HESI PEDIATRICS REMEDIATION EXAM
QUESTIONS WITH ACCURATE ANSWERS
Terms in this set (72)
An alert child has been treated for D. Hypothermia
a submersion injury (near Almost half of all children who experience near
drowning). Which complication drowning, whether they are asymptomatic or
should the nurse anticipate?
minimally symptomatic, will experience
A. hypertension
complications during the first 24 hours after the
B. Edema
incident. Hypothermia is common in children
C. Oliguria due to their large surface area relative to body
D. Hypothermia mass, decreased subcutaneous fat, and
limited
thermoregulation.
The nurse is reviewing the lab C. Initiate reverse isolation precautions for this
values for an eight-year-old client child
and notes that the child's absolute The normal ANC value is considered greater than
neutrophil count (ANC) is below 1500 cells/mm3. Mild neutropenia is between
500 cells/mm3. Which nursing 1000-1500 cells/mm3, moderate between 500-
intervention should the nurse 1000 cells/mm3. ANC below 500 cells/mm3 are
implement first? considered severe neutropenia. Clients with an
A. Transfer the child to a ANC below 500 cells/mm3 should be placed on
negative pressure room reverse isolation precautions as soon as detected
B. Notify the HCP of the lab result to prevent acquiring an overwhelming
C. Initiate reverse isolation infection. Reverse isolation consists of being
D. Call the lab and request stat placed in a positive pressure room and
unit of plt generally no consumption of fresh fruit or
vegetables, unless the food is thoroughly
washed and no live plants or flowers in the
room.
,Which information about toxic B. Prevention
shock syndrome should the nurse Toxic shock syndrome (TSS) occurs from a
emphasize when counseling an
buildup of toxins produced by staphylococcus
adolescent female client? bacteria and can lead to acute multisystem organ
A. symptoms failure. Education should focus on preventive
B. prevention measures, such as the dangers of prolonged
C. medication tampon replacement use.
D. treatment
A mother brings in a three-year-old C. Administer oxygen
child who has respiratory rate of When providing care to a child in shock, the
36 breathes per minute; heart nurse's priority is to ensure adequate
rate of oxygenation. The nurse should administer oxygen
160 beats per minute; weaken and or provide assistance in establishing an airway.
thready pulse; and pale and The best way to remember the order of
sweaty skin. The nurse suspects priority of care to be given is the "ABCs"; airway,
the child is going into shock bleeding and circulation
which action
should the nurse perform first?
A. obtain ABG's
B. obtain vitals
C. administer O2
D. Establish IV access
The nurse recognizes signs that a B. report suspected abuse
9- month-old toddler may be The nurse's priority in suspected abuse cases is
living in an abusive home. Which the safety and welfare of the child. According to
action is the priority for the national statistics, children under the age of one
nurse? have the highest incidences of being abuse.
A. encourage the child to speak Nurses are mandated reporters and are required
freely to report suspected cases of abuse to local
B. report the suspected abuse to authorities in order to protect the child from
local authorities
further abuse
C. document head to toe
assessment
D. test the child for STD
, The nurse is assessing a two-month- C. acyanotic defect, obstructed blood flow
old in preparation for surgery for from ventricles
coarctation of the aorta repair. Coarctation of the aorta causes localized
Which best describes the narrowing near the insertion of the ductus
pathophysiology of coarctation arteriosus. This results in increased pressure
of the aorta? proximal to the defect (head and upper
A. acyanotic defect, increase extremities) and decreased pressure distal to
pulmonary blood flow the obstruction (body and lower extremities).
B. cyanotic defect, obstructed
blood flow from ventricles
C. acyanotic defect, obstructed
blood flow from ventricles
D. cyanotic defect, decreased
pulmonary blood flow
A six-year-old client, who received C. transplant rejection
a kidney transplant presents with Transplant rejection is caused by the recipient's
signs including fever, decreased immune system response to foreign tissue. Signs
urine output, and tenderness over that may alert the nurse to rejection of a kidney
the transplanted organ. Laboratory transplant include fever, tenderness over the
results reveal an elevated serum graft area, decreased urine output, and elevated
creatinine level. This presentation serum creatinine.
is likely due to which cause?
