HESI RN NURSING CARE OF CHILDREN PROCTORED EXAM (11 VERSIONS):LATEST-2021
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HESI RN NURSING CARE OF CHILDREN PROCTORED EXAM (11 VERSIONS):LATEST-2021HESI RN NURSING CARE OF CHILDREN PROCTORED EXAM (11 VERSIONS):LATEST-2021HESI RN NURSING CARE OF CHILDREN PROCTORED EXAM (11 VERSIONS):LATEST-2021HESI RN NURSING CARE OF CHILDREN PROCTORED EXAM (11 VERSIONS):LATEST-2021HESI RN...
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HESI RN NURSING CARE OF CHILDREN PROC
EXAM
-(12 DIFFERENT VERSIONS)-
COMPLETE RESOURCES
FOR
HESI RN NURSING CARE OF CHILDREN PROCTORED EXAM
2021
100% SUCCESS GUARENTEED
, HESI RN NURSING CARE OF CHILDREN PROCTORED EXAM
VERSION 1
1. A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse
expect? (Select all that apply.) A. Loss of consciousness
B. Appearance of daydreaming
C. Dropping held objects
D. Falling to the floor
E. E. Having a piercing cry
1. A. CORRECT: Loss of consciousness for 5 to 10 seconds is a manifestation of an absence seizure.
B. CORRECT: Behavior that resembles daydreaming is a manifestation of an absence seizure.
C. CORRECT: A child who is having absence seizures might drop a held object.
D. Falling to the floor is a manifestation of a tonic-clonicseizure.
E. A piercing cry is a manifestation of a tonic-clonicseizure.
2. A nurse is caring for a child who just experienced a generalized seizure. Which of the following is the priority
action for the nurse to take?
A. Maintain the child in a side-lying position.
B. Loosen the child's restrictive clothing.
C. Reorient the child to the environment.
D. Note the time and characteristics of the
child's seizure. 56a
2. A. CORRECT: Following a seizure, children often experience vomiting. Using the airway, breathing, circulation prior
framework, the first action the nurse should take is to place the child in a side-lying position to maintain a patent airw
aspiration of secretions. B. Loosening the child's restrictive clothing is an appropriate action. However, it is not the pr
C. R eorienting the child to the environment following a generalized seizure is an appropriate action. However, it is no
action. D. Noting the time and characteristics of the child's seizure is an appropriate action. However, it is not the prio
3. A nurse is providing teaching to the parent of a child who is to have an electroencephalogram (EEG).
Which of the following responses should the nurse include in the teaching?
A. "Decaffeinated beverages should be offered on the morning of the procedure.
" B. "Do not wash your child's hair the night before the procedure."
C. "Withhold all foods the morning of the procedure."
D. "Give your child an analgesic the night before the procedure."
3. A. CORRECT: Caffeine can alter the results of an
EEG and should be avoided prior to the test.
B. The child's hair should be washed to remove oils that permit adherence of the EEG electrodes.
C. Foods are not withheld prior to an EEG.
D. Analgesics can alter the results of an EEG and should be avoided prior to the test.
4. A nurse is teaching a group of parents about the risk factors for seizures. Which of the following factors should
the nurse include in the teaching? (Select all that apply.)
,A. Febrile episodes
B. Hypoglycemia
C. Sodium imbalances
D. Low serum lead levels
E. Presence of diphtheria
4. A. CORRECT: Febrile episodes can cause general tonic‑clonic seizures in infants and young children.
B. CORRECT: Seizure activity is a late manifestation ofhypoglycemia.
C. CORRECT: Seizure activity is a manifestation of hyponatremia and hypernatremia.
D. High serum lead levels are a risk factor for seizureactivity.
E. Diphtheria is a respiratory illness causing difficulty breathing and is not a risk factor for seizures
5. A nurse is reviewing treatment options with the parent of a child who has worsening seizures. Which of the
following treatment options should the nurse include in the discussion? (Select all that apply.)
