Hesi-PEDS
-"talks" to an imaginary friend -✅✅ -A 4 year old girl returns to the
pediatricians office for a post op 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 sore throat last week - ✅✅ -The nurse is assessing a 9-year-old boy
who has been admitted to the hospital with possible acute
post-streptococcal glomerulonephritis (APSGN). In obtaining his history,
what information is most significant?
-absolute neutrophil count of 400/mm3 - ✅✅ -A nine-year-old with
leukemia is admitted with a ruptured appendix. An NG tube is inserted
and attached to low intermittent section. Which finding is most important
for the nurse to report to the healthcare provider?
✅✅
-administer the injection into the middle of the lateral aspect of the thigh -
-The nurse is giving an im injection of antibiotic to a 16 month old
toddler with pneumonia. Toddler does not have any known allergies and
has been walking without assistance for one month. Which technique
should the nurse select for administration?
-Administers a scheduled dose - ✅✅ -A two-year-old child with heart
failure is admitted for a replacement of graft for cortication of the aorta.
Prior to administering the next dose of digoxin, the nurse obtains an
apical heart rate of 128 BPM what action should the nurse implement?
-ask if the right tests has been seen in the scrotum before. - ✅✅ -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 is not
descended into the scrotum but the left is palpable. Which action should
the nurse take?
-BP: 70/40 - ✅✅ -The HR of a 3 year old with CHF has steadily
decreased over the last few hours, now is 76 bpm, the previous reading
4 hours ago was 110bpm. Which additional finding should be reported
immediately to a healthcare provider?
, ✅✅
-careful bathing in handling that avoids abdominal manipulation -
-An infant is admitted for surgery who has wilms tumor. Which
nursing intervention should the nurse implement during a preop period?
✅✅
-Carefully recording the height and weight of children to detect
inappropriate growth rates - -Which nursing intervention is most
important to assist in detecting, hypo, pituitary, ism, and hyperpituitarism
in children?
✅✅
-cover the infants mouth and assist the mother to take the infant back to
the room - -A male infant is admitted to the pediatric unit with
pertussis and is exhibiting a "whooping-like cough." The mother brings
the infant to the nurse's station to seek assistance. Which intervention
should the nurse implement first?
-crackers -✅✅ -A 9 year old with celiac disease is admitted to the
pediatric unit following an appendectomy. Which food should the nurse
remove from this child's tray?
-Decreased cardiac murmur - ✅✅ -When administering indomethacin
(Indocin) to a premature infant who has patent ductus arteriosus, the
nurse should anticipate which outcome?
-demonstrate startle reflex -✅✅ -The nurse is assessing a 6-month old
infant. Which response requires further evaluation by the nurse?
-echocardiogram - ✅✅ -The nurse is caring for a preschool aged child
with a congenital heart defect who is admitted with intermittent low grade
fever, fatigue, and weight loss. Further physical assessment findings
include a new murmur, splinter hemorrhages under the nails, and
painless red lesions on the palms of the hands. Which diagnostic
procedure should the nurse prepare the parents to expect the healthcare
provider to prescribe?
-Emphasize emotions with facial expressions - ✅✅
-The nurse is
communicating with a 12-year-old who is hearing impaired. Which action
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