PEDS HESI REMEDIATION
An alert child has been treated for a submersion injury (near drowning). Which complication should the
nurse anticipate?
A. hypertension
B. Edema
C. Oliguria
D. Hypothermia Ans- D. Hypothermia
Almost half of all children who experience near drowning, whether they are ...
PEDS HESI REMEDIATION
An alert child has been treated for a submersion injury (near drowning). Which complication should the
nurse anticipate?
A. hypertension
B. Edema
C. Oliguria
D. Hypothermia Ans- D. Hypothermia
Almost half of all children who experience near drowning, whether they are asymptomatic or minimally
symptomatic, will experience complications during the first 24 hours after the incident. Hypothermia is
common in children due to their large surface area relative to body mass, decreased subcutaneous fat,
and limited thermoregulation.
The nurse is reviewing the lab values for an eight-year-old client and notes that the child's absolute
neutrophil count (ANC) is below 500 cells/mm3. Which nursing intervention should the nurse implement
first?
A. Transfer the child to a negative pressure room
B. Notify the HCP of the lab result
C. Initiate reverse isolation
D. Call the lab and request stat unit of plt Ans- C. Initiate reverse isolation precautions for this child
The normal ANC value is considered greater than 1500 cells/mm3. Mild neutropenia is between 1000-
1500 cells/mm3, moderate between 500- 1000 cells/mm3. ANC below 500 cells/mm3 are considered
severe neutropenia. Clients with an ANC below 500 cells/mm3 should be placed on reverse isolation
precautions as soon as detected to prevent acquiring an overwhelming infection. Reverse isolation
consists of being placed in a positive pressure room and generally no consumption of fresh fruit or
vegetables, unless the food is thoroughly washed and no live plants or flowers in the room.
Which information about toxic shock syndrome should the nurse emphasize when counseling an
adolescent female client?
A. symptoms
B. prevention
C. medication
D. treatment Ans- B. Prevention
,Toxic shock syndrome (TSS) occurs from a buildup of toxins produced by staphylococcus bacteria and
can lead to acute multisystem organ failure. Education should focus on preventive measures, such as the
dangers of prolonged tampon replacement use.
A mother brings in a three-year-old child who has respiratory rate of 36 breathes per minute; heart rate
of 160 beats per minute; weaken and thready pulse; and pale and sweaty skin. The nurse suspects the
child is going into shock which action should the nurse perform first?
A. obtain ABG's
B. obtain vitals
C. administer O2
D. Establish IV access Ans- C. Administer oxygen
When providing care to a child in shock, the nurse's priority is to ensure adequate oxygenation. The
nurse should administer oxygen or provide assistance in establishing an airway. The best way to
remember the order of priority of care to be given is the "ABCs"; airway, bleeding and circulation
The nurse recognizes signs that a 9-month-old toddler may be living in an abusive home. Which action is
the priority for the nurse?
A. encourage the child to speak freely
B. report the suspected abuse to local authorities
C. document head to toe assessment
D. test the child for STD Ans- B. report suspected abuse
The nurse's priority in suspected abuse cases is the safety and welfare of the child. According to national
statistics, children under the age of one have the highest incidences of being abuse. Nurses are
mandated reporters and are required to report suspected cases of abuse to local authorities in order to
protect the child from further abuse
The nurse is assessing a two-month-old in preparation for surgery for coarctation of the aorta repair.
Which best describes the pathophysiology of coarctation of the aorta?
A. acyanotic defect, increase pulmonary blood flow
B. cyanotic defect, obstructed blood flow from ventricles
C. acyanotic defect, obstructed blood flow from ventricles
D. cyanotic defect, decreased pulmonary blood flow Ans- C. acyanotic defect, obstructed blood flow
from ventricles
, Coarctation of the aorta causes localized narrowing near the insertion of the ductus arteriosus. This
results in increased pressure proximal to the defect (head and upper extremities) and decreased
pressure distal to the obstruction (body and lower extremities).
A six-year-old client, who received a kidney transplant presents with signs including fever, decreased
urine output, and tenderness over the transplanted organ. Laboratory results reveal an elevated serum
creatinine level. This presentation is likely due to which cause?
A. immunosuppression medications
B. obstructive uopathy
C. transplant rejection
D. nephrotic syndrome Ans- C. transplant rejection
Transplant rejection is caused by the recipient's immune system response to foreign tissue. Signs that
may alert the nurse to rejection of a kidney transplant include fever, tenderness over the graft area,
decreased urine output, and elevated serum creatinine.
The nurse is reviewing an electronic medical record (EMR) of a four-year-old child who is scheduled for
an outpatient cardiac catheterization. The child has midazolam prescribed pre-procedure to alleviate
anxiety. Which prescription should the nurse seek further clarification from the healthcare provider?
A. Parents may administer the med just prior to coming to the hospital
B. the child may have clear liquids up to two hours prior to administration of medicine
C.the child is to be accompanied the resuscitative equipment during transport to cardiac suite
D. parents may accompany the child during transportation to cardiac procedure room. Ans- A. Parents
may administer the med just prior to coming to the hospital
Midazolam is commonly prescribed to decrease anxiety in children undergoing surgical procedures.
When midazolam is administered to children, there should be a Pediatric Advance Life Support (PALS)
certified personnel and resuscitative equipment accompanying the child to the procedure room.
Children older than 3 years should be NPO of solid and non-clear liquids for a minimum of 6 hours and
may have clear liquids up to two hours prior to sedation. The practical nurse (PN) needs to contact the
healthcare provider and request for a new prescription to be written and the parents to be notified of
the new prescription.
A 12-month-old client is being discharged with a body spica cast. Which information should the nurse
include in the parents' discharge teaching plan?
A. foul odor from cast may indicate infection or skin breakdown
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