Pediatric HESI unit 4 Exam | Atcual
Questions and Answers with Verified
Solutions | Latest Updated 2026
which intervention is a priority a. assessing the level of consciousness
when every hour
caring for a child who sustained a diminishing level of consciousness is an
head injury 12 hours earlier? early
a. assessing the level of indicator of neurological damage, evidence
consciousness every hour of a
b. promoting rest by fostering a subdural hemorrhage may take hours or
quiet days to
environment develop.
c. asking about the circumstances
that led to the injury
d. administering the prescribed
opioid for complaints of a
headache
,an 8 year old boy is found to have b
a
mild concussion and is to be
discharged home. The parent is
instructed to check their child for
responsiveness every 2 hours and
to
wake hi for this assessment after
he
goes to sleep. They call the nurse
and say they are afraid to allow
him
to go to sleep. How would the
nurse
respond?
a. you can bring him to the
hospital
before bedtime, if you prefer
b. if your son becomes difficult to
awaken bring him to the hospital.
c. theres no need to worry
because
you son is past the critical period.
d. awakening your son throughout
the night is no longer necessary
,a child is admitted to the pediatric b
intensive care unit with acute checking LOC is part of the total
bacterial meningitis. Which neurological
intervention would the nurse check, it can reveal increasing ICP as
include result of
in the plan of care? cerebral inflammation.
a. offering clear liquids when the
child is awake
b. checking the child level of
consciousness hourly
c. assessing the childs BP every 4
hours
d. administering the prescribed
oral
antibiotic medication
Which clinical manifestation would b
the nurse recognize as a sign of vomiting commonly accompanies a head
neurologic injury when assessing injury
a7 because of increased ICP
month old infant injured in an
automobile accident?
a. babinki reflex
b. persistent vomiting
c. heart rate of 110 bpm
d. temp of 99.6
which clinical finding would the d
nurse recognize as a sign that an anterior fontanel would be widened and
infants ICP has increased? tense due
a. hypoactive reflexes to increased volume of cerebrospinal fluid
b. increased pulse rate the pulse rate would be decreased
c. decreased BP reflexes hyperactive
d. tension of anterior fontanel BP increased
, which assessment finding alerts b
the increased ICP exerts pressure on the
nurse to suspect increasing ICP in vomiting
infant? center in the brain resulting in projective
a. sunken eyes vomiting
b. projectile vomiting
c. depressed fonatanels
d. narrowing pulse pressure
which nursing care would the d
nurse shunt may become obstructed leading to
provide for an infant the first 24 accululation of CSF and increased ICP
hours after surgical placement of a
ventriculoperitoneal shunt for
hydrcephaus?
a. medicating the infant for pain
b. placing the infant in high fowlers
c. positioning the infant on the side
that has the shunt
d. monitoring the infant for
increasing ICP
which symptoms would the nurse abc
recognize as indicative of
increased
ICP in 3 year old child? SATA
a. vomiting
b. headache
c. irritability
d. tachypnea
e. hypotension
Questions and Answers with Verified
Solutions | Latest Updated 2026
which intervention is a priority a. assessing the level of consciousness
when every hour
caring for a child who sustained a diminishing level of consciousness is an
head injury 12 hours earlier? early
a. assessing the level of indicator of neurological damage, evidence
consciousness every hour of a
b. promoting rest by fostering a subdural hemorrhage may take hours or
quiet days to
environment develop.
c. asking about the circumstances
that led to the injury
d. administering the prescribed
opioid for complaints of a
headache
,an 8 year old boy is found to have b
a
mild concussion and is to be
discharged home. The parent is
instructed to check their child for
responsiveness every 2 hours and
to
wake hi for this assessment after
he
goes to sleep. They call the nurse
and say they are afraid to allow
him
to go to sleep. How would the
nurse
respond?
a. you can bring him to the
hospital
before bedtime, if you prefer
b. if your son becomes difficult to
awaken bring him to the hospital.
c. theres no need to worry
because
you son is past the critical period.
d. awakening your son throughout
the night is no longer necessary
,a child is admitted to the pediatric b
intensive care unit with acute checking LOC is part of the total
bacterial meningitis. Which neurological
intervention would the nurse check, it can reveal increasing ICP as
include result of
in the plan of care? cerebral inflammation.
a. offering clear liquids when the
child is awake
b. checking the child level of
consciousness hourly
c. assessing the childs BP every 4
hours
d. administering the prescribed
oral
antibiotic medication
Which clinical manifestation would b
the nurse recognize as a sign of vomiting commonly accompanies a head
neurologic injury when assessing injury
a7 because of increased ICP
month old infant injured in an
automobile accident?
a. babinki reflex
b. persistent vomiting
c. heart rate of 110 bpm
d. temp of 99.6
which clinical finding would the d
nurse recognize as a sign that an anterior fontanel would be widened and
infants ICP has increased? tense due
a. hypoactive reflexes to increased volume of cerebrospinal fluid
b. increased pulse rate the pulse rate would be decreased
c. decreased BP reflexes hyperactive
d. tension of anterior fontanel BP increased
, which assessment finding alerts b
the increased ICP exerts pressure on the
nurse to suspect increasing ICP in vomiting
infant? center in the brain resulting in projective
a. sunken eyes vomiting
b. projectile vomiting
c. depressed fonatanels
d. narrowing pulse pressure
which nursing care would the d
nurse shunt may become obstructed leading to
provide for an infant the first 24 accululation of CSF and increased ICP
hours after surgical placement of a
ventriculoperitoneal shunt for
hydrcephaus?
a. medicating the infant for pain
b. placing the infant in high fowlers
c. positioning the infant on the side
that has the shunt
d. monitoring the infant for
increasing ICP
which symptoms would the nurse abc
recognize as indicative of
increased
ICP in 3 year old child? SATA
a. vomiting
b. headache
c. irritability
d. tachypnea
e. hypotension
