PEDIATRICS HESI RN EXIT TEST BANK / HESI PEDIATRICS RN EXAM LATEST EXAM ALL 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

PEDIATRICS HESI RN EXIT 2023-2024 TEST

BANK / HESI PEDIATRICS RN EXAM LATEST

EXAM ALL 100 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES

(VERIFIED ANSWERS) |ALREADY GRADED A+

A 3-month-old infant weighing 10 lb 15 oz has an axillary temperature

of 98.9° F. What caloric amount does this child need? - ANSWER- 600

calories/day

Rationale:An infant requires 108 calories/kg/day. The first step is to

change 10 lb 15 oz to 10.9 lb. Then convert pounds to kilograms by

dividing pounds by 2.2, which is 10.9/2.2 = 4.954 kg, rounded to 5

kg. The second step is to multiply 108 calories/kg/day (108 × 5 = 540

calories/day). However, this infant requires 10% more calories

because of the 1° F temperature elevation. Ten percent of 540

(calories/day) is 54 and 540 + 54 = 594. This infant will require

approximately 600 calories/day

A 3-month-old infant returns from surgery with elbow restraints and a

Logan's bow over a cleft lip suture line. Which intervention should the

nurse implement to maintain suture line integrity during the initial

postoperative period? - ANSWER- Place the infant upright in an infant

seat position.

Rationale: The use of an infant seat simulates a supine position with

the head elevated and also prevents aspiration. Prone positioning

should be avoided to prevent disruption of the protective Logan's

bow and prevent the infant from rubbing the face on the bed

surface. Mittens are not necessary and decrease the ability to

provide sensory comfort, such as hand holding. Nasal suctioning

should be avoided to prevent trauma or dislodging clots at the

surgical site. Water-soluble lubricant will dry the suture line and

cause crusting, which predisposes the suture line to poor healing

and scarring.

The nurse assigns an unlicensed assistive personnel (UAP) to provide

morning care to a newly admitted child with bacterial meningitis. What

is the most important instruction for the nurse to review with the UAP? -

ANSWER- Use designated isolation precautions.

Prophylactic antibiotics are prescribed for a child who has mitral valve

damage. The nurse should advise the parents to give the antibiotics prior

to which occurrence? - ANSWER- Urinary catheterization

Rationale: Prophylactic antibiotics are usually prescribed prior to

any invasive procedure for children who have valvular damage.

A 4-year-old child has cystic fibrosis. Which stage of Erikson's theory of

psychosocial development is the nurse addressing when teaching

inhalation therapy? - ANSWER- Initiative

Rationale: Children 4 to 5 years of age are in the "Initiative vs.

Guilt" stage of Erikson's theory of psychosocial development

A nurse is preparing to end the shift and receives a lab report stating that

a child with asthma has a theophylline level of 15 mcg/dL. Which action

should the nurse take? - ANSWER- Communicate the result to the

oncoming nurse and document.

Rationale: The therapeutic level of theophylline is 10 to 20 mcg/dL,

so the child's level is within the therapeutic range. This information

evaluates the prescribed therapy and should be communicated in

the nurse's report.

A 2-year-old child with trisomy 21 (Down syndrome) is brought to the

clinic for a routine evaluation. Which assessment finding suggests the

presence of a common complication often experienced by those with

Down syndrome? - ANSWER- Presence of a systolic murmur

Rationale: Congenital heart disease occurs in 40% to 50% of

children with trisomy 21 (Down syndrome). Defects of the atrial or

ventricular septum that create systolic murmurs are the most

common heart defects associated with this congenital anomaly.

Which preoperative nursing intervention should be included in the plan

of care for an infant with pyloric stenosis? - ANSWER- Observe for

projectile vomiting.

Rationale: Projectile vomiting (D), the classic sign of pyloric

stenosis, contributes to metabolic alkalosis.

A 6-month-old male infant is admitted to the postanesthesia care unit

with elbow restraints in place. He has an endotracheal tube and is

ventilator-dependent but will be extubated soon following recovery from

anesthesia. Which nursing intervention should be included in this child's

plan of care? - ANSWER- Remove restraints one at a time and provide

range-of-motion exercises.

Rationale: Removing restraints one at a time is safer than

simultaneously. The infant should have the restrained extremities

assessed frequently for signs of neurologic or vascular impairment,

and range-of-motion exercises should be performed with these

assessments. Under no circumstances should restraints be applied to

the client continuously. Documentation of assessment findings

regarding the restrained extremities must occur much more

frequently than every 72 hours; however, the reason for using

restraints must be justified and should be stated in the medical

record.

The nurse notes that a 16-year-old male client is refusing visits from his

classmates. Further assessment reveals that he is concerned about his

edematous facial features. Based on these assessment findings, the nurse

should plan interventions related to which nursing diagnosis? -

ANSWER- Social isolation

Rationale: Peer acceptance and body image are significant issues in

the growth and development of adolescents. The answer addresses

the problem of a lack of contact with peers stemming from his desire

to protect his ego.

Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a

solution that contains 250 mg/5 mL. How many milliliters should the

nurse administer in one dose? - ANSWER- 15

Rationale: Take 22lbs / 2.2 = 10kg

10kg X 75mg/kg = 750mg

750/250 mg = 3mg X 5mL = 15