A. Vagal nerve stimulator
B. Additional antiepileptic medications
C. Corpus callosotomy
D. Focal resection
E. Radiation therapy
5. A. CORRECT: The implantation of a vagal nerve stimulator is an option to provide seizure control.
B. CORRECT: Additional antiepileptic medication can be added to the current medication regime to control seizures.
C. CORRECT: A corpus callosotomy can be performed for uncontrolled seizures.
D. CORRECT: A focal resection can be performed for uncontrolled seizures.
E. R adiation therapy is used in cancer treatment and is not used to control seizures.
1. A nurse is in the emergency department is assessing a child following a motor‑vehicle crash. The
child is unresponsive, has spontaneous respirations of 22/min, and has a laceration on the forehead
that is bleeding. Which of the following actions should the nurse take first?
A. Stabilize the child's neck.
B. Clean the child's laceration with soap and water.
C. Implement seizure precautions for the child.
D. D. Initiate IV access for the child.
1. A. CORRECT: The greatest risk to a child following a motor vehicle
crash is cervical injury. Therefore, keeping the neck stabilized until cervical injury can be ruled out is the priority acti
B. Cleaning the child's laceration with soap and water is important. However, this is not the priority action.
C. Implementing seizure precautions is important. However, this is not the priority action.
D. E stablishing IV access is important. However, this is not the priority action.
2. A nurse is caring for an adolescent who has a closed head injury. Which of the following findings a
indications of increased intracranial pressure (ICP)? (Select all that apply.)
A. Report of headache
B. Alteration in pupillary response
C. Increased motor response
D. Increased sleeping
E. Increased sensory response
2. A. CORRECT: A headache is an indication of ICP. B. CORRECT: Alterations in pupillary response is an indica
,C. D ecreased motor response is an indication ofICP.
D. CORRECT: Increased sleeping is an indication ofICP.
E. D ecreased sensory response is an indication ofICP.
3. A nurse is caring for a child who has ICP. Which of the following actions should the nurse take? (Select all that
apply.)
A. Suction the endotracheal tube every 2 hr.
B. Maintain a quiet environment.
C. C. Use two pillows to elevate the head.
D. Administer a stool softener. E. Maintain body alignment.
3.A. R outine suctioning of the endotracheal tube is contraindicated because there is a risk of the catheter entering t
through a skull fracture.
B. CORRECT: Stimulation can cause increased intracranial pressure; therefore, the nurse should maintain a quiet env
under the head cause flexion of the neck and increase intracranial pressure.
D. CORRECT: Increased pressure in the abdomen with the Valsalva maneuver can increase intracranial pressure; the
nurse should administer a stool softener. E. CORRECT: Flexion and extension of the neck or hips increase intracrania
therefore, the
nurse should maintain body alignment. 62b
4. A nurse is assessing a child who has a concussion. Which of the following findings should th
nurse expect? (Select all that apply.)
A. Amnesia
B. Systemic hypertension
C. Bradycardia
D. Respiratory depression
E. Confusion
4. A. CORRECT: Amnesia is a manifestation of a concussion.
B. Systemic hypertension is a manifestation of Cushing's triad in a child who has an epidural hematoma.
C. CORRECT: Bradycardia is a manifestation of Cushing's triad in a child who has an epidural hematoma.
D. CORRECT: Respiratory depression is a manifestation of Cushing's triad in a child who has an epidural hematoma.
E. CORRECT: Confusion is a manifestation of a concussion.
5. A nurse is caring for a child who is taking mannitol for cerebral edema. Which of the followi
adverse effects should the nurse monitor the child for and report to the provider?
A. Bradycardia
B. Weight loss
C. Confusion
D. Constipation
5. A. Tachycardia is an adverse effect of mannitol.
B. Weight gain due to urinary retention is an adverseeffect of mannitol.
C. CORRECT: The nurse should monitor the child forincreased
confusion and report this adverse effect to the provider. This could be an indication of electrolyte imbalanc
is an adverse effect of mannitol.
Chapter 15 Cognitive and Sensory Impairments
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