Peds HESI Exam | Atcual Questions and
Answers with Verified Solutions | Latest
Updated 2026
Which is the priority nursing Administer broad-spectrum antibiotics
intervention for a 12-year-old client before
newly diagnosed with bacterial results of culture and sensitivity tests are
meningitis? returned.
-Continue pain management and Although culture and sensitivity results
provide comfort measures. identify the
-Maintain seizure precautions to most effective treatment, prescribed broad-
protect the client from injury. spectrum antibiotic therapy should be
-Monitor for increased intracranial initiated
pressure and do frequent neural once the culture is obtained to provide an
vital immediate anti-infectant regimen against
sign checks. the risk of
-Administer broad-spectrum mortality due to bacterial meningitis.
antibiotics before results of culture
and sensitivity tests are returned.
,Per the healthcare provider's Explain to the child and parents why the
orders, procedure
the nurse is preparing to is being done and what will occur.
catheterize An 8-year-old uses concrete operational
an 8-year-old child. Before thought
gathering (Piaget), can cooperate, and should be
supplies and starting the included in
procedure, the explanation of the plan of care.
which action should the nurse take Explaining why
first? the procedure is needed and what will
-Obtain the parent's consent occur will
before enhance the child's understanding and
initiating the procedure. cooperation. A separate consent does not
-Explain to the child and parents need to
why be obtained and signed. The parents
the procedure is being done and should be
what will occur. allowed to stay in the room while the nurse
-After talking with the parents still
about protects the child's privacy. There is no
the procedure, ask them to leave need to
the move to a treatment room unless the nurse
room. or
-Provide the child with privacy by parents feel it is needed. More invasive
conducting the procedure in the procedures
treatment room. that can cause pain, such as IV insertion
or blood
draws, can be done in a treatment room so
the
child's room remains a safe place.
,A 6-year-old child is brought to the Alert the healthcare provider.
emergency department with a The lower limit for systolic blood pressure
systolic blood pressure of 58 for a
mmHg. child older than 1 year of age is 70 mmHg
What action should the nurse take plus 2
first? times the child's age in years. The
-Comfort the child. healthcare
-Assess responsiveness. provider should be notified immediately of
-Alert the healthcare provider. the
-Initiate IV fluid replacement. child's hypotension and anticipate a
prescription
for IV fluids.
A mother expresses concern to Teens create psychological distance from
the parents
nurse about the behavior of her in order to separate from them.
15- Although a mutually respectful
year-old who is frequently finding parent-adolescent
fault and criticizing her. What relationship is important, an adolescent
information should the nurse may use
provide? critical and fault-finding behavior as a
-The family value system may mechanism
need to separate from the parent. Between the
to be changed to meet the teen's ages of
changing needs. 15 to 17 years, adolescents tend to have
-Teens create psychological conflicts
distance with their parents as they struggle with
from parents in order to separate issues of
from them. independence and control, and mature
-Parents should relinquish their towards
relationship with their teen to the late adolescence of 18 to 20 years of age.
teen's peers.
-Conflicts in the parent-teen
relationship are to be expected
during adolescence.
, When plotting a 20-week-old Compare this weight with previous weights
infant's recorded in the child's record.
weight on a standardized growth Evaluation of weight using a growth chart
chart, the nurse determines that requires
the comparison of current weight with previous
child's weight is between the 2nd weight
and 3rd percentiles. Based on this measurements. An infant is defined as
finding, which action should the having
nurse take? "failure to thrive" if their height or weight
-Teach the parents about falls
interventions for failure to thrive below the 3rd percentile, but first the nurse
syndrome. should
-Compare this weight with review the infant's health record to assess
previous the
weights recorded in the child's infant's weight history.
record.
-Evaluate the parent's body build
in
relation to the infant's weight.
-Obtain a 24-hour nutritional
history
before making any conclusions.
Answers with Verified Solutions | Latest
Updated 2026
Which is the priority nursing Administer broad-spectrum antibiotics
intervention for a 12-year-old client before
newly diagnosed with bacterial results of culture and sensitivity tests are
meningitis? returned.
-Continue pain management and Although culture and sensitivity results
provide comfort measures. identify the
-Maintain seizure precautions to most effective treatment, prescribed broad-
protect the client from injury. spectrum antibiotic therapy should be
-Monitor for increased intracranial initiated
pressure and do frequent neural once the culture is obtained to provide an
vital immediate anti-infectant regimen against
sign checks. the risk of
-Administer broad-spectrum mortality due to bacterial meningitis.
antibiotics before results of culture
and sensitivity tests are returned.
,Per the healthcare provider's Explain to the child and parents why the
orders, procedure
the nurse is preparing to is being done and what will occur.
catheterize An 8-year-old uses concrete operational
an 8-year-old child. Before thought
gathering (Piaget), can cooperate, and should be
supplies and starting the included in
procedure, the explanation of the plan of care.
which action should the nurse take Explaining why
first? the procedure is needed and what will
-Obtain the parent's consent occur will
before enhance the child's understanding and
initiating the procedure. cooperation. A separate consent does not
-Explain to the child and parents need to
why be obtained and signed. The parents
the procedure is being done and should be
what will occur. allowed to stay in the room while the nurse
-After talking with the parents still
about protects the child's privacy. There is no
the procedure, ask them to leave need to
the move to a treatment room unless the nurse
room. or
-Provide the child with privacy by parents feel it is needed. More invasive
conducting the procedure in the procedures
treatment room. that can cause pain, such as IV insertion
or blood
draws, can be done in a treatment room so
the
child's room remains a safe place.
,A 6-year-old child is brought to the Alert the healthcare provider.
emergency department with a The lower limit for systolic blood pressure
systolic blood pressure of 58 for a
mmHg. child older than 1 year of age is 70 mmHg
What action should the nurse take plus 2
first? times the child's age in years. The
-Comfort the child. healthcare
-Assess responsiveness. provider should be notified immediately of
-Alert the healthcare provider. the
-Initiate IV fluid replacement. child's hypotension and anticipate a
prescription
for IV fluids.
A mother expresses concern to Teens create psychological distance from
the parents
nurse about the behavior of her in order to separate from them.
15- Although a mutually respectful
year-old who is frequently finding parent-adolescent
fault and criticizing her. What relationship is important, an adolescent
information should the nurse may use
provide? critical and fault-finding behavior as a
-The family value system may mechanism
need to separate from the parent. Between the
to be changed to meet the teen's ages of
changing needs. 15 to 17 years, adolescents tend to have
-Teens create psychological conflicts
distance with their parents as they struggle with
from parents in order to separate issues of
from them. independence and control, and mature
-Parents should relinquish their towards
relationship with their teen to the late adolescence of 18 to 20 years of age.
teen's peers.
-Conflicts in the parent-teen
relationship are to be expected
during adolescence.
, When plotting a 20-week-old Compare this weight with previous weights
infant's recorded in the child's record.
weight on a standardized growth Evaluation of weight using a growth chart
chart, the nurse determines that requires
the comparison of current weight with previous
child's weight is between the 2nd weight
and 3rd percentiles. Based on this measurements. An infant is defined as
finding, which action should the having
nurse take? "failure to thrive" if their height or weight
-Teach the parents about falls
interventions for failure to thrive below the 3rd percentile, but first the nurse
syndrome. should
-Compare this weight with review the infant's health record to assess
previous the
weights recorded in the child's infant's weight history.
record.
-Evaluate the parent's body build
in
relation to the infant's weight.
-Obtain a 24-hour nutritional
history
before making any conclusions.
