ the mother? A. "Please describe how you position your child during feedings." B. "Tell me how often your child has had ear infections." C. "What medicine do you give your child for the ear infections?" D. "Please describe your oral health practices."
A. "Please describe how you position your child during feedings."
A 6-month- infant weighing 15 lb (6.8 kg) has a prescription for oral rehydration therapy 4 mL/kg electrolyte replacement over 4 hours. Which is the approximate amount of fluid that the infants should ingest during the 4 hours? A. 28 mL B. 32 mL C. 38 mL D. 42 mL
A. 28 mL
From which client would the nurse expect dramatic physical growth and marked development? A. 9-month-old infant B. 24-month-old toddler C. 4-year-old preschool-age child D. 10-year-old school-age child
A. 9-month-old infant
The nurse is caring for a newborn born at 39 weeks' gestation 1 hour ago. What evidence-based care will the nurse provide to the newborn during the transitional period? Select all that apply. A. Administer hepatitis B vaccine per protocol. B. Assess for hypoxia. C. Administer oxygen therapy per protocol. D. Perform a gestational assessment. E. Administer intramuscular vitamin K per protocol. F. Complete an otoacoustic test. G. Encourage skin-to-skin contact with the baby's mother. H. Complete congenital cardiac heart defect screening. I. Place identification and security safety bands on the newborn.
A. Administer hepatitis B vaccine per protocol. B. Assess for hypoxia. D. Perform a gestational assessment. E. Administer intramuscular vitamin K per protocol. G. Encourage skin-to-skin contact with the baby's mother.
Which statement correlates w/ the observation that the children of adolescent mothers experience more cognitive developmental problems than children of adult mothers? Select all that apply A. Adolescent mothers may lack parental competence B. Adolescent mothers are younger than adult mothers C. Adolescent mothers may view the infant as a plaything D. Adolescent mothers may be reluctant to seek medical care E. Adolescent mothers usually conceive before they have pelvic adequacy
A. Adolescent mothers may lack parental competence C. Adolescent mothers may view the infant as a plaything
Which child is the BEST roommate option for a child admitted in a vasoocclusive sickle cell crisis? A. Child w/ thalassemia B. Child w/ osteomyelitis C. Child w/ viral pneumonia D. Child w/ acute pharyngitis
A. Child w/ thalassemia
Which treatment would the nurse anticipate for an infant admitted w/ bronchiolitis caused by RSV? A. Humidified cool air and adequate hydration B. Postural drainage and oxygen by hood C. Bronchodilators and cough suppressants D. Corticosteroids and broad-spectrum antibiotics
A. Humidified cool air and adequate hydration
Which goal would the nurse identify for a toddler w/ dehydration caused by diarrhea? A. Improvement of fluid balance B. Continuation of an antidiarrheal diet C. Administration of antimicrobial treatments D. Retention of weight appropriate for height
A. Improvement of fluid balance
Which developmental evaluation would the nurse make when parents tell the nurse that their 7-month-old infant has just started sitting w/out support? A. Is expected developmental behavior at this age B. Is an indication that walking will begin within 2 months C. Reflects infants in the upper 10% of physical development D. Indicates a possible developmental delay requiring further evaluation
A. Is expected developmental behavior at this age
Which complication would the nurse recognize as associated w/ frequent episodes of otitis media infants? Select all that applies A. Mastoiditis B. Heart failure C. Hearing loss D. Gastroenteritis E. Bacterial meningitis
A. Mastoiditis C. Hearing loss E. Bacterial meningitis
Which clinical finding would the nurse recognize as an early sign of cystic fibrosis in a neonate? A. Meconium ileus B. Imperforate anus C. Hemoglobin level of 20 g/dL D. Total bilirubin level of 8 mg/ dL
A. Meconium ileus
Which task would be considered developmentally appropriate for a 2-year-old to complete? Select all that apply A. Putting socks on feet B. Washing and drying hands C. Using fingers to eat food D. Building a tower of four cubes E. Identify facial body parts
