PEDIATRICS HESI 2023 ACTUAL EXAM 400 REAL EXAM QUESTIONS AND ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ACTUAL PEDIATRICS HESI 2023-2024 ACTUAL EXAM/ AGRADE (BRAND NEW!!)
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin
elixir. Which observation by the nurse warrants immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute. - ANSWER-Apical heart rate of 60.
A heart rate of 60 (A) is much lower than normal for a 6-month-old and warrants
immediate intervention. The normal heart rate for a 6-month-old is 80 to 150 BPM
when awake, and a rate of 70 while sleeping is considered within normal limits. (B
and C) are expected symptoms of heart failure in an infant. (D) is within normal
limits for an infant.
The nurse is teaching the parents of a 5-year-old with cystic fibrosis about
respiratory treatments. Which statement indicates to the nurse that the parents
understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a lot.
Administer aerosol therapy followed by postural drainage before meals.
Ensure respiratory therapy is done daily during any respiratory infection. -
ANSWER-Administer aerosol therapy followed by postural drainage before meals.
Postural drainage for a child with cystic fibrosis is most effective when performed
after nebulization and before meals (C) or at least 1 hour after eating to prevent
nausea and vomiting. Postural drainage uses gravity to promote mucous removal
after nebulization (A) treatments which open the airways. Pulmonary toileting or
respiratory treatments should be given 3 to 4 times daily, not episodically (B and
D)
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