Pediatric HESI #2 QUESTION AND ANSWERS 100% CORRECT…TEST BANK
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Pediatric HESI
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Pediatric HESI
Pediatric HESI #2 QUESTION AND ANSWERS 100% CORRECT…TEST BANK
The mother of a school age child asks if her child has lice due to not washing frequently enough. What is the best response for the nurse to make
A. lice spread easily due to close proximity not poor hygiene
B. Frequently washing ...
pediatric hesi 2 question and answers 100 correct…test bank
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Pediatric HESI #2 QUESTION AND ANSWERS 100%
CORRECT…TEST BANK
The mother of a school age child asks if her child has lice due to not washing frequently enough. What is
the best response for the nurse to make
A. lice spread easily due to close proximity not poor hygiene
B. Frequently washing of the head can help prevent lice
C. soaking combs and brushes in pediculicide shampoo can help prevent infection
D. The only way to prevent lice is to teach your child not to share combs and hats Correct Answer: a
The RN in the clinic is providing f/up instructions for a child diagnosed w/ nonbullous impetigo. Which
are important for the RN to include in the teaching SATA
a. complete all antibx as ordered
b. the child may return to school as soon as the antibx are started
c. the lesions should remain open to air for healing
d. trim fingernails to prevent scratching
e. honey colored crusting is normal and will resolve Correct Answer: a, d, e
The RN observes a new mother care for a newborn experiencing diaper rash. For which action should
the RN intervene
a. She changes the diaper frequently
b. She washes the skin area w/ mild soap
c. She sprinkles baby powder over the area
d. she leaves the skin area open to air for 15 mins Correct Answer: c
The RN is preparing teaching material on the removal of head lice for a community health program.
Which information should the RN include
a. remove nits w/ a hairbrush
b. clean all bedding in cold water and bleach
c. place objects that cannot be laundered in a plastic bag
d. spray the floor + furniture with pesticide Correct Answer: c
during a community fair a toddler is burned w/ a hot coal from a grill. Which action should the RN take
a. apply ice to the area
b. place the area in cool water
c. break the blisters and apply ice over the area
d/ wash the area w/ large amounts of warm water Correct Answer: b
The RN is visiting a home of a client who delivered a full term infant 2 days ago. For which home safety
observation should the RN make a recommendation
a. a guardrail placed in front of the fireplace
b.smoke alarms installed and functioning in all rooms
c. a fire extinguisher located at the entrance to the kitchen
d. the mother holds the infant while pouring water for hot tea Correct Answer: d
,the RN is providing parent education about how to best treat a diaper rash. Which statement made by
the parents indicate that they need further teaching
a. I should only change the babys diaper once per day
b. I should apply a protective cream to the diaper area
c. I should let the diaper area dry for a few mins before applying a new diaper
d. I should monitor for signs of infection if the diaper rash is severe Correct Answer: a
A RN is providing education to parents of school children w/ pediculosis capitis. Which statement about
treating pediculosis if made by the parent would indicate a need for further teaching
a. we will be sure to wash my childs bedding after using the shampoo
b. my childs toys will need to be bagged for at least 2 weeks and the nwashed
c. my child will need to continue to use the shampoo for 2mos
d. we will soak our childs combs and brushes in hot water and the shampoo Correct Answer: c
A RN is reviewing home care instructions to parents of a child diagnosed w/ cellulitis of the forearm.
