HESI Case Studies Management of a Pediatric Unit Ms.
Sanku With Complete Solution
Which phone message requires the most immediate response by Ms. Sanku?
A school social worker who is reporting that a local teenager who often hangs out
around the clinic has made death threats and expressed thoughts of suicide.
Which situation requires the most immediate follow-up by the nurse?
A mother expressing concern that her baby refuses to take formula, stating that the
infant's "soft spot" seems more sunken.
Which child requires the most immediate follow-up by a nurse?
a 9-year-old who got hit on the head with a baseball bad and has a bruise behind his
ear and clear nasal discharge.
Which task(s) can be assigned to the UAP assisting the nurse?
-Apply a cold pack to the teenager's foot
-Take the teen's vial signs
What action should Ms. Sanku take?
Acknowledge that the LPN and UAP are working effectively in caring for the infant.
Which member of the staff should be assigned to remain with the child until the
ambulance arrives?
An experienced staff RN.
What action should the nurse educator take first?
Call for assistance from other clinic staff members.
To whom should the nurse educator refer this mother?
The clinic pediatric nurse practitioner.
How should the nurse educator respond?
Explain the signs and symptoms of diabetes to all parents in the class.
Which task(s) should be assigned to an LPN, rather than a UAP? (select all the
apply)
-Check the residual on the tube feeding for a child with a PEG tube
-Perform a straight catheterization for urine specimen collection.
Which client should be assigned to a staff RN, rather than a staff LPN?
A 2-year-old with diabetes who has been vomiting all night.
What action should Ms. Sanku implement?
Observe the effectiveness of the action performed by the LPN.
How should Ms. Sanku respond?
We will go ahead and begin the meeting, and hope that Dr. Chan arrives shortly.
What action should Ms. Sanku take?
Place the topic requested by the LPN on the meeting agenda for discussion.
What action should Ms. Sanku take first?
Assign additional staff nurses to research the proposed changes.
How should Ms. Sanku respond?
As professionals, we should always consider new ways of implementing quality client
care.
Sanku With Complete Solution
Which phone message requires the most immediate response by Ms. Sanku?
A school social worker who is reporting that a local teenager who often hangs out
around the clinic has made death threats and expressed thoughts of suicide.
Which situation requires the most immediate follow-up by the nurse?
A mother expressing concern that her baby refuses to take formula, stating that the
infant's "soft spot" seems more sunken.
Which child requires the most immediate follow-up by a nurse?
a 9-year-old who got hit on the head with a baseball bad and has a bruise behind his
ear and clear nasal discharge.
Which task(s) can be assigned to the UAP assisting the nurse?
-Apply a cold pack to the teenager's foot
-Take the teen's vial signs
What action should Ms. Sanku take?
Acknowledge that the LPN and UAP are working effectively in caring for the infant.
Which member of the staff should be assigned to remain with the child until the
ambulance arrives?
An experienced staff RN.
What action should the nurse educator take first?
Call for assistance from other clinic staff members.
To whom should the nurse educator refer this mother?
The clinic pediatric nurse practitioner.
How should the nurse educator respond?
Explain the signs and symptoms of diabetes to all parents in the class.
Which task(s) should be assigned to an LPN, rather than a UAP? (select all the
apply)
-Check the residual on the tube feeding for a child with a PEG tube
-Perform a straight catheterization for urine specimen collection.
Which client should be assigned to a staff RN, rather than a staff LPN?
A 2-year-old with diabetes who has been vomiting all night.
What action should Ms. Sanku implement?
Observe the effectiveness of the action performed by the LPN.
How should Ms. Sanku respond?
We will go ahead and begin the meeting, and hope that Dr. Chan arrives shortly.
What action should Ms. Sanku take?
Place the topic requested by the LPN on the meeting agenda for discussion.
What action should Ms. Sanku take first?
Assign additional staff nurses to research the proposed changes.
How should Ms. Sanku respond?
As professionals, we should always consider new ways of implementing quality client
care.
