HESI PN NURSING CARE OF CHILDREN PROCTORED EXAM
VERSION 8
- A nurse is providing discharge teaching to the parent of an 18-month-old toddler
who has dehydration as a result of acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching?The nurse should teach the parent to closely monitor the child's number of wet diapers. Monitoring the number of wet diapers per day is the best way for the parent to monitor adequate output and hydration status.
- A nurse is caring for a preschooler who has been receiving IV fluids via a
peripheral IV catheter. When preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse plan to take? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) First, the nurse should turn off the IV pump. Next, the nurse should occlude the IV tubing, and then remove the tape securing the catheter. Last, the nurse should apply pressure over the catheter insertion site.
- A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test.
Which of the following actions should the nurse plan to take?The nurse should perform a finger stick on a toddler as a component of the sickle- turbidity test. If the test is positive, hemoglobin electrophoresis is required to distinguish between children who have the genetic trait and children who have the disease.
- A nurse in an emergency department is performing a physical assessment on a 2-
week-old male infant. Which of the following manifestations is the priority for the nurse to report to the provider?When using the airway, breathing, circulation approach to client care, the nurse should determine that the priority finding to report to the provider is substernal retractions. This finding indicates the infant is experiencing acute respiratory distress and increased respiratory effort, which could quickly progress to respiratory failure.
- A nurse is providing anticipatory guidance to the mother of a toddler. Which of
the following expected behavior characteristics of toddlers should the nurse include in the teaching?The nurse should teach the mother that her toddler will begin to express her likes and dislikes. This is the time in life when a toddler is developing autonomy and self-concept. She will try to assert herself and frequently refuse to comply. The parent should allow the child to have some control but also set limits in order for her to learn from her behavior and learn to control her actions.
- A nurse in a provider's office is caring for a school-age child who has varicella.
The parent asks the nurse when her child will no longer be contagious. Which of the following responses should the nurse make?The nurse should inform the parent that the child is contagious 1 day prior to lesion eruption and until the vesicles have crusted over, which usually takes about 1 / 2
- days.
- A nurse is teaching the parents of a school-age child who has a new diagnosis of
- / 2
osteomyelitis of the tibia. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching?The nurse should instruct the parent that the child will receive antibiotic therapy for at least 4 weeks. Surgery might be indicated if the antibiotics are not successful.A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing evaluation?The nurse should refer an infant who is not making babbling sounds by the age of 7 months to a provider for more extensive evaluation of hearing.A nurse is caring for a 15-year-old client following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing syndrome of inappropriate antidiuretic hormone secretion (SIADH)?A child who has a head injury can develop SIADH as a result of altered pituitary function, leading to an oversecretion of antidiuretic hormone. Oversecretion of antidiuretic hormone leads to a decrease in urine output, hyponatremia, and hypoosmolality due to overhydration.A nurse is caring for a preschooler who is scheduled for hydrotherapy treatment for wound debridement following a burn injury. Which of the following actions should the nurse take prior to the procedure?Hydrotherapy for debridement of a wound is an extremely painful procedure which requires analgesia and/or sedation. When pain is controlled, it leads to reduced physiological demands on the body caused by stress and decreases the likelihood of children developing depression and post-traumatic stress disorder.A nurse is providing teaching to the parents of a preschooler who has heart failure and who is to begin taking digoxin twice daily. Which of the following instructions should the nurse include in the teaching?The nurse should instruct the parents to brush the child's teeth after administering digoxin to prevent tooth decay caused by the medication, which comes as a sweetened liquid to enhance the taste.A nurse in the emergency department is caring for a toddler who has partial-thickness burns on his right arm. Which of the following actions should the nurse take?The nurse should wash the affected area with mild soap and water to remove any loose tissue that could cause infection.A nurse in an emergency department is assessing a 3-month-old infant who has rotavirus and is experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration?The nurse should recognize that a sunken anterior fontanel is an indication of moderate to severe dehydration due to the acute loss of fluid.A nurse is receiving change-of-shift report on four children. Which of the following children should the nurse assess first?When using the urgent vs. nonurgent approach to client care, the nurse should assess this child first. An episode of forceful vomiting is an indication of increased intracranial pressure in a toddler who has a concussion.A nurse is assessing a client who has a new diagnosis of celiac disease. Which of the following clinical manifestations should the nurse expect?The nurse should realize that clients who have celiac disease are unable to digest gluten.This will cause damage to the cells in the bowel, leading to malabsorption, steatorrhea,