PEDS HESI REMEDIATION
A 10-yr-antique infant has gone through a cardiac catheterization through the left femoral artery.
During a postprocedural evaluation, the nurse unearths the left foot is pulseless and funky to
touch. Which is the possibly cause?
A. Hemorrhage
B. Hematoma
C. Fasciculation
D. Tamponade - ANS-B. Hematoma
Cardiac catheterization is a routine diagnostic manner; but, it is not with out dangers. Loss of
pulse inside the catheterized extremity is possibly due to a hematoma and requires immediately
intervention to repair stream.
A 10-year-old patron with a current history of gambling inside the woods, offers to the school
nurse's clinic with localized pores and skin eruptions at the fingers and toes which can be
streaked, such as blisters discharging clean fluid that are painful and itchy. What must the
faculty nurse suspect to be the causative agent?
A. Sun burn
B. Poison ivy
C. Insect bite
D. Heat rash
Contact with the oil referred to as "Urushiol" that's located in poison ivy, alrightand sumac may
additionally produce an hypersensitive reaction. Symptoms consist of localized, streaked, or
oozing blisters. These pores and skin lesions are usually painful and itchy. - ANS-
A 10-year-old client with asthma arrives at an urgent care clinic with apparent bronchial
constriction. Which elegance of medicine have to the nurse assume to be administered for this
condition?
A. Methylxanthines
B. Anticholinergic
C. Long-acting beta2 agonists
D. Oral corticosteroids - ANS-D. Oral corticosteroids
Corticosteroids are rapid-appearing anti inflammatory pills. They are used to treat reversible
airflow obstruction, manipulate symptoms, and reduce bronchial constriction with the fewest
side consequences.
A 12-month-antique purchaser is being discharged with a frame spica solid. Which statistics
need to the nurse encompass inside the parents' discharge teaching plan?
A. Foul smell from solid may suggest infection or pores and skin breakdown
B. Pillows should now not be located under forged
C. The kid can accurately transported in a stroller
,D. Use pillows to elevate the child's head - ANS-A. Foul smell from cast may additionally
indicate infection or pores and skin breakdown
Care of a toddler in a body spica cast may be hard for parents at domestic. Skin below the cast
ought to be protected from injury and debris, so mother and father have to be advised that a foul
scent from the cast may be indicative of skin breakdown or contamination and to touch their
fitness care issuer.
A 12-year-vintage athlete reviews excessive ankle pain and an audible "popping" sound in the
ankle after a fall at football practice. The nurse upon inspection observes moderate swelling,
bruising, and joint instability. Initial radiographs of the ankle appear normal. Which sort of injury
ought to the nurse suspect?
A. Pressure
B. Sprain
C. Fracture
D. Dislocation - ANS-B. Sprain
The ankle is a commonplace web site for sprain injuries. Ankle sprains can variety from
moderate (grade 1) to intense (grade 3), with entire tearing of a ligament within the most
excessive sprains. A "popping" sound is probable an indication of a partial or whole ligament
tear; joint instability may be detected at the give up-stages of passive movement.
A 15-yr-old patron offers with a lump and persistent pain inside the proper upper thigh place,
and is sooner or later recognized with a excessive-grade osteosarcoma. The nurse should
expect which plan of remedy for this client?
A. Warm/cold topical applications
B. Amputation of the limb
C. Electrical stimulation therapy
D. Prolonged immobilization - ANS-B. Amputation of the limb
Osteosarcoma is the most commonplace bone most cancers in formative years and taken into
consideration one of the maximum fatal. Treatment usually consists of chemotherapy and
amputation of the affected limb. As of today, there may be no meedical set plan of care.
A child diagnosed with HIV is being enrolled in a brand new college. Who has the right to inform
the school of this child's HIV repute?
A. Doctors or nurses
B. Social employees
C. Parents or prison guardians
D. Infant welfare department - ANS-C. Parents or legal guardians
Confidentiality is a primary difficulty in faculty attendance. The parents or legal guardians have
the proper to decide whether or not to tell the school of their baby's HIV repute.
A baby has been recognized with chicken pox and the nurse teaches the discern no longer to
give the kid aspirin. Which circumstance can also result whilst a infant with chickenpox is given
aspirin?
A. Reye's syndrome
, B. Huntingtons sickness
c. Raynaud syndrome
D. Purpura sickness - ANS-A. Reye's syndrome
Reye's syndrome is a rare, however severe condition that reasons brain and liver harm that has
been linked with aspirin use in kids, whilst given to treat a viral infections, together with hen pox.
