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PEDS HESI REMEDIATION EXAM QUESTIONS AND ANSWERS
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PEDS HESI REMEDIATION EXAM QUESTIONS AND ANSWERS
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PEDS HESI REMEDIATION EXAMQUESTIONS AND ANSWERS
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 - Answer -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
D. Call the lab and request stat unit of plt - Answer -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 - Answer -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.
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 - Answer -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 - Answer -B. report suspected abuse
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 - Answer -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
B. obstructive uopathy
C. transplant rejection
D. nephrotic syndrome - Answer -C. transplant rejection
Transplant rejection is caused by the recipient's immune system response to foreign
tissue. Signs that may alert the nurse to rejection of a kidney transplant include fever,
tenderness over the graft area, decreased urine output, and elevated serum creatinine.
The nurse is reviewing an electronic medical record (EMR) of a four-year-old child who
is scheduled for an outpatient cardiac catheterization. The child has midazolam
prescribed pre-procedure to alleviate anxiety. Which prescription should the nurse seek
further clarification from the healthcare provider?
A. Parents may administer the med just prior to coming to the hospital
B. the child may have clear liquids up to two hours prior to administration of medicine
C.the child is to be accompanied the resuscitative equipment during transport to cardiac
suite
D. parents may accompany the child during transportation to cardiac procedure room. -
Answer -A. Parents may administer the med just prior to coming to the hospital
Midazolam is commonly prescribed to decrease anxiety in children undergoing surgical
procedures. When midazolam is administered to children, there should be a Pediatric
Advance Life Support (PALS) certified personnel and resuscitative equipment
accompanying the child to the procedure room. Children older than 3 years should be
NPO of solid and non-clear liquids for a minimum of 6 hours and may have clear liquids
up to two hours prior to sedation. The practical nurse (PN) needs to contact the
healthcare provider and request for a new prescription to be written and the parents to
be notified of the new prescription.
A 12-month-old client is being discharged with a body spica cast. Which information
should the nurse include in the parents' discharge teaching plan?
A. foul odor from cast may indicate infection or skin breakdown
B. pillows should not be placed under cast
C. the child can safely transported in a stroller
D. use pillows to elevate the child's head - Answer -A. foul odor from cast may indicate
infection or skin breakdown
Care of a child in a body spica cast can be challenging for parents at home. Skin under
the cast should be protected from injury and debris, so parents should be instructed that
a foul odor from the cast can be indicative of skin breakdown or infection and to contact
their health care provider.
Which medication is administered to premature infants to reduce the severity of
symptoms associated with respiratory syncytial virus (RSV) infection?
A. respaire
B. singulair
C. menomune
D. synagis - Answer -D. synagis
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