PN HESI Peds QUESTIONS AND ANSWERS
A 15-year-old male with mild mental retardation who is hospitalized for minor surgery tells a female practical nurse (PN), "Wow, you have big ones." Which response is best for the PN to make? Correct Answer: That language is not permitted."
The health care ...
a 15 year old male with mild mental retardation who is hospitalized for minor surgery tells a female practical nurse pn
wow
you have big ones
Written for
PN HESI Peds
All documents for this subject (3)
Seller
Follow
Classroom
Reviews received
Content preview
PN HESI Peds QUESTIONS AND ANSWERS
A 15-year-old male with mild mental retardation who is hospitalized for minor surgery tells a female
practical nurse (PN), "Wow, you have big ones." Which response is best for the PN to make? Correct
Answer: That language is not permitted."
The health care provider prescribes carbamazepine (Tegretol) for a child whose tonic-clonic seizures
have been poorly controlled. The nurse informs the mother that the child must have blood tests every
week. The mother asks why so many blood tests are necessary. What complication is assessed through
frequent laboratory testing that the nurse should explain to this mother? Correct Answer: Bone marrow
suppression
The practical nurse (PN) is reviewing signs and symptoms of congestive heart failure with the parents of
a 2-year-old child with a congenital heart defect. Which behavior is most important for the parents to
report to the health care provider? Correct Answer: Exhibits a sudden and unexplained weight gain
A child with poison ivy weighs 25 kg and receives a prescription for Benadryl PO 5 mg/kg. Benadryl is
available as a 125 mg/5 mL solution. How many milliliters should the practical nurse administer? (Fill in
the blank.) Correct Answer: 5ml
A short arm cast is applied to a child with a fractured right ulna. The practical nurse (PN) is preparing the
parents with home instructions and should reinforce that the parents follow which discharge
instruction? Correct Answer: "Call the health care provider immediately if the nail beds appear 'blue' or
'empty.'"
The health care provider prescribes amoxicillin 60 mg PO three times a day for a child who weighs 13
pounds. The pediatric dosage range is 20 to 40 mg/kg/day in three equal doses. What is the maximum
dosage in 24 hours that should be given? (Fill in the blank.) Correct Answer: First, convert the pounds to
kg because the conversion is for kg.
1 kg = 2.2 lb
13 lb/(2.2 lb/kg) = 5.9 kg
Second, determine the maximum dose the child can have in 24 hours: 40 mg × 5.9 kg = 236 mg. The
maximum dose the child can have is 236 mg.
The nurse is preparing a child for transport to the operating room for an emergency appendectomy. The
anesthesiologist prescribes atropine sulfate (Atropine) IM STAT. What is the primary purpose for
administering this drug to the child at this time? Correct Answer: Decrease the oral secretions.
The practical nurse (PN) is caring for a child who had a cleft lip repair. What is the most important
reason to minimize this child's crying during the postoperative recovery period? Correct Answer: Crying
stresses the suture line.
, The parents of a 1-year-old child, who was recently diagnosed with hypospadias, state that they plan to
delay corrective surgery to see if the child will outgrow the problem. What response is best for the
practical nurse (PN) to provide to these parents? Correct Answer: "Discuss your decision with your
healthcare provider for additional information of what you understand about your child's diagnosis."
A child with cystic fibrosis is receiving ticarcillin disodium (Ticar) for Pseudomonas pneumonia. What
adverse effect should the nurse assess for and report promptly to the health care provider? Correct
Answer: Petechiae
The practical nurse (PN) is caring for a child with an acute respiratory condition. When the PN is
monitoring for impending respiratory distress, what sign is the child likely to exhibit first? Correct
Answer: Restlessness
The practical nurse (PN) is examining a child with an exacerbation of juvenile rheumatoid arthritis (JRA)
and notes that the child's mobility is greatly reduced. What factor should the PN observe that affects the
child's mobility? Correct Answer: Joint inflammation
The practical nurse (PN) is caring for a toddler who is admitted for cleft palate repair. Which type of
restraint should the PN prepare to apply in the postoperative period? Correct Answer: Elbow
The practical nurse (PN) in the clinic receives a phone call from the mother of a 6-year-old child with a
newly applied cast for a fracture of the femur. The mother reports that the child is in pain and is crying
and that the child's foot appears swollen and blue. Which nursing diagnosis supports the PN's initial
intervention? Correct Answer: Altered peripheral tissue perfusion
The parents of a 7-month-old male infant with spastic cerebral palsy bring him to the pediatric clinic.
Which statement by the parents warrants immediate intervention by the practical nurse (PN)? Correct
Answer: "My son often chokes while I am feeding him."
The practical nurse (PN) observes the unlicensed assistive personnel (UAP) placing a tongue blade at the
bedside of a child diagnosed with a seizure disorder. Which intervention should the PN implement?
Correct Answer: Tell the UAP that tongue blades should not be inserted during a seizure.
A mother phones the clinic because her 6-year-old child has been taking prescribed antibiotics for 7 of
the previous 10 days and continues to cough. She also reports that the cough is worsening and is
nonproductive. What information should the practical nurse (PN) provide to this mother? Correct
Answer: "Bring the child to the clinic today for an examination related to the cough."
A child is admitted to the hospital for confirmation of a diagnosis of acute lymphoblastic leukemia.
When performing a nursing assessment, which symptoms that are commonly manifested by this
condition should the practical nurse (PN) observe in the child? Correct Answer: Bone pain, pallor
A child with acute appendicitis who is scheduled for surgery in 3 hours is complaining of abdominal pain.
Which intervention should the practical nurse implement? Correct Answer: Assist the child into a
position of comfort.
To minimize separation anxiety in a hospitalized 2-year-old, which nursing intervention is best for the
practical nurse to implement Correct Answer: Encourage parents to room-in.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