Reye's syndrome may be averted with the aid of heading off using aspirin in kids.
A infant is admitted with a diagnosis of suspected acute lymphoblastic leukemia (ALL). Which
take a look at is accomplished to verify this analysis of youth leukemia?
A. Cerebral spinal fluid analysis
B. Bone marrow aspiration
C. CBC
D. Genetic checking out - ANS-B. Bone marrow aspiration
ALL is a shape of cancer wherein high numbers of atypical white blood cells are produced. A
bone marrow biopsy that reveals number one blast cells is confirmation of a leukemia.
A toddler is delivered to the emergency department after eating a huge quantity of household
drain cleanser. Which is the nurse's first precedence whilst being concerned for this purchaser?
A. Carry out NG suctioning
B. Assess and maintain an open airway
C. Give small quantities of water to ingest
D. Obtain chest and stomach radiographs - ANS-B. Check and maintain an open airway
Ingestion of corrosive family retailers may also reason airway obstruction due to unexpectedly
growing laryngeal edema. The first priority is to assess and reveal the purchaser's airway.
A infant currently underwent cardiac surgical procedure and is admitted with a suspected
analysis of infective endocarditis. Which presentation ought to the nurse anticipate when
assessing this patron?
A. Bradycardia, lethargy, speech disturbances
B. Excessive fever, irregular movement of joints, involuntary facial grimaces
c. Tachycardia, chest pain, swollen and painful joints
D. Low grade fever, anorexia, splinter hemorrhages beneath the nails - ANS-D. Low grade
fever, anorexia, splinter hemorrhages underneath the nails
Children who undergo cardiac surgical operation are at higher hazard for contamination.
Common clinical symptoms and signs and symptoms of infective endocarditis are unexplained
fever (low-grade and intermittent), anorexia, malaise, and splinter hemorrhages below the nails
A child with excessive burns starts to show off reduced stage of cognizance and lethargy 4 days
after being admitted to the burn unit. The nurse's evaluation reveals a low-grade fever, but the
patron's other important symptoms are strong. The nurse should be alert for which ability
difficulty?
A. Breathing failure
B. Dehydration
C. Sepsis
A 10-yr-antique infant has gone through a cardiac catheterization through the left femoral artery.
During a postprocedural evaluation, the nurse unearths the left foot is pulseless and funky to
touch. Which is the possibly cause?
A. Hemorrhage
B. Hematoma
C. Fasciculation
D. Tamponade - ANS-B. Hematoma
Cardiac catheterization is a routine diagnostic manner; but, it is not with out dangers. Loss of
pulse inside the catheterized extremity is possibly due to a hematoma and requires immediately
intervention to repair stream.
A 10-year-old patron with a current history of gambling inside the woods, offers to the school
nurse's clinic with localized pores and skin eruptions at the fingers and toes which can be
streaked, such as blisters discharging clean fluid that are painful and itchy. What must the
faculty nurse suspect to be the causative agent?
A. Sun burn
B. Poison ivy
C. Insect bite
D. Heat rash
Contact with the oil referred to as "Urushiol" that's located in poison ivy, alrightand sumac may
additionally produce an hypersensitive reaction. Symptoms consist of localized, streaked, or
oozing blisters. These pores and skin lesions are usually painful and itchy. - ANS-
A 10-year-old client with asthma arrives at an urgent care clinic with apparent bronchial
constriction. Which elegance of medicine have to the nurse assume to be administered for this
condition?
A. Methylxanthines
B. Anticholinergic
C. Long-acting beta2 agonists
D. Oral corticosteroids - ANS-D. Oral corticosteroids
Corticosteroids are rapid-appearing anti inflammatory pills. They are used to treat reversible
airflow obstruction, manipulate symptoms, and reduce bronchial constriction with the fewest
side consequences.
A 12-month-antique purchaser is being discharged with a frame spica solid. Which statistics
need to the nurse encompass inside the parents' discharge teaching plan?
A. Foul smell from solid may suggest infection or pores and skin breakdown
B. Pillows should now not be located under forged
C. The kid can accurately transported in a stroller
,D. Use pillows to elevate the child's head - ANS-A. Foul smell from cast may additionally
indicate infection or pores and skin breakdown
Care of a toddler in a body spica cast may be hard for parents at domestic. Skin below the cast
ought to be protected from injury and debris, so mother and father have to be advised that a foul
scent from the cast may be indicative of skin breakdown or contamination and to touch their
fitness care issuer.
