PEDIATRIC HESI STUDY GUIDE FOR HESI EXAM

PEDIATRIC HESI STUDY GUIDE FOR HESI EXAM 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWERAdministration 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