During a follow-up clinical visit, a mother tells the nurse that her 5-month-old son, who had surgical correction for tetralogy of Fallot, has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held, and his growth is in the expected range. Which intervention should the nurse implement?- Skildor

Question 1 of 5

During a follow-up clinical visit, a mother tells the nurse that her 5-month-old son, who had surgical correction for tetralogy of Fallot, has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held, and his growth is in the expected range. Which intervention should the nurse implement?

A. Stimulate the infant to cry to produce cyanosis B. Auscultate the heart and lungs while the infant is held C. Evaluate the infant for failure to thrive D. Obtain a 12-lead electrocardiogram

Correct Answer: B

Rationale: Auscultating the heart and lungs while the infant is held can provide important diagnostic information in assessing the cardiac and respiratory status of the infant who had surgical correction for tetralogy of Fallot. This intervention can help the nurse identify any abnormal heart or lung sounds, which may indicate complications or issues that need further evaluation or intervention.

Question 2 of 5

After observing a mother giving her 11-month-old ferrous sulfate followed by two ounces of orange juice, what should the nurse do next?

A. Suggest placing the iron drops in the orange juice and feed the infant. B. Advise the mother to follow the iron drops with formula instead of orange juice. C. Instruct the mother to feed the infant nothing in the next 30 minutes after the iron. D. Give positive feedback about the way she administered the sulfate.

Correct Answer: D

Rationale: Providing positive feedback is essential in reinforcing correct behaviors. By praising the mother for properly administering the ferrous sulfate to her 11-month-old, the nurse can encourage her to continue following the correct procedure. This positive reinforcement can boost the mother's confidence and adherence to the recommended administration method, ultimately benefiting the infant's health.

Question 3 of 5

The nurse is caring for a 15-year-old adolescent who is admitted with a diagnosis of bulimia nervosa. The adolescent's vital signs are stable, but the nurse notes that the client has dry skin and appears thin. What is the nurse's priority action?

A. Initiate a structured eating plan for the client B. Establish a therapeutic relationship with the client C. Monitor the client's electrolyte levels D. Provide education on healthy eating habits

Correct Answer: C

Rationale: In clients with bulimia nervosa, electrolyte imbalances are common due to purging behaviors and can lead to severe complications. Monitoring electrolyte levels is essential to detect and manage any imbalances promptly, as they can be life-threatening.

Question 4 of 5

A 12-year-old child is admitted to the hospital with a diagnosis of osteomyelitis. Which finding should the nurse expect during the assessment?

A. Localized pain and swelling B. Generalized joint stiffness C. Pain in the muscles D. Limited range of motion in the limbs

Correct Answer: A

Rationale: In osteomyelitis, an infection of the bone, patients typically present with localized pain, swelling, and warmth over the affected bone. This is due to the inflammatory response in the bone tissue. Generalized joint stiffness, pain in the muscles, and limited range of motion in the limbs are not specific to osteomyelitis and are more commonly associated with other conditions.

Question 5 of 5

The caregiver is being educated by a healthcare provider about the use of a metered-dose inhaler (MDI) for their 8-year-old child with asthma. Which statement by the caregiver indicates a need for further teaching?

A. I will shake the inhaler before each use B. My child should breathe in quickly after pressing the inhaler C. I should wait a minute between puffs D. We should use a spacer with the inhaler

Correct Answer: B

Rationale: The caregiver should be informed that the child should breathe in slowly and deeply after pressing the inhaler. This allows for better medication delivery to the lungs and ensures optimal effectiveness of the treatment.

HESI Practice Test Pediatrics

Skildor

HESI RN

HESI RN

HESI Practice Test Pediatrics Questions

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