Pediatrics Practice Hesi

. The nurse is giving preoperative instructions to a 14 year y/o female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place? A. "I will read all the literature you gave me before surgery" B. "I have had surgery before when I broke my wrist in a bike acdient, so I know what to expect" C. "All the things people have told me will help me take care of my back" D. "I understand that I will be in a body cast and I will show you how taught me to turn" 2.Rationale: Outcome of learning is best demonstrated when the client not only verbalizes an understanding but can also provide a return demonstration A: 14 y/o might not do that B: Spinal surgery is different from wrist surgery C: Client may be saying what the nurse wants to hear w/o expressing any real understanding of what to do after surgery A 2 y/o with Down syndrome is brought to the clinic for his regular physical examination. 3.The nurse knows which problem is frequently associated with Down syndrome? A. Congenital heart disease B. Fragile X chromosome C. Trisomy 13 D. Pyloric stenosis B: Causes mental retardation D: Not associated with Down syndrome 4.When assessing a child with asthma, the nurse should expect intercostal retractions during... A. Inspiration B. Coughing C. Apneic episodes D. Expiration . 5. Intercostal retractions result from respiratory effort to draw air into restricted airways Which behavior would the nurse expect a 2 y/o child to exhibit? A. Build a house with blocks B. Ride a tricycle C. Display possessiveness of toys D. Look at a picture book for 15 minutes 6. Remember 2 y/o are egocentric aka everything is about them so they are unable to share with other children ABC are behaviors of a preschooler The mother of a preschool-aged child asks the nurse if it all right to administer Pepto Bismol to her son when he "has a tummy ache". After reminding the mother to check the label of all OTC drugs for prescence of aspirin, which instruction should the nurse include when replying to this mother's question? A. If the child's tongue darkens, d/c the Pepto Bismol immediately B. Don't give if the child has chicken pox, the flu, or any other viral illness