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Pediatric HESI BS Exam with correct Answers
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Pediatric HESI BS Exam with correct Answers
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Pediatric HESI BS Exam with correctAnswers
A 10 year old boy is admitted to the ED. He is unresponsive and his laboratory values
include a blood sugar of 800, potassium of 5, and arterial blood gas of pH 7.30, HCO3
15, PaC02 37. Which intervention has the highest priority?
Administer IV of normal saline and insulin
Frequently assess the child's respiratory effort
Maintain strict intake and output records
Give subq regular insulin by protocol - Answer -Administer IV of normal saline and
insulin
What snack is best to provide a 6 year old child on prescribed bedrest while receiving
treatment for osteomyelitis?
Soup broth
Milkshake
Applesauce
Popsicle - Answer -Milkshake
The school nurse is assessing a child who reports having an itchy scalp. The nurse has
sent home care instructions for the pediatric child. Which assessment should the nurse
implement for this child?
Determine if silvery crusty scales are seen in skin folds
Observe base of neck and forehead for ring-shaped rash
Look for raised, reddened areas and balding on scalp
Inspect hair follicle shafts for adherence of nits - Answer -Inspect hair follicle shafts for
adherence of nits?
An adolescent with pelvic inflammatory disease is admitted to the hospital after 14 days
of taking levofloxacin twice daily. She asks the nurse Why do I have to be in the
hospital? Why can't I get my treatment at home. Which purpose should the nurse
provide that supports and effective outcome?
Administration of a supervised parenteral antibiotic protocol
Implementation of contact precautions to prevent spread of infection
Detection of early symptoms of Jarisch-Herxheimer reaction
Collection of serial anaerobic cultures of vaginal discharge - Answer -Administration of a
supervised parenteral antibiotic protocol
, The nurse administer digoxin to a 9 month old infant with an apical heart rate of 160
beats per minute. Which indicates the medication effect has been achieved.
60 beats per minute
120 beats per minute
180 beats per minute
80 beats per minute - Answer -120 beats per minute
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports
that her child is irritable, refuses to eat, and has skin peeling on both hands and feet.
Which intervention should the nurse instruct the mother to implement first?
Apply lotion to hands and feet
place the child in a quiet environment
Make a list of foods the child likes
Encourage the parents to rest when possible - Answer -Place the child in a quiet
environment
Which nursing problem has the highest priority when providing preoperative care for an
infant born with bladder exstrophy?
Risk for impaired parenting related to appearance of infant
Risk for infection related to impaired skin integrity
Altered urinary elimination related to exposure of bladder
Knowledge deficit related to caring for the infant - Answer -Risk for infection related to
impaired skin integrity
A 6 year old boy with bronchial asthma takes the beta adrenergic agonist agent
albuterol. The child's mother tells the nurse that she uses this medication to open her
son's airway when he is having trouble breathing. What is the nurses best response?
Recommend that the mother bring the child in for immediate evaluation
Advise the mom that over-use of the drug may cause chronic bronchitis
Assure the mom that she is using the med correctly
Confirm that the med helps to reduce airway inflammation - Answer -Assure the mom
that she is using the med correctly
A 9 year old boy is diagnosed with diabetes type 1. Which stage of Erikson's theory of
psychosocial development is the nurse addressing the client about insulin injections?
Initiative
Industry
Identity
Autonomy - Answer -Industry
An unlicensed assistive personnel (UAP) is preparing to provide personal care for a 3
year old child who is NPO and awaiting surgery for. Wilm's tumor. It is most important
for the nurse to provide the UAP with which instruction?
Provide plenty of lubrication during mouth care
Let the child make as many choices as possible
Ensure warmth and privacy during the bath
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