peds practice hesi

A mother brings her 5-month-old infant to the clinic for a well-baby visit. Which gross motor skill should the practical nurse expect to observe?

able to grasp objects voluntarily

The practical nurse is conducting a well-baby check of a 7-month-old infant and finds that there is an absence of babbling by the infant. Which focused assessment should the PN implement?

auditory function

Which action should the practical nurse (PN) implement to promote a toddler's nutrition during hospitalization?

Ask the child's parents to bring a cup and utensils from home.

Which information should the practical nurse ensure the family understands about the care of a child with a tracheostomy?

CPR

After reinforcing information to treat a sprained ankle, what statement by the adolescent indicates to the practical nurse that further instruction is needed?

"Apply warm compresses to the ankle for the first 24 hours."

How should the practical nurse respond to a mother's inquiry regarding the appropriate time to start cleaning the teeth of her 3-month-old infant?

"Begin wiping the teeth with a washcloth and water when the first tooth appears."

The mother calls the clinic and tells the practical nurse (PN) that her child cannot swallow a prescribed tablet that was dispensed by the local pharmacy as a whole tablet. How should the PN respond?

"If a liquid form is available, the pharmacist can call for a prescription change."

A male adolescent who is newly diagnosed with a seizure disorder receives a prescription for an anticonvulsant. Which statement indicates the client is at risk for non-compliance with life-long medication management?

"My friends will think I am a freak if I take these pills."

The practical nurse (PN) is reinforcing information about Lyme disease prevention with a client who is preparing for a camping trip with family. Which statement by the client informs the PN that the client understands the instruction?

"We will wear long pants and long-sleeved shirts in the woods."

Which response should the practical nurse (PN) provide a school-age child who asks to talk with a dying sister?

Although the dying client may not respond, she can still hear what is said.

A male adolescent who fell onto a cement surface after jumping off a fence is brought to the emergent care center with a nose bleed. Which finding should the practical nurse report to the healthcare provider immediately?

Blood pressure 130/90 and ecchymosis noted at the mastoid bone.

What information should the practical nurse reinforce with a mother whose child has a positive culture for Group A streptococcus of the throat?

Bring the child to the clinic for a prescription for a full course of antibiotics.

A male adolescent who comes to the clinic for a sports physical examination is told by his pediatrician that the two freckles under his nipples are "undeveloped accessory breasts." He tells the practical nurse (PN) that he will never participate in gym because he will have to shower at school. What intervention should the PN implement?

Convey sensitivity while reflecting that the two freckles are not real breasts.

A 6-month-old female is scheduled to receive diphtheria, tetanus toxoid, and acellular pertussis vaccine (DTaP) and IPV (inactivated poliovirus vaccine) immunizations. She is recovering from a cold but is otherwise healthy and afebrile. Her 5-year-old sister is receiving chemotherapy. Which considerations should the practical nurse make for this situation?

DTaP and IPV can be safely given to the infant at the scheduled time.

The mother of a 6-year-old brings her child to the clinic for complaints of "not feeling well." The practical nurse (PN) takes the child's vital signs and begins a general physical assessment. Which action should the PN implement first?

Determine cultural needs and differences.

When caring for a hospitalized child, the practical nurse (PN) implements the plan of care based on which priority assessment?

Normal growth and development.

A 4-year-old girl is brought to the emergent care center with a frog-like croaking sound on inspiration. She is having difficulty breathing and has her chin thrust forward with her mouth open. She is drooling, agitated, and insists on sitting upright. What action should the practical nurse take?

Notify the healthcare provider and prepare for immediate intubation or tracheotomy.

An adolescent female who is leaning forward with her hands on her knees to breath tells the practical nurse that she has been using triamcinolone (Azmacort) inhalation aerosol before coming to the clinic. Which action should the PN implement?

Obtain vital signs and breath sounds for wheezing.

The practical nurse (PN) is instilling ear drops in a 2-year-old child. To straighten the external auditory canal, which direction should the PN pull the earlobe?

down and back

According to Erikson's theory, what behavioral pattern should be displayed by a child who has not developed a sense of competence?

inferiority

What information should the practical nurse (PN) reinforce with the parents about introducing solid foods to their infant?

introduce new foods 4-7 days apart

When reviewing the dietary guidelines for a child with nephrotic syndrome, which diet should the practical nurse reinforce with the parents?

low sodium

What secondary prevention activity should the practical nurse prepare parents for to prevent lead poisoning?

obtain serum lead

What age-appropriate play activity should the practical nurse suggest to the parents of a 7-month-old infant to encourage visual stimulation?

play peek a boo

Which developmental behavior should the practical nurse (PN) identify as normal for a 6-month-old infant?

rolls over complete

The mother of a 9-month-old girl provides the practical nurse information about her daughter's diet. Which statement by the mother may indicate why the infant has been diagnosed with iron-deficiency anemia?

shes been on whole milk for 7 months

The practical nurse (PN) is caring for a school-aged child with a fracture of the proximal third of the left femur. Following the application of a hip spica cast, which nursing intervention should the PN implement?

Assess the client for abdominal pain and gastric distress.

What information about Reye's syndrome should the practical nurse (PN) reinforce with the parents of a school-aged child?

Avoid giving any medication containing aspirin during a viral illness.

The practical nurse (PN) palpates the anterior fontanel of a 14-month-old toddler and finds that it is closed. What action should the PN implement?

Document the normal finding for the 14-month-old toddler.

What analgesia should the practical nurse use to prepare a school-age child for a lumbar puncture (LP)?

EMLA (eutectic mixture of local anesthetics) 2.5 hours before the procedure.

A mother is returning a demonstration for the instillation of saline nose drops for her 3-month-old infant who has nasal congestion. Which schedule is best for the practical nurse to recommend to the mother?

Instill in both nares 20 to 30 minutes before feeding.

A toddler with a chronic illness that requires frequent hospitalization is likely to experience which psychosocial developmental problem?

Interference with the development of autonomy.

When reviewing the adverse effects of the DTaP (diphtheria, tetanus, and acellular pertussis) vaccine with parents whose child is being immunized, what side effect should the practical nurse convey as most common?

Local erythema and edema at injection site.

Which action should the practical nurse (PN) implement while giving a child a sponge bath to reduce fever?

Stop the sponge bath if the child starts to shiver.

Which action should the practical nurse implemented for a child who has ingested a corrosive product?

Telephone the poison control center and act on their advice.

A school-age child with acute diarrhea and mild dehydration is being given an oral rehydration solution (ORS). The mother calls to report that the child is occasionally vomiting. What recommendation should the practical nurse provide at this time?

continue to give ORS in small amounts

What information should the practical nurse (PN) recommend to parents who ask about the prevention of otitis media (OM) in their infant?

Refrain from exposing the infant to tobacco smoke.

What information should the practical nurse (PN) reinforce with the mother whose child has ringworm ( Tinea )?

Tinea infections are spread by direct and indirect contact.

A 12-year-old male is brought to the clinic after falling during a skateboarding trick. The child's vital signs are heart rate 135 beats/minute, respirations 20 breaths/minute, and blood pressure 90/60. Which finding should the practical nurse report to the healthcare provider immediately?

Peripheral pulses are weak and rapid.

When reviewing developmental changes with the parents of a 6-month-old infant, what information should the practical nurse reinforce?

Provide a developmentally safe environment for the infant.