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HESI PEDIATRICS 2024 LATEST EXAM FORM A - PRACTICE QUESTIONS
Gebruik de 32 oefenvragen om jezelf voor te bereiden en te testen of je de leerstof kent.
Voorbeeld (8 van de 32 oefenvragen)
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DownloadA 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurse warrants immediate intervention?
Omdraaien
A- Apical heart rate of 60Rationale: A heart rate of 60 is much lower than normal for a 6-month-old and warrants immediate intervention. The normal heart rate for a 6-month-old is 80-150 when awake, and a rate of 70 while sleeping is considered within normal limits.
The nurse is giving preoperative instructions to a 14-year-old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place?
Omdraaien
A- I understand that I will be in a body cast and I will show you how you taught me to turnRationale: Outcome of learning is best demonstrated when the client not only verbalizes an understanding but can also provide a return demonstration.
During administration of a blood transfusion, a child complains of chills, headache, and nausea. Which action should the nurse implement?
Omdraaien
A- Stop the infusion immediately and notify the healthcare providerRationale: The child is exhibiting signs of a reaction to the blood transfusion. The blood transfusion should be stopped immediately and the healthcare provider notified. After the transfusion is discontinued, IV access should be maintained. Placing the child at risk for further blood reactions (B & D) is not appropriate.
The clinic nurse is taking the history for a new 6-month-old client. The mother reports that she took a great deal of aspirin while pregnant. Which assessment should the nurse obtain?
Omdraaien
A- Type of reaction to loud noisesRationale: Ototoxicity diminishes hearing acuity and causes symptoms of tinnitus and vertigo in older children who can express subjective symptoms. Assessing the infants reaction to loud noises helps to determine an infants risk for hearing deficit related to a history of the mother taking ototoxic drugs, such as aspirin, during pregnancy.
The mother of a preschool-aged child asks the nurse if it is all right to administer Pepto Bismol to her son when he has a tummy ache. After reminding the mother to check the label of all OTC drugs for the presence of aspirin, which instruction should the nurse include when replying to this mothers question?
Omdraaien
A- Do not give if the child has chickenpox, the flu, or any other viral illnessRationale: Pepto Bismol contains aspirin, and there is the potential for Reyes syndrome. The nurse should instruct the mother not to give Pepto Bismol if the child has chickenpox, the flu, or any other viral illness. The other options are not relevant to the use of Pepto Bismol.
A 3-month-old infant develops oral thrush. Which pharmacologic agent should the nurse plan to administer for the treatment of this disorder?
Omdraaien
A- Nystatin (Mycostatin)Rationale: Nystatin (Mycostatin) is an antifungal drug that is effective in treating thrush, an oral fungal infection.
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?
Omdraaien
A- Give the child a ride on a gurney to visit the cardiac catheterization lab and meet a nurse who works thereRationale: Familiarizing the child and mother with the department will help decrease anxiety for both the child and the mother. Three is a difficult age to undergo a procedure that requires cooperation. Restraints and possible sedation may be required.
A 3-year-old boy is brought to the ER because he swallowed an entire bottle of childrens vitamin pills. Which intervention should the nurse implement first?
Omdraaien
A- Determine the childs pulse and respirationsRationale: The most important principle in dealing with poisoning is to treat the child first, not the poison. Initiate immediate life support measures with assessment of vital signs, particularly respirations. Inserting an airway or initiating mechanical ventilation may be necessary. Assessment and identification of the poison should occur prior to other interventions.
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In winkelwagenVraag:
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurse warrants immediate intervention?
Vul het antwoord in:
Controleer antwoordAntwoord:
A- Apical heart rate of 60Rationale: A heart rate of 60 is much lower than normal for a 6-month-old and warrants immediate intervention. The normal heart rate for a 6-month-old is 80-150 when awake, and a rate of 70 while sleeping is considered within normal limits.
Jouw antwoord:
input text value
Vraag opnieuw antwoorden
Vraag:
The nurse is giving preoperative instructions to a 14-year-old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place?
