HESI PN PEDIATRICS PROCTORED EXAM

2

HESI PN PEDIATRICS PROCTORED EXAM

VERSION 12

• A nurse is preparing to assess a 4-year old child’s visual acuity. Which of the following

actions should the nurse plan first? Use a tumbling E chart for the assessment  Position the child 4.6 meters (15 feet) from the chart  Assess both eyes together first, then each eye separately  Test the child without glasses before testing with glasses

• A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic

arthritis and a new prescription of prednisone/etarnecept. Which of the following statement should the nurse include in the teaching? “Discontinue this medication if gastrointestinal upset occurs.”  “Expect that this medication will stimulate a growth spurt.”  “Limit your child’s intake of potassium-rich foods.”  “Monitor your child for indications of infection.”

• A nurse on a pediatric unit is caring for four children. The nurse should use droplet

precautions for which of the following children? An adolescent who has hepatitis A  A toddler who has seasonal influenza  A preschool-age child who has pediculosis capitis 1 / 2

2

 A school-age child who has viral conjunctivitis

• A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the

following statements should the nurse include in the teaching? “Apply a warm, moist compress three times per day.”  “Apply scented baby powder to absorb residual moisture.”  “Wear a feminine deodorant pad for vaginal drainage.”  “Wear nylon underwear at night.”

• A nurse is creating a plan of care for a school-age child who has nephrotic syndrome.

Which of the following interventions should the nurse include? (Select all that apply)  Provide a low-sodium diet  Encourage increased fluid intake  Assess for protein in the urine  Initiate contact precautions  Obtain a daily weight

• A nurse in a pediatric unit is caring for a school-age child following a cardiac

catheterization. Which of the following interventions would the nurse take? Maintain NPO status for 24 hrs. following the procedure  Administer meperidine for pain every 4 hrs. Perform a sterile dressing change 8 hrs. after the procedure  Keep the affected extremity straight for 6 hrs.

• A nurse is teaching a parent of a toddler about administering digoxin. Which of the

following statements by the parent indicates understanding of the teaching? “I should mix the medication with 4 ounces of my child’s favorite juice.”  “I should give my child water after giving the medication.”  “I should give my child another dose if he vomits right after taking the medication.”  “I should give the medication with foods that are high in fiber.”

• A nurse is caring for a 9-year-old child who has major burns to her face and upper torso.

Which of the following actions should the nurse take first? Administer a tetanus vaccine  Give pain medication  Begin enteral feedings  Initiate a crystalloid IV bolus

• A nurse is planning care for a toddler who has developed oral ulcers in response to

chemotherapy. Which of the following should the nurse include in the plan of care? Schedule routine oral care every 8 hrs. Administer oral viscous lidocaine

• / 2