Pedi Hesi
The nurse is assessing a 9-year-old boy who has been admitted to the
hospital with possible acute poststreptococcal glomerulonephritis (APSGN). In
obtaining his history, what information is most significant.
A. A sore throat
B. A history of hypertension
✅✅
c. Diuresis during the night
d. Back pain for a few days - -A. A sore throat
The nurse is measuring the frontal occipital circumference (FOC) of a 3-
month-old infant, and notes that the FOC has increased 5 inches since birth
and the child's head appears large in relation to body size. Which action is
most important for the nurse to take next?
A. Plot the measurement on the infant's growth chart
B. Observe the infant for sunset eyes
✅✅
C. measure the infants head-to-heel length
D. Palpate the anterior fontanel for tension and bulging - -D. Palpate the
anterior fontanel for tension and bulging
A infant recently admitted with vomiting and diarrhea now weighs 10kg. Her
weight at previous visit was 11kg. What is the percentage of baby weight loss
for this infant?
A 4%
B 9%
✅✅
C 10%
D 5% - -B 9%
A male high school student with type 1 diabetes test his blood glucose level
before playing a game of soccer, and he obtains a reading of 180 mg/dl (10
mmol/L). Based on this reading, which action should the nurse take?
A. Tell him to eat a sandwich and fruit before beginning the game
B check his urine for ketones
✅✅
C Give him permission to go ahead and play soccer
D call the healthcare provider - -A. Tell him to eat a sandwich and fruit
before beginning the game
A 7-year-old child is admitted to the hospital with a diagnosis of acute
rheumatic fever. In obtaining a health history from the child's mother, the
recent occurrence of which illness is most significant.
, A. Sore throat
B Chickenpox
✅✅-A. Sore throat
C. Mumps
D. influenza -
A mother brings her 2-month-old son to the clinic for a well-baby exam. During
the assessment the nurse finds that the right testicle in not descended into the
scrotum, but the left is palpable. Which action should the nurse take?
A. prepare to obtain a catheterized urine specimen for culture
B address possible concerns about the child's future fertility
✅✅
C Ask if the right testis has been seen in the scrotum before
D Schedule an IV pyelogram to validate presence of testicle - -C Ask if
the right testis has been seen in the scrotum before
The nurse is assessing a 6-month-old infant. Which response required further
evaluation by the nurse?
A Has double birth weight
B Turns head to locate sound
✅✅
C Plays "peek-a-boo"
D Demonstrates startle reflex - -D Demonstrates startle reflex
A 4-year-old girl returns to the pediatrician's office for a postoperative visit
following hospitalization for minor surgery. When observing the child in the
waiting area, which behavior should the nurse consider normal for this age
child?
A. Ignores other children in the play area
B. Draws pictures of self with facial features
✅✅
C. "Talks" to an imaginary friend
D. Sits quietly in her mother's lap - -C. "Talks" to an imaginary friend
A preschool-age child in experiencing respiratory distress is brought to the
emergency department by the parents. The child is anxious, has a
temperature of 102.8 F (39.3C), and is drooling from the mouth while leaning
forward when sitting. Which action should the nurse prepare the child next?
A Obtain bedside trays for intubation or tracheotomy by the healthcare
provider
B Begin prescribed intravenous antibiotic administration
C Provide a nebulizer treatment with bronchodilators
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