Exam (elaborations)
Nursing Care of Children VATI (1)
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- HESI Fundamentals Practice
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- HESI Fundamentals Practice
Nursing Care of Children VATI (1)
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Nursing Care of Children VATA nurse is caring for a toiler who is 24hr postoperative following a cleft palate repair. WHich of the
following actions should the nurse take? - CORRECT ANSWER-Administer opioids for pain
A nurse is assessing a 10-day-old client. Which of the following should the nurse understand is a clinical
manifestation of pyloric stenosis? - CORRECT ANSWER-Projectile vomiting after feedings
Pyloric stenosis is a narrowing and thickening of the pyloric canal between the stomach and the
duodenum, resulting in projectile vomiting.
A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington
rod instrumentation. Which of the following interventions should the nurse include in the plan of care? -
CORRECT ANSWER-Initiate the use of a PCA pump for pain control
A nurse is assessing an adolescent who has attention deficit hyperactivity disorder (ADHD). Which of the
following findings should the nurse expect? - CORRECT ANSWER-Impulsivity
A nurse is reviewing the laboratory results of a client who has acute leukemia and received an
aggressive chemotherapy treatment 10 days ago. Which of the following hematologic laboratory values
should the nurse expect? (Select all that apply.) - CORRECT ANSWER-Decreased platelet count
Decreased leukocyte count
Decreased erythrocyte count
A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to
15-month-old toddler. Which of the following findings is a contraindication for this immunization? -
CORRECT ANSWER-The child has a congenital immunodeficiency
A nurse is providing health promotion teaching to the parents of an infant. Which of the following
conditions should the nurse identify as the leading cause of death among this age group? - CORRECT
ANSWER-Congenital amnomalies
A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is
associated with increased pulmonary blood flow? - CORRECT ANSWER-Patent ductus arteriosus
the area between the pulmonary artery and aorta remains open, allowing the blood to flow through the
patent ductus arteriosus and back to the pulmonary artery and lungs.
A nurse is assessing a 3-month-old infant. Which of the following findings should the nurse report to the
provider? - CORRECT ANSWER-Inability to raise head when in prone position.
A 3 month-old infant should be able to raise her head and shoulders from prone position; therefore, the
nurse should report this finding to the provider.
A school nurse is performing a routine health assessment for a school-age child. Which of the following
findings indicates the nurse should investigate further for pediculosis capitis? - CORRECT
ANSWER-Pruritus of the scalp
Pediculosis capitis is an infestation of head lice. Generally, the. only manifestation is scalp itchiness.
, A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the
nurse's priority? - CORRECT ANSWER-Administer antibiotics to the client
The greatest risk to this client is bacteremia caused by the infection which can lead to septic shock;
therefore, the priority intervention is antibiotic therapy. The client might require multiple antibiotics for an
extended time.
A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions
should the nurse take? - CORRECT ANSWER-Wrap the arm of the child's doll or toy prior to the
procedure.
A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt placement. In
which of the following positions should the nurse place the client? - CORRECT ANSWER-On the
unoperative side
A nurse is providing anticipatory guidance about child development to the parents of a toddler. Which of
the following developmental tasks should the nurse include as expected of a toddler? - CORRECT
ANSWER-Separates easily form primary care giver for short periods of time
A nurse is teaching a client who has a family history of hemophilia A about manifestations of the disorder.
The nurse should include which of the following manifestations in the teaching? - CORRECT
ANSWER-Disabling joint pain
can have disabling joint pain over time, especially of the knee and hip, because of hemorrhage into the
joints.
A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the
following questions should the nurse ask? - CORRECT ANSWER-"Has your son has a sore throat
recently"?
Rheumatic fever typically develops 2 to 6 weeks after an untreated or ineffective treated streptococcal
infection of the respiratory tract.
A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include
which of the following food choices for this child? - CORRECT ANSWER-Rice
A nurse has accepted a position on a pediatric unit and is learning about psychosocial development.
Place Erikson's stages of psychosocial development in order from birth to adolescence. (Move the steps
into the box on the right, placing them in the selected order of performance. Use all the steps.) -
CORRECT ANSWER-Trust vs. mistrust
Autonomy vs. shame and doubt
Initiative vs. guilt
Industry vs. inferiority
Identity vs. role confusion
A nurse on a pediatric unit is caring for a child following a laparoscopic appendectomy 1 day ago. -
CORRECT ANSWER-Turn the child on their left side- urgent
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