Which important teaching about cellulitis should be included in the home care instructions
a. cellulitis is an auto-immune disorder
b. Cellulitis is always caused by MRSA
c. parents and caregicers should seek medical help for increased fever or for increasing redness,
streaking and pain and swelling at the infection site
d. cellulitis always needs to be treated w/ IV antibx Correct Answer: c
which clinical manifestations in a pt w/ a burn would need priority nursing interventions
a. a child exhibiting increased redness, warmth and swelling at the site of the burn
b. child who is demonstrating decreased uriane output
c. child w/ pain score of 10/10
d. child w/ increased itching at site Correct Answer: b
a child diagnosed w/ impetigo is hospitalized. The admitting RN appropriately places this child on which
type of precautions
a. contact
b. droplet
c. airborne
d. neutropenic Correct Answer: a
the school RN knows that pediculosis is coomonly found among school age children. Which statement is
true about lice
a. as the lice insects does not fly it is transmitted by close proximity which allows the insect to crawl
from one person to the next
b. lice is not easily transmitted from person to person
c. lice needs to be eradicated w/ special antibx cream
d. a child w/ lice will need to wear a hat at all times until it is eliminated Correct Answer: a
During a home visit, the RN determines that a parent needs additional teaching about meds prescribed
to treat a newborns hypothyroidism. Which observation caused the RN to provide additional
instructions SATA
a. mixed crushed meds w/ water
,b. mixed crushed meds in soy formula
c. placed crushed meds in a feeding bottle
D. used a needleless syringe to dminister the med
e. prepared 2 doses of the med w/ the morning bottle Correct Answer: b,c,e
The RN instructs the parents of a toddler w/ type 1 DM. Which statement indicated that additional
teaching about sick day rules is required? SATA
a. we will not encourage fluids
b. we will not give the regular dose of insulin
c. we will monitor blood glucose levels frequently
d. we will not give any OTC meds
e. we will call the PCP for help if needed Correct Answer: a, b
a school age client w/ type 1 DM has ittle league baseball games at 5pm several times a week. Which
should the parents and client be instructed to do before games?
a. drink 16oz of water
b. withhold providing the routine insulin dose until after the game
c. eat a complex carb and protein between 4-430
d. ingest a serving of a rapid acting glucose source before the game begins Correct Answer: c
a school age pt is diagnosed w/ severe diabetic ketoacidosis. Which lab value should the rn expect to
confirm this diagnosis
a. venous blood pH 6.8
b. +4 ketones in the urine
c. blood glucose 220mg/dL
d. bicarb level 15mEq/L Correct Answer: a
DKA = pH <7
a pt w/ type 1 DM is flushed w/ dry skin and reports eating a large serving of pasta for lunch. Which
action should the rn take?
a. instruct to lie down
b. provide w/ a large glass of water
c. measure BP and HR
d. prepare an additional dose of prescribed insulin Correct Answer: b
for too many carbs eaten, fluid should be increased
a 7yo pt is diagnosed w/ premature adrenarche. Which should the rn expect to assess in this client?
a. onset menstruation
b. increased growth velocity
c. development of pubic, axillary and body hair
d. unilateral breast development w. areolae maturation Correct Answer: c
the rn instructs an adolescent client and the parents on a beta blocker med prescribed for
hyperthyroidism. Which statement indicates that teaching was effective?
a. I won't need surgery if I take this med
b. this will make my thyroid gland shrink in size
c. this will help my rapid HR and nervousness
d. this reduces the amt of thyroid hormone in my body Correct Answer: c
, the rn is planning care for a pre-adolescent client newly diagnosed w/ type 1 DM. Which should be the
focis when providing nutrition teaching to this pt?
a. fat reduction
b. wt reduction
c. protein restriction
d. carb exchanges Correct Answer: d
the RN suspects that an adolescent w/ type 1 DM is experiencing diabetic ketoacidosis DKA. Which
finding caused the rn to make this clinical determination?
a. slo HR
b. extreme hunger
c. deep and laborious respirations
d. slightly elevated BP Correct Answer: c
AKA= kussmaul breathing = pt is trying to correct metabolic acidosis by blowing off excess carbon
dioxide
a school age pt has a blood glucose of 60mg/dL. Which direction should the rn provide the parent after
giving the pt 6oz of regular soda
a. provide a protein
b. seek immediate medical attention
c. encourage to drink several glasses of water
d. recheck the blood glucose level in 15mins Correct Answer: d
the rn is concerned that an adolescent pt is experiencing hypoglycemia. Which finding caused the rn to
make this clinical determination
a. dizziness
b. stomach pain
c. extreme thirst
d. frequent urination Correct Answer: a
in fetal circulation which structure is responsible for carrying oxygenated blood to the fetus
a. umbilical vein
b. pulmonary artery
c. patent ductus arteriosus
d. airta Correct Answer: a
the rn is assessing a 2day old and notes BP in the arm of 69/45 w/ a bp of 45/32 in the leg. The rn
understands this discrepancy is associated w/ which diagnosis
a. aortic arch abnormality
b. ventricular septal defect
c. atrial septal defect
d. patent ductus arteriosus Correct Answer: a
the rn is measuring BP on the leg of a sleeping toddler and receives an unusually high reading. What is
the best action for the RN
a. confirm the appropriate size of the cuff and obtain a larger cuff if needed to recheck
b. confirm the appropriate size cuff and obtain a smaller cuff to recheck
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