PN HESI Peds EXAM 2022 Graded A

PN HESI Peds EXAM 2022 Graded A 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 ANSWERThat 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 ANSWERBone 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 ANSWERExhibits 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 ANSWER5ml 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 ANSWERFirst, 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 ANSWERDecrease 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 ANSWERCrying 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 ANSWERPetechiae 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 ANSWERRestlessness 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 ANSWERJoint 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 ANSWERElbow 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 ANSWERAltered peripheral tissue perfusion