A. Putting socks on feet B. Washing and drying hands C. Using fingers to eat food D. Building a tower of four cubes E. Identify facial body parts
A 12-year-old child w/ sickle cell anemia is admitted during a vasoocclusive crisis. Which is the priority of care for this child? A. Relieving pain B. Exercising joints C. Increasing urine output D. Improving respirations
A. Relieving pain
A 3-year-old child is admitted w/ partial- and full-thickness burns over 30% of the body. Which significant adverse outcome during the first 48 hours would the nurse attempt to prevent? A. Shock B. Pneumonia C. Contractures D. Hypertension
A. Shock
Which intervention is used by a nurse caring for an adolescent child w/ sickle cell anemia? A. Teaching the family how to limit sickling episodes B. Preparing the child for occasional blood transfusions C. Educating the family about prophylactic medications D. Explaining to the child how to excess oxygen
A. Teaching the family how to limit sickling episodes
Which behavior of a 3-year-old child indicates delayed development? Select all that apply A. The child is unable to feed themself B. The child is unable to climb the stairs D. The child is unable to count when asked E. The child is unable to tie their shoes
A. The child is unable to feed themself B. The child is unable to climb the stairs
Which clinical signs of hydration would the nurses assess in a toddler experiencing a sickle cell crisis? Select all that apply A. Turgor of tissue B. Edema of the ankles C. Specific gravity of urine D. Amount of urinary output E. Texture of mucous membranes
A. Turgor of tissue E. Texture of mucous membranes
An 8-year-old male client complained to his parents about right ear pain for 2 days. He has multiple allergies, for which he takes fluticasone propionate 50 mcg (1 spray per nostril) once daily. His father took him to the primary health care provider, where the child's temperature was 102.4°F (39.1°C). After an evaluation, the provider recommended symptomatic relief with ibuprofen for comfort and pseudoephedrine to decrease fluid congestion in the child's middle ear. Three days later the child's temperature increased to 104°F (40°C) and he woke up crying with severe right ear pain. The primary health care provider placed the child on amoxicillin for otitis media with a follow-up visit in 5 days. The nurse teaches the father about the child's drug therapy. Which statement(s) by the father indicates a need for further teaching about drug therapy for this child? Select all that apply. A "Amoxicillin is a commonly prescribed penicillin drug for ear infections. B "When his ear feels better, he can stop taking the amoxicillin. C"I will watch for any skin rash that may occur when he takes this antibiotic. D"I know that amoxicillin gave my child diarrhea the last time, so I'll give it with meals. E"I will continue to give my child ibuprofen or acetaminophen for his fever. F"I will discontinue his nose spray and decongestant while he is taking this antibiotic."
B "When his ear feels better, he can stop taking the amoxicillin. F"I will discontinue his nose spray and decongestant while he is taking this antibiotic."
The nurse is providing care to an infant diagnosed w/ Down syndrome. Which parental statement related to the infant's growth indicates the need for further education? A. "My baby will have growth deficiencies during infancy." B. "My child will have accelerated growth during adolescence." C. "My child will most likely be overweight by 3 years of age." D. "My baby will have reduced growth in both height and weight."
B. "My child will have accelerated growth during adolescence."
Which recommendation would the nurse provide the parent of a 14-month-old child about bowel training? A. "Place the child on the toilet every 2 hours." B. "Start by purchasing a potty chair." C. " Avoid bowel training until the child is 2 years old." D. "Begin before the child's diet consists mainly of solid foods."
B. "Start by purchasing a potty chair."
Which parental statement would prompt the nurse to provide education for a 3-year-old child w/ cystic fibrosis? A. "We will need to carefully track our child's caloric intake." B. "We'll have to move to a very warm climate." C. "Our child will be taking pancreatic enzymes w/ meals." D. "Our child will need skin care after each bowel movement."
