HESI PEDs
In caring for an client with acute epiglottitis, ,which nursing action takes priority? A obtain a stat CBC B Prepare for endotracheal intubation C Auscultate breath sounds D Apply ice packs to the neck
A
A hospitalized child stiffens and starts to seize as the nurse enters the room.What actions should the nurse take? (select all that apply) A. Turn client to the side if possible B.Pad aside rails with available pillows an blankets . C.Instruct the parents to leave the room. D.Notify the emergency response team. E.Monitor duration an progress of the seizure.
A, D, E
A hospitalized child stiffens and starts to seize as the nurse enters the room. What actions should the nurse take? ( Select all the apply) A Turn client to the side if possible B Pad aside rails with available pillows and blankets. C Instruct the parents to leave the room D Notify the emergency response team E Monitor duration and progress of the seizure
A, b, e
A 10 year old boy has been seen frequently by school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. What intervention should the nurse implement? A Conduct a complete neurological assessment B Ask the boy to descri)be a typical day at school C Counsel the parent to pay more attention to the child D Compare the child vital signs over the past three weeks
B
An 8-year-Old child is Admitted to the emergency department because of lower right quadrant pain,nausea, and vomiting. Which assessment of the abdomen should the nurse conduct after all other assessments are complete? A Percussion B Palpation C Inspection D Auscultation
B
During a routine physical exam, a male adolescent client tell the nurse, "Sometimes,my mother gets angry because I want to be with my own friends." What is the best initial response by the nurse? A Offer to discuss his concerns together with his mother B Ask about the client's response to his mother's anger C Determine if his friends are engaged in unsafe behavior D Offer reassurance that his mother's concern is normal
B
The nurse has provided discharge teaching to the mother of a premature infant. Which statement by the mother would indicate that she understands the importance of making sure that her baby get the monthly palivizumab ( Synagis) injection? A Palivizumb will help with neurological and physical development B The medication will protect my baby from respiratory C Palivizumab will prevent the development of the retinopathy of prematurity D The monthly injections will help my baby's lungs mature.
B
The nurse is assiting the mother of a child with phenylketonuria (PKU) to select foods that are keeping with the child'd dietary restrictions. Which foods are contraindicated for this child? A High fat foods B Foods sweetened with aspartame C Wheat products D High calorie foods
B
The nurse is caring for a one-year-old boy who has type 1 diabetes mellitus (DM). His mother asks how will she recognize hypoglycemia in her infant who cannot tell her how he feels. Which information should the nurse provide. A The baby's breath smells sweet when the sugar and blood ketone levels are high B Hypoglycemia in infants causes changes in behavior and cold clammy C Weight loss and a good appetite often occur when a baby's glucose levels change D Excess urination and dry skin are common indicators of hypoglycemia
B
The parents of a 4-week-old infant phone the pediatric clinic to report that their infant eats well but vomits after feeding. To differentiate between normal regurgitation ans pyloric stenosis, which information is most important for the nurse to obtain? A Level of infant's distress after vomiting. B Degree of forcefulness of vomiting episodes C Odor and texture associated with emesis D Position of the infant when vomiting occur
B
When administering indomethacin (Indocrin) to a premature infant who has patent ductus arteriosus, the nurse should anticipate with outcome? A Decreased cardiac murmur B Increased number of red blood cells C Decreased urinary output D increased respiratory effort
B
When caring for a child with sickles cell disease,The nurse knows that the child will most likely exhibit which sign when experiencing a sickle cell crisis? A Decreased hemoglobin B Pain C infection D Dehydration
B
A 16-year old adolescent with acute myclocytic leukemia receiving chemotherapy.(CT) Via an implanted medication port at the out-patient oncology clinic .What action should the nurse implement when the infusion is complete? A. initiate an infusion of normal saline B. Administer Zofran C. Flush the metiport with saline and heporin solution D.Obtain blood samples for RBC, WBC, Platelets
C
A 3 year old girl who has been blind since birth is hospitalized because of a compound fracture of the femur and is now in traction. which intervention is best for the nurse to implement to address this child's blindness? A Play a game where the child must identify unfamiliar sounds in the environment B use a touch tour to allow the child to familiarize her self with the room layout C Request parents to bring in familiar objects such as a stuffed animal from home D Person the child's self car activities until the child is not longer in traction
C
A female of a child-bearing age receives a rubella vaccination. She has two children at home, ages 13 moths and 3 years. Which instruction is most important for the nurse to provide to this client? A Tell the mother to isolate the children for 3 days B Inquire if anyone in the family is allergic to eggs C Encourage the client to immunize the children D Asses family history for incidence of rubella
C
The nurse is planing care for a 5-month old with gastroesophagel reflux disease whose weight has decreased 3 ounces the last clinic visit one moth ago. To increase caloric intake and decrease vomiting, what instruction should the nurse provide this mother? A. Dilute the child's formula with equal part of water B Offer 10% dextrose in water between mot feedings C Give small amounts of baby food with each feeding D Thicken formula with the cereal for each feeding
C
The nurse is planning care for a newborn infant scheduled for a cardiac catheterization. Which occurrence poses the greatest risk for this child? A Loss of pulses proximal to the entry site of the cardiac catheter B Allergic response to the plastics in the catheter used for catheterization. C Acute hermorrhage from the entry site of the catheter after the procedure D Fever associated with nausea and vomiting after the procedure.
