Peds Hesi Remediation With Solutions 100%
Correct
An alert child has been treated for a submersion injury (near drowning). Which complication
should the nurse anticipate?
A. hypertension
B. Edema
C. Oliguria
D. Hypothermia D. Hypothermia
Almost half of all children who experience near dr...
An alert child has been treated for a submersion injury (near drowning). Which complication
should the nurse anticipate?
A. hypertension
B. Edema
C. Oliguria
D. Hypothermia D. Hypothermia
Almost half of all children who experience near drowning, whether they are asymptomatic or
minimally symptomatic, will experience complications during the first 24 hours after the
incident. Hypothermia is common in children due to their large surface area relative to body
mass, decreased subcutaneous fat, and limited thermoregulation.
The nurse is reviewing the lab values for an eight-year-old client and notes that the child's
absolute neutrophil count (ANC) is below 500 cells/mm3. Which nursing intervention should the
nurse implement first?
A. Transfer the child to a negative pressure room
B. Notify the HCP of the lab result
C. Initiate reverse isolation
,Peds Hesi Remediation With Solutions 100%
Correct
D. Call the lab and request stat unit of plt C. Initiate reverse isolation precautions for this
child
The normal ANC value is considered greater than 1500 cells/mm3. Mild neutropenia is between
1000-1500 cells/mm3, moderate between 500- 1000 cells/mm3. ANC below 500 cells/mm3 are
considered severe neutropenia. Clients with an ANC below 500 cells/mm3 should be placed on
reverse isolation precautions as soon as detected to prevent acquiring an overwhelming infection.
Reverse isolation consists of being placed in a positive pressure room and generally no
consumption of fresh fruit or vegetables, unless the food is thoroughly washed and no live plants
or flowers in the room.
Which information about toxic shock syndrome should the nurse emphasize when counseling an
adolescent female client?
A. symptoms
B. prevention
C. medication
D. treatment B. Prevention
Toxic shock syndrome (TSS) occurs from a buildup of toxins produced by staphylococcus
bacteria and can lead to acute multisystem organ failure. Education should focus on preventive
measures, such as the dangers of prolonged tampon replacement use.
,Peds Hesi Remediation With Solutions 100%
Correct
A mother brings in a three-year-old child who has respiratory rate of 36 breathes per minute;
heart rate of 160 beats per minute; weaken and thready pulse; and pale and sweaty skin. The
nurse suspects the child is going into shock which action should the nurse perform first?
A. obtain ABG's
B. obtain vitals
C. administer O2
D. Establish IV access C. Administer oxygen
When providing care to a child in shock, the nurse's priority is to ensure adequate oxygenation.
The nurse should administer oxygen or provide assistance in establishing an airway. The best
way to remember the order of priority of care to be given is the "ABCs"; airway, bleeding and
circulation
The nurse recognizes signs that a 9-month-old toddler may be living in an abusive home. Which
action is the priority for the nurse?
A. encourage the child to speak freely
B. report the suspected abuse to local authorities
C. document head to toe assessment
D. test the child for STD B. report suspected abuse
, Peds Hesi Remediation With Solutions 100%
Correct
The nurse's priority in suspected abuse cases is the safety and welfare of the child. According to
national statistics, children under the age of one have the highest incidences of being abuse.
Nurses are mandated reporters and are required to report suspected cases of abuse to local
authorities in order to protect the child from further abuse
The nurse is assessing a two-month-old in preparation for surgery for coarctation of the aorta
repair. Which best describes the pathophysiology of coarctation of the aorta?
A. acyanotic defect, increase pulmonary blood flow
B. cyanotic defect, obstructed blood flow from ventricles
C. acyanotic defect, obstructed blood flow from ventricles
D. cyanotic defect, decreased pulmonary blood flow C. acyanotic defect, obstructed blood
flow from ventricles
Coarctation of the aorta causes localized narrowing near the insertion of the ductus arteriosus.
This results in increased pressure proximal to the defect (head and upper extremities) and
decreased pressure distal to the obstruction (body and lower extremities).
A six-year-old client, who received a kidney transplant presents with signs including fever,
decreased urine output, and tenderness over the transplanted organ. Laboratory results reveal an
elevated serum creatinine level. This presentation is likely due to which cause?
A. immunosuppression medications
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