A 12-year-vintage athlete reviews excessive ankle pain and an audible "popping" sound in the
ankle after a fall at football practice. The nurse upon inspection observes moderate swelling,
bruising, and joint instability. Initial radiographs of the ankle appear normal. Which sort of injury
ought to the nurse suspect?
A. Pressure
B. Sprain
C. Fracture
D. Dislocation - ANS-B. Sprain
The ankle is a commonplace web site for sprain injuries. Ankle sprains can variety from
moderate (grade 1) to intense (grade 3), with entire tearing of a ligament within the most
excessive sprains. A "popping" sound is probable an indication of a partial or whole ligament
tear; joint instability may be detected at the give up-stages of passive movement.
A 15-yr-old patron offers with a lump and persistent pain inside the proper upper thigh place,
and is sooner or later recognized with a excessive-grade osteosarcoma. The nurse should
expect which plan of remedy for this client?
A. Warm/cold topical applications
B. Amputation of the limb
C. Electrical stimulation therapy
D. Prolonged immobilization - ANS-B. Amputation of the limb
Osteosarcoma is the most commonplace bone most cancers in formative years and taken into
consideration one of the maximum fatal. Treatment usually consists of chemotherapy and
amputation of the affected limb. As of today, there may be no meedical set plan of care.
A child diagnosed with HIV is being enrolled in a brand new college. Who has the right to inform
the school of this child's HIV repute?
A. Doctors or nurses
B. Social employees
C. Parents or prison guardians
D. Infant welfare department - ANS-C. Parents or legal guardians
Confidentiality is a primary difficulty in faculty attendance. The parents or legal guardians have
the proper to decide whether or not to tell the school of their baby's HIV repute.
A baby has been recognized with chicken pox and the nurse teaches the discern no longer to
give the kid aspirin. Which circumstance can also result whilst a infant with chickenpox is given
aspirin?
A. Reye's syndrome
, B. Huntingtons sickness
c. Raynaud syndrome
D. Purpura sickness - ANS-A. Reye's syndrome
Reye's syndrome is a rare, however severe condition that reasons brain and liver harm that has
been linked with aspirin use in kids, whilst given to treat a viral infections, together with hen pox.
Reye's syndrome may be averted with the aid of heading off using aspirin in kids.
A infant is admitted with a diagnosis of suspected acute lymphoblastic leukemia (ALL). Which
take a look at is accomplished to verify this analysis of youth leukemia?
A. Cerebral spinal fluid analysis
B. Bone marrow aspiration
C. CBC
D. Genetic checking out - ANS-B. Bone marrow aspiration
ALL is a shape of cancer wherein high numbers of atypical white blood cells are produced. A
bone marrow biopsy that reveals number one blast cells is confirmation of a leukemia.
A toddler is delivered to the emergency department after eating a huge quantity of household
drain cleanser. Which is the nurse's first precedence whilst being concerned for this purchaser?
A. Carry out NG suctioning
B. Assess and maintain an open airway
C. Give small quantities of water to ingest
D. Obtain chest and stomach radiographs - ANS-B. Check and maintain an open airway
Ingestion of corrosive family retailers may also reason airway obstruction due to unexpectedly
growing laryngeal edema. The first priority is to assess and reveal the purchaser's airway.
A infant currently underwent cardiac surgical procedure and is admitted with a suspected
analysis of infective endocarditis. Which presentation ought to the nurse anticipate when
assessing this patron?
A. Bradycardia, lethargy, speech disturbances
B. Excessive fever, irregular movement of joints, involuntary facial grimaces
c. Tachycardia, chest pain, swollen and painful joints
D. Low grade fever, anorexia, splinter hemorrhages beneath the nails - ANS-D. Low grade
fever, anorexia, splinter hemorrhages underneath the nails
Children who undergo cardiac surgical operation are at higher hazard for contamination.
Common clinical symptoms and signs and symptoms of infective endocarditis are unexplained
fever (low-grade and intermittent), anorexia, malaise, and splinter hemorrhages below the nails
A child with excessive burns starts to show off reduced stage of cognizance and lethargy 4 days
after being admitted to the burn unit. The nurse's evaluation reveals a low-grade fever, but the
patron's other important symptoms are strong. The nurse should be alert for which ability
difficulty?
A. Breathing failure
B. Dehydration
C. Sepsis
