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HESI RN NURSING CARE OF CHILDREN PROCTORED EXAM



 42 Latest Exam Sets
 4000 Plus Question With Correct Answers
 Complete Updated Document For Exam Preparation




HESI

Test Preparation

New 2023 Edition

, 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
55a
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.
55b
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 priority-setting framework, the first action the nurse should take is to
place the child in a side-lying position to maintain a patent airway and prevent aspiration of
secretions. B. Loosening the child's restrictive clothing is an appropriate action. However, it is
not the priority action.
C. R eorienting the child to the environment following a generalized seizure is an appropriate
action. However, it is not the priority action. D. Noting the time and characteristics of the
child's seizure is an appropriate action. However, it is not the priority action.


56b
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."
57a
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.
57b
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
58a
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
58b
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
59a
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.
59b
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.
60a
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 action.
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.

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