2024 HESI PEDIATRIC NURSING
FOR RN EXAM WITH ANSWERS
how is a child usually positioned after brain tumor surgery - CORRECT
ANSWERS-flat or on either side
when does birth length double? - CORRECT ANSWERS-by four years
when does the child sit unsupported? - CORRECT ANSWERS-8 months
what position would best relieve the child experiencing a tet spell - CORRECT
ANSWERS-knee chest position or squatting
what are common signs of digoxin toxicity - CORRECT ANSWERS-diarrhea,
fatigue, weakness, nausea, and vomiting; the nurse should check for
bradycardia prior to administration
list five risk in cardiac catheterization - CORRECT ANSWERS-arrhythmia,
bleeding, perforation, phlebitis, and obstruction of the arterial entry site
what cardiac complications are associated with rheumatic fever - CORRECT
ANSWERS-aortic valve stenosis and mitral valve stenosis
what medications are used to treat rheumatic fever? - CORRECT ANSWERS-
penicillin, erythromycin, and aspirin
what are the physical features of a child with Down Syndrome - CORRECT
ANSWERS-simian creases in palms, hypotonia, protruding tongue, and
upward-outward slant of eyes
describe scissoring - CORRECT ANSWERS-a common characteristic of spastic
cerebral palsy in infants; legs are extended and crossed over each other,
feet are plantar flexed
what are two nursing priorities for a newborn with myelomeningocele -
CORRECT ANSWERS-prevention of infection of the sac and monitoring for
hydrocephalus (measure head circumference, check fontanel, assess
neurologic functioning)
list the signs and symptoms of increased ICP in older children - CORRECT
ANSWERS-irritability, change in LOC, motor dysfunction, headache, vomiting,
unequal pupil response, and seizures
, what teaching should parents of a newly shunted child receive - CORRECT
ANSWERS-information about signs of infection and increased ICP;
understanding that shunt should not be pumped and that child will need
revisions with growth; guidance concerning growth and development
state the three main goals in providing nursing care for a child experiencing
a seizure - CORRECT ANSWERS-maintain patent airway, protect from injury,
and observe carefully.
what are the side effects of Dilantin - CORRECT ANSWERS-gingival
hyperplasia, dermatitis, ataxia, GI distress
describe the signs and symptoms of a child with meningitis - CORRECT
ANSWERS-fever, irritability, vomiting, neck stiffness, opisthotonos, positive
Kernig sign, positive Brudzinski sign; infant may not show all classic signs
even though very ill.
what antibiotics are usually prescribed for bacterial meningitis: - CORRECT
ANSWERS-ampicillin, ceftriaxone, or chloramphenicol
when does the child achieve 50% of adult height? - CORRECT ANSWERS-2
years
when does a child throw a ball overhand? - CORRECT ANSWERS-18 months
when does a child speak two to three word sentences? - CORRECT
ANSWERS-2 years
when does a child use scissors? - CORRECT ANSWERS-4 years
when does a child ties his or her shoes? - CORRECT ANSWERS-5 years
list two contraindications to live virus immunizations - CORRECT ANSWERS-
immunocompromised child or a child in a household with an
immunocompromised individual
list three classic signs and symptoms measles - CORRECT ANSWERS-
photophobia, confluent rash that begins on the face and spreads downward,
and Koplik spots on the buccal mucosa
list the signs and symptoms of iron deficiency - CORRECT ANSWERS-anemia;
pale conjunctiva; pale skin color; atrophy of papillae on tongue; brittle,
ridged, or spoon shaped nails; and thyroid edema.
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