B. "We'll have to move to a very warm climate."
Based on the child's stage of development, on which injuries would the nurse place a bandage on a preschool-aged client? Select all that apply A. A fractured arm B. An injection site C. A sutured surgical site D. A leg that is being x-ray E. Any site that is bruised on the skin
B. An injection site C. A sutured surgical site
Which vaginal infection would a nurse suspect in a client who is prescribed clotrimazole? A. Chlamydia B. Candidiasis C. Trichomoniasis D. Bacterial vaginosis
B. Candidiasis
Which information would the nurse include when educating a group of daycare workers on infection control guidelines? Select all that apply A. Child pick-up B. Cleaning toys C. Hand hygiene D. Food preparation E. Medication administration
B. Cleaning toys C. Hand hygiene D. Food preparation
An infant is hospitalized with severe diarrhea and has excoriated skin in the diaper area. Which is the nurse's explanation for leaving the child w/out a diaper? A. Exposing the excoriated areas helps reduce the fever B. Cleansing of the skin followed by air-dry reduces excoriation C. Air-dry the perineal area prevents the diaper from sticking to the skin D. Leaving the area exposed allows observation of when the infant passes stool
B. Cleansing of the skin followed by air-dry reduces excoriation
Which nursing assessment finding indicates dehydration in an infant? A. Flat anterior fontanel B. Decreased urine output C. Warm skin temperature D. Slow, labored respirations
B. Decreased urine output
A protruding tongue and a crease that transverse the entire width of each palm are characteristic of which congenital condition? A. Hypothyroidism B. Down syndrome C. Turner syndrome D. Fetal alcohol syndrome
B. Down syndrome
Which infection would the nurse monitor for in the toddler based on structural characteristics at this age? Select all that apply A. Bronchiolitis B. Ear infection C. Acute sinusitis D. Laryngotracheobronchitis E. Inflammation of the tonsils
B. Ear infection C. Acute sinusitis D. Laryngotracheobronchitis E. Inflammation of the tonsils
A 3-year-old child is to undergo myringotomy and have tubes implanted surgically after multiple episodes of otitis media. Which recommendation would the nurse include in the discharge preparation for this family? A. Keep the child at home for 1 week B. Insert earplugs during the child's bath C. Apply an ointment to the ear canal daily D. Use cotton swabs to clean the inner ears
B. Insert earplugs during the child's bath
Which information would the nurse emphasize when teaching lifelong management of type 1 diabetes to an adolescent? A. Soaking the feet in hot water each day B. Inspecting both feet frequently for signs of trauma C. Drying the feet thoroughly after a bath by rubbing w/ a towel D. Treating minor cuts on the feet w/ antiseptic such as iodine
B. Inspecting both feet frequently for signs of trauma
An infant is admitted to the pediatric unit w/ bronchiolitis caused by respiratory syncytial virus (RSV). Which intervention would the nurse provide for the infant? Select all that apply A. Limiting fluid intake B. Instilling saline nose drops C. Maintaining contact precautions D. Nasal suctioning to remove mucus E. Administering inhaled bronchodilators
B. Instilling saline nose drops C. Maintaining contact precautions D. Nasal suctioning to remove mucus
Which rationale would lead the nurse to question an order for a tap water enema for a 6-month-old infant w/ suspected Hirschsprung disease? A. Necessary nutrients could be lost B. It could cause a fluid and electrolyte imbalance C. It could increase the fear of intrusive procedures D. The result could cause shock from a sudden drop in temperature
B. It could cause a fluid and electrolyte imbalance
The nurse is teaching the parent of a toddler w/ a recent diagnosis of hemophilia about the disease. Which area of the body would the nurse include as the MOST common site for bleeding? A. Brain B. Joints C. Kidneys D. Abdomen
B. Joints
Which action would the nurse include in the plan for care for a 6-month-old infant with RSV who is in respiratory distress? A. Begin a clear fluid diet B. Maintain droplet and contact precautions C. Administer prescribed antibiotic immediately D. Allow parents and siblings to room in w/ the infant
B. Maintain droplet and contact precautions
Which nursing action is the PRIORITY in the care of a young child w/ severe diarrhea? A. Measuring daily urine output B. Maintaining fluid and electrolyte balance C. Replacing the lost calories w/ high-fiber foods D. Promoting perianal skin integrity by bathing often
B. Maintaining fluid and electrolyte balance
A 2-year-old toddler has hearing loss caused by recurrent otitis media. Which treatment would the nurse anticipate that the practitioner will recommend? A. Eardrops B. Myringotomy C. Mastoidectomy D. Steroid therapy
B. Myringotomy