C
The nurse is using the Ages and Stages Questionnaire (ASQ) to asses a 24-month old child.What is the best intervention for the nurse to initiate after the assessment is completed? A Assess for changes in the vital sign B Review the child's birth history C Provide the parents with a list of stimulating activities. D Meet with a social worker to review results.
C
The school nurse is presenting a seminar to parents about child safety that ficus on prevention of spinal cord injuries. What information is most important for the nurse to include in the teaching plan? A Trampoline activities of school- aged children shouldn't be supervised by adults B Protective gear to prevent neck flexion should be worn during contact sports. C Seat belt and car seats laws for use in motor vehicles should be reinforced. D Monkey bars should be removed from school playgrounds to reduce falls.
C
A 2-year-old child with heart failure (HF) is admitted for replacement of a graft for coordination of the aorta. Prior to administering the next dose of digoxin ( Lanoxin), the nurse obtains an apical heart rate of 128 beats/ minute. What action should the nurse implement? A Determine the pulse deficit B Calculate the safe dose range C Administer the scheduled dose D Review the serum digoxin level
D
A 4-Year old boy was recently diagnosed with Duchenne muscular dystrophy (DMD). Which characteristic of the disease is most important for the nurse to focus on during the initial teaching? A Muscular strength can be regained with physical exercise and therapy. B Growth and development have been abnormal since birth C Respiratory dysfunction and aspiration are prime concerns at this stage of the disease. D Lower legs become progressively weaker, causing a wadding, unsteady gait.
D
A 4-month old boy inguinal hernia that is visible when he cries, but it does not cause him discomfort. His parents ask if the hernia should be repaired now. The Nurse's response should be based on what information. A. An inguinal hernia is treated as a surgical emergency B. Surgical repair is planned after successful toilet training. C. An inguinal hernia is surgically repaired if persistent diarrhea occurs. D. Surgical correction is indicated if the inguinal hernia is incarcerated.
D
A 6 year old child is diagnosed with rheumatic fever and demonstrates associated chorea(Sudden aimless movements of the arms an leg) Which information should the nurse provide to the parent? A Permanent life style changes need to be able to promote safety in the home B Consistent discipline is needed to help the child control the movements C Muscle tension is decreased with fine motor skill projects, so these activities should be encouraged D The chorea or movement are temporary and will eventually disappear
D
A middle school male student was recently diagnosed with attention-deficit Hyper Disorder (ADHD) and is having trouble withe his grades. He is referred to the school nurse by the teacher because he continues to have learning problems. which action should the school nurse take? A Refer the child to the school counselor for educational testing. B Seek the advice of the school principal regarding the child's learning needs C Ask the parents to become involved in helping the child with his homework D Ask the parents to have the child seen by a clinical psychologist
D
A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child's oral temperature is 101.2 degrees Fahrenheit(38.4 degrees Celsius) which intervention should the nurse implement? a Provide parent education to prevent recurrence. B Cleanse purulent exudate from the affected ear canal. C Apply a tropical antibiotic to the periauricular area D Ask the mother if the child has had a runny nose
D
A mother is concerned that her 3-year-old son wants to play with female doll figures. The child is not interested in building blocks,truck,or other typical "Boy" toys. How should the nurse respond to the mother's concern? A Letting male toddlers play with female-typed toys can have negative effect B Replacing female doll figures with male doll figures reinforces masculinity. C Exploring different roles in imaginary play is typical wt this age D Experimenting with different toys is an acceptable behavior
D
The nurse is administering an oral medication to a reluctant preschool-aged boy. Which intervention should the nurse implement? A Advise the parents that they need to give the medication B Use a straightforward approach with the child C Mix the medication in with the child's favorite breakfast cereal D Offer to bring the medicine back later in the day
D
Which client requires immediate intervention by the nurse? A A toddler with chicken pox who is scratching B An adolescent with a migraine and photophobia. C A child with cystic fibrosis who is constipated D A child with acute renal failure an hyperkalemia
D
Which nursing intervention is most important to assist in detecting hypopituitarism and Hyperpituitarism in children? A Nothing a marked weight gain without a gain in height on a growth chart B Performing head circumference measurements on infants under one year of age. C Assessing for behavioral problems at home and school by interviewing the parents. D Carefully recording the height and weight of children to detect inappropriate growth rates
D
Which response demonstrates that the mother of a young girl with a urinary tract infection (UTI)Understands home care for the child? A I will give the antibiotics until she does not complain of burning anymore. B I will bring her back to the doctor's office for another urine test. C I will make sure she wipes from back to front after she uses the bathroom D I will refill the prescription for antibiotics if her symptoms are still present after taking these
D