Ⓒ HESI PN Pediatric Exam
VERSION 5
The mother of a 4-year-old child asks the nurse what she can do to help her other children cope with their sibling's repeated hospitalizations. Which is the best response that the nurse should offer?Encourage the mother to have the children visit the hospitalized sibling Ⓒ When planning the care for a child who has had a cleft lip repair, the nurse knows that crying should be minimized because it
- D- Stresses the fracture. Prevention of stress on the lip suture
line is essential for optimum healing and the cosmetic appearance of a cleft lip repair. Although crying causes (increased salvation, leads to vomiting, stresses the suture line) these conditions do not create a problem for the child with a cleft lip repair Ⓒ The nurse assigning care for a 5-year-old child with otitis media is concerned about the child's increasing temperature over the past 24 hours. Which statement is accurate and should be considered when planning care for the remainder of the shift?Tympanic and oral temperatures are equally accurate.Ⓒ A 2-year-old child with gastro-esophageal reflux has developed a fear of eating. What instruction should the nurse include in the parents' teaching plan?Consistently follow a set mealtime routine.Ⓒ What preoperative nursing intervention should be included in the plan of care for an infant with pyloric stenosis?Observe for projectile vomiting.Ⓒ The nurse is assessing a 2-year-old. What behavior indicates that the child's language development is within normal limits?Half of child's speech is understandable.Ⓒ The nurse receives a lab report stating a child with asthma has a theophylline level of 15 mcg/dl. What action will the nurse take?Pass the information on in the report.Ⓒ A 4-year-old girl continues to interrupt her mother during a routine clinic visit. The mother appears irritated with the child and asks the nurse, "Is this normal behavior for a child this age?" The nurse's response should be based on which information?Children need to retain a sense of initiative without impinging on the rights and privileges of others.Ⓒ A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurse warrants immediate intervention?Apical heart rate of 60. 1 / 3
Which restraint should be used for a toddler after a cleft palate repair?
- Elbow
- B- store all toxic agents and medicines in locked cabinets.
- C- administer the tetanus toxoid booster.
Elbow restraints prevent children from bending their arms and brining their hands to the oral surgical site, (A) restrains the hands but the child can bend and bring their head to their ands. (B) is used during procedures (mummy). (D)-jacket, restrains the body torso and is not appropriate Ⓒ When taking the health history of a child, the nurse knows that which finding is an early indication of hypothyroidism in children?Cessation of growth in a child that had been normal.Ⓒ The mother of a preschool-aged child asks the nurse if it is all right to administer Pepto Bismol to her son when he "has a tummy ache." After reminding the mother to check the label of all over-the-counter drugs for the presence of aspirin, which instruc Do not give if the child has chickenpox, the flu, or any other viral illness.Ⓒ Which growth and development characteristic should the nurse consider when monitoring the effects of a topical medication for an infant?A thin stratum corneum that increases topical absorption.Ⓒ The nurse is preparing a health teaching program for parents of toddlers and preschoolers and plans to include information about prevention of accidental poisonings. It is most important for the nurse to include which instruction?
The only reliable way to prevent poisoning in young children is to make them inaccessible Ⓒ A 16-year-old is brought to the Emergency Center with a crushed leg after falling off a horse. The adolescent's last tetanus toxoid booster was received eight years ago. What action should the nurse take?
After the completion of the initial tetanus immunization schedule, the recommended booster for an adolescent or adult if every 10 years or less if a traumatic injury occurs that is contaminated by dirt, feces, soil, or saliva, such as puncture or crushing injuries, avulsions, wounds fr. missiles, burns or frostbite.The adolescent's injury is considered a contaminated wound requiring prophylactic therapy, so the tetanus toxoid booster should be administered Ⓒ During administration of a blood transfusion, a child complains of chills, headache, and nausea. Which action should the nurse implement? 2 / 3
- Stop the infusion immediately and notify the healthcare provider
- A- Pale bluish coloration of the toes
- B- tetracyclines
- / 3
The child is exhibiting signs of a reaction to the blood transfusion. The blood transfusion should be stopped immediately and the healthcare provider notified ©. After the transfusion is discontinued, IV access should be maintained. (A) with fluids that do not introduce any more cellular products. (B & D) place the child @ risk for further blood reactions Ⓒ A hospitalized 16-year-old male refuses all visits from his classmates because he is concerned about his distorted appearance. To increase the client's social interaction, what intervention is best for the nurse to initiate?Arrange for an Internet connection in the client's room for email communication.Ⓒ The nurse is caring for a 12-year-old with Syndrome of Inappropriate Antidiuretic Hormone (SIADH). This child should be carefully assessed for which complication?Changes in level of consciousness.Ⓒ The nurse is assessing the neurovascular status of a child in Russell's traction. Which finding should the nurse report to the healthcare provider?
Russell's skin traction is used for fractures of the femur in young children and adolescents whose growth plates remain open and is applied to the lower leg using moleskin and elastic wrap bandages, which can compress the perineal nerve and arteries thatsupply the foot. Assessment of adequate circulation, movement, & sensation of the toes and skin distal to the application is make to identify compromised blood flow, so cyanosis should be reported immediately Ⓒ Which class of antiinfective drugs is contraindicated for use in children under 8 years of age?
Tetracyclines cause enamel hypoplasia & tooth discoloration in children under 8 yrs of age Ⓒ The nurse is assessing an 8-month-old child who has a medical diagnosis of Tetrology of Fallot. Which symptom is this client most likely to exhibit?Clubbed fingers.Ⓒ The mother of a 2-year-old boy consults the nurse about her son's increased temper tantrums. The mother states, "Yesterday he threw a fit in the grocery store, and I did not know what to do. I was so embarrassed. What can I do if this occurs again?" Which Advice should the nurse give?Walk away from him and ignore the behavior.