HESI RN PEDIATRICS EXAM

RN Pediatrics 1. A nurse is preparing to assess a 4-year old child’s visual acuity. Which of the following actions should the nurse plan first? • Use a tumbling E chart for the assessment • Position the child 4.6 met ...

RN Pediatrics 1. A nurse is preparing to assess a 4-year old child’s visual acuity. Which of the following actions should the nurse plan first? • Use a tumbling E chart for the assessment • Position the child 4.6 meters (15 feet) from the chart • Assess both eyes together first, then each eye separately • Test the child without glasses before testing with glasses 2. A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription of prednisone/etarnecept. Which of the following statement should the nurse include in the teaching? • “Discontinue this medication if gastrointestinal upset occurs.” • “Expect that this medication will stimulate a growth spurt.” • “Limit your child’s intake of potassium-rich foods.” • “Monitor your child for indications of infection.” 3. A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children? • An adolescent who has hepatitis A • A toddler who has seasonal influenza • A preschool-age child who has pediculosis capitis • A school-age child who has viral conjunctivitis 4. A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statements should the nurse include in the teaching? • “Apply a warm, moist compress three times per day.” • “Apply scented baby powder to absorb residual moisture.” • “Wear a feminine deodorant pad for vaginal drainage.” • “Wear nylon underwear at night.” 5. A nurse is creating a plan of care for a school-age child who has nephrotic syndrome. Which of the following interventions should the nurse include? (Select all that apply) • Provide a low-sodium diet • Encourage increased fluid intake • Assess for protein in the urine • Initiate contact precautions • Obtain a daily weight 6. A nurse in a pediatric unit is caring for a school-age child following a cardiac catheterization. Which of the following interventions would the nurse take? • Maintain NPO status for 24 hrs. following the procedure • Administer meperidine for pain every 4 hrs. • Perform a sterile dressing change 8 hrs. after the procedure • Keep the affected extremity straight for 6 hrs. 7. A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates understanding of the teaching? • “I should mix the medication with 4 ounces of my child’s favorite juice.” • “I should give my child water after giving the medication.” • “I should give my child another dose if he vomits right after taking the medication.” • “I should give the medication with foods that are high in fiber.” 8. A nurse is caring for a 9-year-old child who has major burns to her face and upper torso. Which of the following actions should the nurse take first? • Administer a tetanus vaccine • Give pain medication • Begin enteral feedings • Initiate a crystalloid IV bolus 9. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following should the nurse include in the plan of care? • Schedule routine oral care every 8 hrs. • Administer oral viscous lidocaine • Moisten the mucous with lemon glycerin swabs • Cleanse the gums with saline soaked gauze 10. A nurse in a community health clinic is assessing the needs of a single parent who has three young children and works full time. Which of the following resources should the nurse recommend? • 12-step support group • Respite child care • Child home health care • Counseling for depression 11. A nurse is caring for a child who has a prescription for fluticasone and has developed white patches and sores in his mouth. Which of the following is an appropriate action for the nurse to take? • Encourage the use of a spacer • Withhold the medication until the lesions heal • Obtain a prescription for oral prednisone • Collect a culture from the lesions 12. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? • Seal soft toys in a plastic bag for 14 days • Apply bactericidal ointment to lesions • Administer acyclovir PO two times per day • Soak hairbrushes in boiling water for 10 min. 13. A nurse in an emergency department is caring for a child who has epiglottis. Which of the following actions should the nurse take? • Provide nebulizer aerosol therapy • Administer IV antibiotics • Inspect the tonsils using a tongue depressor • Collect a throat culture 14. A nurse is planning care for a child who is placed in skin traction. Which of the following is the priority action for the nurse to take? • Increase fluid intake • Maintain proper body alignment • Use an alternate pressure mattress