Which intervention is important in the care of a hospitalized toddler w/ cystic fibrosis? A. Discouraging coughing B. Performing postural drainage C. Encourage active exercise D. Providing small, frequent feedings
B. Performing postural drainage
A child w/ sickle cell anemia is admitted to the pediatric unit in a vasoocclusive crisis. Which interventions would be implemented after the pain is under control? Select all that apply A. Antibiotics B. Rehydration C. Oxygen Therapy D. Nutritional supplements E. Psychological counseling
B. Rehydration C. Oxygen Therapy
Which parent education would the nurse provide the mother of an infant recently treated for severe dehydration related to diarrhea? A. Importance of a well-balanced diet B. Signs of dehydration in infants C. The need for cleanliness of feeding utensils D. Effect of antibiotics on viral gastroenteritis
B. Signs of dehydration in infants
Which is the BEST schedule for chest physiotherapy (CPT) for the child with a diagnosis of cystic fibrosis (CF)? A. Three times a day, before meals B. Three times a day, halfway between meals C. Two times a day, on awakening and at bedtime D. Two times a day, after breakfast and after dinner
B. Three times a day, halfway between meals
Which intervention would the nurse provide a 3-month -old infant hospitalized with respiratory syncytial virus (RSV)? A. administering an antiviral agent B. clustering care to conserve energy C. administering a bronchodilator q4hrs D. providing an antitussive agent whenever necessary
B. clustering care to conserve energy
What condition is commonly seen following infestation with pediculosis capitis (head lice)? A. eczema B. impetigo C. cellulitis D. folliculitis
B. impetigo
Which education would the nurse provide the parent of a preschool child with atopic dermatitis? A. "Scratching causes lesions to become more contagious" B. "Scratching spreads dermatitis to other areas of the body" C. "Scratches results in skin breaks that can lead to infection" D. "Scratches produces changes that are precursors to skin cancer"
C. "Scratches results in skin breaks that can lead to infection"
A 6-month-old infant w/ cystic fibrosis had an order for cupping, percussion, and postural drainage every 4 hours. Which is the BEST time to schedule chest physiotherapy? A. During each feeding B. Just before feedings C. 2 hours after feedings D. Immediately after every feeding
C. 2 hours after feedings
Which assessment finding would the nurse recognize as common infants w/ Down syndrome? A. Bulging fontanels B. Stiff lower extremities C. Abnormal heart sounds D. Unusual pupillary reactions
C. Abnormal heart sounds
Which assessment findings would the nurse recognize as common in infants with Down Syndrome? A. bulging fontanels B. stiff lower extremities C. abnormal heart sounds D. unusual pupillary reactions
C. Abnormal heart sounds
Which recommendation would the nurse emphasize during discharge planning for a child after a sickle cell vasoocclusive crisis? A. A high-calorie diet B. A rigorous exercise regimen C. An increased intake of fluids D. An increase in hours spent sleeping
C. An increased intake of fluids
Which assessment would the nurse use to evaluate the severity of dehydration in a hospitalized infant w/ dry mucous membranes, absence of tears when the infant cries, and poor skin turgor? A. Daily serum electrolytes B. Respiratory rate and rhythm C. Change in weight from prior measurement D. Alterations in hearts sounds since admission
C. Change in weight from prior measurement
Which assessment finding would the nurse expect in an infant who has undergone myringotomy for recurrent otitis media? A. Difficulty voiding B. Excessive tearing C. Drainage into the external auditory canal D. Symptoms of central nervous system irritation
C. Drainage into the external auditory canal
Which behavior would the nurse teach to a preschool-age client to avoid the risk of altered growth and development? A. Trust B. Empathy C. Impulse Control D. Problem-solving
C. Impulse Control
An infant has been vomiting after each feeding, and the physical assessment reveals poor skin turgor, a sunken anterior fontanel, and tremors. Which process would the nurse suspect as causing the infant's acid-base imbalance? A. Retention of potassium in the cells B. Loss of fluid by way of the kidneys C. Loss of chloride ions through vomiting D. Reduction of blood supply to body cells
C. Loss of chloride ions through vomiting
Which assessment finding would the nurse report to the primary health care provider because it likely indicates pyloric stenosis? A. Loud bowel sounds B. Sudden expulsion of diarrheal stool C. Peristaltic waves that traverse the epigastrium D. Regurgitation of a portion of the feeding when burped
C. Peristaltic waves that traverse the epigastrium
Which parent teaching would the nurse provide for an infant who has eczema? A. Ensuring physical growth B. Identify causative factors C. Providing adequate hydration D. Applying daily topical corticosteroids