A. immunosuppression medications
B. obstructive uopathy
C. transplant rejection
D. nephrotic syndrome
QUESTIONS WITH ACCURATE ANSWERS
Terms in this set (72)
An alert child has been treated for D. Hypothermia
a submersion injury (near Almost half of all children who experience near
drowning). Which complication drowning, whether they are asymptomatic or
should the nurse anticipate?
minimally symptomatic, will experience
A. hypertension
complications during the first 24 hours after the
B. Edema
incident. Hypothermia is common in children
C. Oliguria due to their large surface area relative to body
D. Hypothermia mass, decreased subcutaneous fat, and
limited
thermoregulation.
The nurse is reviewing the lab C. Initiate reverse isolation precautions for this
values for an eight-year-old client child
and notes that the child's absolute The normal ANC value is considered greater than
neutrophil count (ANC) is below 1500 cells/mm3. Mild neutropenia is between
500 cells/mm3. Which nursing 1000-1500 cells/mm3, moderate between 500-
intervention should the nurse 1000 cells/mm3. ANC below 500 cells/mm3 are
implement first? considered severe neutropenia. Clients with an
A. Transfer the child to a ANC below 500 cells/mm3 should be placed on
negative pressure room reverse isolation precautions as soon as detected
B. Notify the HCP of the lab result to prevent acquiring an overwhelming
C. Initiate reverse isolation infection. Reverse isolation consists of being
D. Call the lab and request stat placed in a positive pressure room and
unit of plt generally no consumption of fresh fruit or
vegetables, unless the food is thoroughly
washed and no live plants or flowers in the
room.
,Which information about toxic B. Prevention
shock syndrome should the nurse Toxic shock syndrome (TSS) occurs from a
emphasize when counseling an
buildup of toxins produced by staphylococcus
adolescent female client? bacteria and can lead to acute multisystem organ
A. symptoms failure. Education should focus on preventive
B. prevention measures, such as the dangers of prolonged
C. medication tampon replacement use.
D. treatment
A mother brings in a three-year-old C. Administer oxygen
child who has respiratory rate of When providing care to a child in shock, the
36 breathes per minute; heart nurse's priority is to ensure adequate
rate of oxygenation. The nurse should administer oxygen
160 beats per minute; weaken and or provide assistance in establishing an airway.
thready pulse; and pale and The best way to remember the order of
sweaty skin. The nurse suspects priority of care to be given is the "ABCs"; airway,
the child is going into shock bleeding and circulation
which action
should the nurse perform first?
A. obtain ABG's
B. obtain vitals
C. administer O2
D. Establish IV access
The nurse recognizes signs that a B. report suspected abuse
9- month-old toddler may be The nurse's priority in suspected abuse cases is
living in an abusive home. Which the safety and welfare of the child. According to
action is the priority for the national statistics, children under the age of one
nurse? have the highest incidences of being abuse.
A. encourage the child to speak Nurses are mandated reporters and are required
freely to report suspected cases of abuse to local
B. report the suspected abuse to authorities in order to protect the child from
local authorities
further abuse
C. document head to toe
assessment
D. test the child for STD
, The nurse is assessing a two-month- C. acyanotic defect, obstructed blood flow
old in preparation for surgery for from ventricles
coarctation of the aorta repair. Coarctation of the aorta causes localized
Which best describes the narrowing near the insertion of the ductus
pathophysiology of coarctation arteriosus. This results in increased pressure
of the aorta? proximal to the defect (head and upper
A. acyanotic defect, increase extremities) and decreased pressure distal to
pulmonary blood flow the obstruction (body and lower extremities).
B. cyanotic defect, obstructed
blood flow from ventricles
C. acyanotic defect, obstructed
blood flow from ventricles
D. cyanotic defect, decreased
pulmonary blood flow
A six-year-old client, who received C. transplant rejection
a kidney transplant presents with Transplant rejection is caused by the recipient's
signs including fever, decreased immune system response to foreign tissue. Signs
urine output, and tenderness over that may alert the nurse to rejection of a kidney
the transplanted organ. Laboratory transplant include fever, tenderness over the
results reveal an elevated serum graft area, decreased urine output, and elevated
creatinine level. This presentation serum creatinine.
is likely due to which cause?
A. immunosuppression medications
B. obstructive uopathy
C. transplant rejection
D. nephrotic syndrome
