HESI RN Nursing Care of Children Exam
VERSION 4
- yr old child with neuroblastoma crying continuously and curled into a fetal position. Most
important Give a prescribed analgesic
Mother brings her newborn to the well clinic for the 1 month check-up. Nurse reviews infant record and identifies that received first dose of HBV immunization on discharge. When should next be During this visit, one month of age
When obtaining a throat culture from a 6 yr old with possible strep, which action Swab the child’s erythematous oropharyngeal surfaces or tonsillar pustules
Infant is treated for intussusceptions with hydrostatic reduction. What instructions in parents teaching plan Signs and symptoms of recurrence
Mother of 5 yr old boy calls the ER and reports pot of hot soup pulled off stove onto her child’s right arm and leg. Do first Place him in a cool bath and remove clothing
Child swallowed corrosive substance. What should mom do immediately Call poison control
Teen demanding mom to stay in hospital room Patient is insecure
Question refers to baby soft spot and sutures Document
Newborn baby with flea-like rash normal and will disappear
Toddler needing genitals checked, what should nurse do examine genitals last
Baby acting jittery check glucose level
Gullain Barre syndrome Patient with severe cold week ago
Celiac Disease 1 / 2
Patient with fever of 101-best nursing Dx r/t temperature elevation
Where to administer shot for 4 year old RSV needs contact precautions Cystic Fibrosis Skin tastes salty
Gullain Barre syndrome Weakness progresses from legs upward –respiratory arrest
Post strep URI diseases and conditions Acute glumerulonephritis Rheumatic fever Scarlet fever
Patient in traction Provide age-appropriate toys
Sweat test used in Cycstic fibrosis
Current jelly stool with blood and mucus, sausage-shaped mass in RUQ intussusception
Patient with pyloric stenosis Olive-shaped mass in epigastric area with projectile vomiting
Milestones to know (several Qs) Birth weight doubles at 6 months and triples at 12 months Birth length increases by 50% at 12 months and doubles at 4 years Post fontanel closes by 8 weeks Anterior fontanel closes by 12-18 months Moro reflex disappears at 4 months Steady head control achieved at 4 months Turns over at 5-6 months Head to hand transfers at 7 months Sits unsupported at 8 months Crawls at 10 months Walks 10-12 months Cooing at 2 months Monosyllabic babbling at 3-6 months, linking syllables at 6-9 months Mama/dada and other single words at 9-12 months Throws ball overhand at 18 months
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