C. Providing adequate hydration
Before administering a nasogastric feeding to a preterm infant, the nurse aspirates a small amount of residual fluid from the stomach. Which action would the nurse take next? A. Return the aspirate and withhold the feeding B. Discard the aspirate and administer the full feeding C. Return the aspirate and administer the full feeding D. Discard the aspirate and add an equal amount of normal saline solution to the feeding
C. Return the aspirate and administer the full feeding
Which education would the nurse provide the parent of a 3-year-old w/ sickle cell anemia about splenomegaly during a pain crisis? A. Common in infancy B. Difficult to palpate in children C. Triggered by a vasoocclusive crisis D. Most common during late childhood
C. Triggered by a vasoocclusive crisis
Which strategy would the nurse provide unlicensed assistive personnel when caring for a child admitted to the hospital w/ severe diarrhea? A. Limiting fluid intake B. Counting the number of wet diapers C. Weighing the child at the same time every day D. Encouraging a bananas, rice, applesauce, and toast (BRAT) diet
C. Weighing the child at the same time every day
Which parent education would the nurse provide for a 4-month-old infant w/ a newly diagnosed acute otitis media and fever? A. " Anti-inflammatory medications are recommended for this condition" B. " Typically antiviral medications are given to treat acute otitis media" C. " Current practice is to wait 72 hours to see whether the condition resolves" D. " Antibiotics are recommended for infants younger than 6 months w/ acute otitis media"
D. " Antibiotics are recommended for infants younger than 6 months w/ acute otitis media"
Which recommendation would the nurse provide the parent of a 7-year-old child who is concerned that the child is experiencing bedwetting and is afraid of the dark? Select all that apply A. "Take your child for a walk before going to bed." B. "Provide nutritious food to your child at dinner." C. "Give your child a glass of milk before going to bed." D. "Allow your child to keep a light on in the bedroom at night." E. "Encourage your child to copy their siblings who sleep alone in their rooms."
D. "Allow your child to keep a light on in the bedroom at night." E. "Encourage your child to copy their siblings who sleep alone in their rooms."
Which recommendation from the school nurse to the parent of an older child reflects the safest plan for managing the child's asthma in the school setting? A. "Your child's inhaler will be kept locked in the health center" B. "I will provide all supervision when your child uses the inhaler" C. "Your child's teacher will supervise your child's use of the inhaler" D. "I need your permission for your child to carry the inhaler at all times"
D. "I need your permission for your child to carry the inhaler at all times"
Which education would the nurse provide the parents of a 6-week-old immunocompromised infant about why their baby is still so healthy? A. Exposure to pathogens during this time can be limited B. Some antibiotics are produced by the infant's colonic bacteria C. Bottle feeding w/ soy formula has boosted the immune system D. Antibodies are passively received from the mother through the placenta and breast milk
D. Antibodies are passively received from the mother through the placenta and breast milk
Which assessment would the nurse PRIORITIZE for a newborn w/ Down Syndrome? A. Reflex responses for hypotonicity B. Eye examination for congenital cataracts C. Sensory examination for muscle flaccidity D. Cardiac irregularities for congenital heart disease
D. Cardiac irregularities for congenital heart disease
Which education would the nurse provide to the parent of a child being discharged after an asthma exacerbation? A. Avoid high-fat foods B. Stay at home for 2 weeks C. Increase protein and calorie intake D. Minimize exertion and exposure to cold
D. Minimize exertion and exposure to cold
Which activity would the nurse suggest to the parent of a child w/ sickle cell anemia who tells the nurse that the family is going camping by a lake in the mountains this summer? A. Swimming in the lake B. Soccer with the family C. Climbing the mountain trails D. Motorboat rides around the lake
D. Motorboat rides around the lake
Which is the priority nursing action to facilitate growth and development when providing care to a pediatric client who is diagnosed w/ a chronic illness? A. Monitoring growth patterns and plotting on the growth chart B. Teaching the client and family how the illness affects physical growth C. Assessing stage of development frequently and documenting it in the medical record D. Planning activities to promote progression from one stage of development to the next
D. Planning activities to promote progression from one stage of development to the next
