HESI: MANAGEMENT OF A PEDIATRIC UNIT AND
RATIONALE QUESTIONS WITH ACCURATE
ANSWERS
Terms in this set (24)
Which phone message requires the c) A school social worker who is reporting that a
most immediate response by the local teenager has made death threats and
nurse manager? expressed thoughts of suicide.
a)A physician who needs -
information about a suspected child The nurse needs additional information as quickly
abuse victim admitted to the as possible in order to attempt to deter
medical center the previous day. possible harm to the teenager or others in the
b)The daycare center director area. This
who reports the onset of a large situation has highest priority since the
number of cases of head lice teenager has threatened harm to self and
among the others.
preschool-aged children.
c) A school social worker who is
reporting that a local teenager
has made death threats and
expressed thoughts of suicide.
d) A teenager who sounds
distraught and requests information
right away about sexually
transmitted diseases.
,After the nurse manager a)A mother expressing concern that her
responds to the telephone baby refuses to take formula, stating the
messages, a staff RN consults infant's "soft spot" seems more sunken.
with the nurse manager regarding -
several additional
The situation indicates the infant is probably
telephone messages from clients. dehydrated, and dehydration can lead to a
rapid loss of physiologic integrity in an infant.
Which situation requires the most The nurse should respond to this situation first.
immediate follow-up by the nurse?
a)A mother expressing
concern that her baby
refuses to take
formula, stating the infant's "soft
spot" seems more sunken.
b) A grandmother asking for
immunization information, stating
her 5-year-old grandchild has
never been immunized.
c) A parent calling to ask if it is
necessary to keep her child with a
sore throat home from school.
d) A mother stating that she
sent her child to school but
is
concerned about his eye, which is
pink and painful.
, After advising the nurse d) A 9-year-old who got hit on the head with
regarding the phone calls, the a baseball bat and has a bruise behind his ear
nurse manager learns that initial and clear nasal discharge.
histories have been obtained by -
the intake nurse for several
Bruising behind the ear following a head injury is
children who have arrived at the
referred to as a Battle sign, which is an indication
clinic and are waiting with their
of a basilar skull fracture. Because the clear
parents.
nasal drainage may be cerebrospinal fluid, this
child needs the most immediate assessment to
Which child requires the most
determine the severity of the head injuries.
immediate follow-up by a nurse?
a)A 10-month-old with yellow
nasal mucous and a fever of 101° F
(38.3° C) who is fussy and crying
loudly.
b) A 5-year-old who has
started wetting the bed and
constantly requests extra
snacks and drinks.
c) A 13-year-old who was
injured while playing football the
previous day and now cannot
bear weight on his foot due to
severe pain.
d) A 9-year-old who got hit on the
head with a baseball bat and has
a bruise behind his ear and
clear
nasal discharge.
RATIONALE QUESTIONS WITH ACCURATE
ANSWERS
Terms in this set (24)
Which phone message requires the c) A school social worker who is reporting that a
most immediate response by the local teenager has made death threats and
nurse manager? expressed thoughts of suicide.
a)A physician who needs -
information about a suspected child The nurse needs additional information as quickly
abuse victim admitted to the as possible in order to attempt to deter
medical center the previous day. possible harm to the teenager or others in the
b)The daycare center director area. This
who reports the onset of a large situation has highest priority since the
number of cases of head lice teenager has threatened harm to self and
among the others.
preschool-aged children.
c) A school social worker who is
reporting that a local teenager
has made death threats and
expressed thoughts of suicide.
d) A teenager who sounds
distraught and requests information
right away about sexually
transmitted diseases.
,After the nurse manager a)A mother expressing concern that her
responds to the telephone baby refuses to take formula, stating the
messages, a staff RN consults infant's "soft spot" seems more sunken.
with the nurse manager regarding -
several additional
The situation indicates the infant is probably
telephone messages from clients. dehydrated, and dehydration can lead to a
rapid loss of physiologic integrity in an infant.
Which situation requires the most The nurse should respond to this situation first.
immediate follow-up by the nurse?
a)A mother expressing
concern that her baby
refuses to take
formula, stating the infant's "soft
spot" seems more sunken.
b) A grandmother asking for
immunization information, stating
her 5-year-old grandchild has
never been immunized.
c) A parent calling to ask if it is
necessary to keep her child with a
sore throat home from school.
d) A mother stating that she
sent her child to school but
is
concerned about his eye, which is
pink and painful.
, After advising the nurse d) A 9-year-old who got hit on the head with
regarding the phone calls, the a baseball bat and has a bruise behind his ear
nurse manager learns that initial and clear nasal discharge.
histories have been obtained by -
the intake nurse for several
Bruising behind the ear following a head injury is
children who have arrived at the
referred to as a Battle sign, which is an indication
clinic and are waiting with their
of a basilar skull fracture. Because the clear
parents.
nasal drainage may be cerebrospinal fluid, this
child needs the most immediate assessment to
Which child requires the most
determine the severity of the head injuries.
immediate follow-up by a nurse?
a)A 10-month-old with yellow
nasal mucous and a fever of 101° F
(38.3° C) who is fussy and crying
loudly.
b) A 5-year-old who has
started wetting the bed and
constantly requests extra
snacks and drinks.
c) A 13-year-old who was
injured while playing football the
previous day and now cannot
bear weight on his foot due to
severe pain.
d) A 9-year-old who got hit on the
head with a baseball bat and has
a bruise behind his ear and
clear
nasal discharge.