Vul het antwoord in:
Controleer antwoordAntwoord:
A- I understand that I will be in a body cast and I will show you how you taught me to turnRationale: Outcome of learning is best demonstrated when the client not only verbalizes an understanding but can also provide a return demonstration.
Jouw antwoord:
input text value
Vraag opnieuw antwoorden
Vraag:
During administration of a blood transfusion, a child complains of chills, headache, and nausea. Which action should the nurse implement?
Vul het antwoord in:
Controleer antwoordAntwoord:
A- Stop the infusion immediately and notify the healthcare providerRationale: The child is exhibiting signs of a reaction to the blood transfusion. The blood transfusion should be stopped immediately and the healthcare provider notified. After the transfusion is discontinued, IV access should be maintained. Placing the child at risk for further blood reactions (B & D) is not appropriate.
Jouw antwoord:
input text value
Vraag opnieuw antwoorden
Vraag:
The clinic nurse is taking the history for a new 6-month-old client. The mother reports that she took a great deal of aspirin while pregnant. Which assessment should the nurse obtain?
Vul het antwoord in:
Controleer antwoordAntwoord:
A- Type of reaction to loud noisesRationale: Ototoxicity diminishes hearing acuity and causes symptoms of tinnitus and vertigo in older children who can express subjective symptoms. Assessing the infants reaction to loud noises helps to determine an infants risk for hearing deficit related to a history of the mother taking ototoxic drugs, such as aspirin, during pregnancy.
Jouw antwoord:
input text value
Vraag opnieuw antwoorden
Vraag:
The mother of a preschool-aged child asks the nurse if it is all right to administer Pepto Bismol to her son when he has a tummy ache. After reminding the mother to check the label of all OTC drugs for the presence of aspirin, which instruction should the nurse include when replying to this mothers question?
Vul het antwoord in:
Controleer antwoordAntwoord:
A- Do not give if the child has chickenpox, the flu, or any other viral illnessRationale: Pepto Bismol contains aspirin, and there is the potential for Reyes syndrome. The nurse should instruct the mother not to give Pepto Bismol if the child has chickenpox, the flu, or any other viral illness. The other options are not relevant to the use of Pepto Bismol.
Jouw antwoord:
input text value
Vraag opnieuw antwoorden
Vraag:
A 3-month-old infant develops oral thrush. Which pharmacologic agent should the nurse plan to administer for the treatment of this disorder?
Vul het antwoord in:
Controleer antwoordAntwoord:
A- Nystatin (Mycostatin)Rationale: Nystatin (Mycostatin) is an antifungal drug that is effective in treating thrush, an oral fungal infection.
Jouw antwoord:
input text value
Vraag opnieuw antwoorden
Vraag:
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?
Vul het antwoord in:
Controleer antwoordAntwoord:
A- Give the child a ride on a gurney to visit the cardiac catheterization lab and meet a nurse who works thereRationale: Familiarizing the child and mother with the department will help decrease anxiety for both the child and the mother. Three is a difficult age to undergo a procedure that requires cooperation. Restraints and possible sedation may be required.
Jouw antwoord:
input text value
Vraag opnieuw antwoorden
Vraag:
A 3-year-old boy is brought to the ER because he swallowed an entire bottle of childrens vitamin pills. Which intervention should the nurse implement first?
Vul het antwoord in:
Controleer antwoordAntwoord:
A- Determine the childs pulse and respirationsRationale: The most important principle in dealing with poisoning is to treat the child first, not the poison. Initiate immediate life support measures with assessment of vital signs, particularly respirations. Inserting an airway or initiating mechanical ventilation may be necessary. Assessment and identification of the poison should occur prior to other interventions.
Jouw antwoord:
input text value
Vraag opnieuw antwoorden
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This set of practice questions is designed to help you prepare for the HESI Pediatrics 2024 Latest Exam. Each question is followed by the correct answer and a rationale to help you understand the concept. Use these questions to test your knowledge and identify areas that may require further study.
Aantal
32 oefenvragen
Taal
English
Gemaakt op
17-04-2024
Opleiding
University / Chamberlain / Nursing / Peds
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