Pediatric HESI #2 latest updated exam
(100% pass guaranteed)
The mother of a school age child asks if her child has lice due to not washing frequently
enough. What is the best response for the nurse to make
A. lice spread easily due to close proximity not poor hygiene
B. Frequently washing of the head can help prevent lice
C. soaking combs and brushes in pediculicide shampoo can help prevent infection
D. The only way to prevent lice is to teach your child not to share combs and hats - ans
a
The RN in the clinic is providing f/up instructions for a child diagnosed w/ nonbullous
impetigo. Which are important for the RN to include in the teaching SATA
a. complete all antibx as ordered
b. the child may return to school as soon as the antibx are started
c. the lesions should remain open to air for healing
d. trim fingernails to prevent scratching
e. honey colored crusting is normal and will resolve - ans a, d, e
The RN observes a new mother care for a newborn experiencing diaper rash. For which
action should the RN intervene
a. She changes the diaper frequently
b. She washes the skin area w/ mild soap
c. She sprinkles baby powder over the area
d. she leaves the skin area open to air for 15 mins - ans c
The RN is preparing teaching material on the removal of head lice for a community
health program. Which information should the RN include
a. remove nits w/ a hairbrush
b. clean all bedding in cold water and bleach
c. place objects that cannot be laundered in a plastic bag
d. spray the floor + furniture with pesticide - ans c
during a community fair a toddler is burned w/ a hot coal from a grill. Which action
should the RN take
a. apply ice to the area
,b. place the area in cool water
c. break the blisters and apply ice over the area
d/ wash the area w/ large amounts of warm water - ans b
The RN is visiting a home of a client who delivered a full term infant 2 days ago. For
which home safety observation should the RN make a recommendation
a. a guardrail placed in front of the fireplace
b.smoke alarms installed and functioning in all rooms
c. a fire extinguisher located at the entrance to the kitchen
d. the mother holds the infant while pouring water for hot tea - ans d
the RN is providing parent education about how to best treat a diaper rash. Which
statement made by the parents indicate that they need further teaching
a. I should only change the babys diaper once per day
b. I should apply a protective cream to the diaper area
c. I should let the diaper area dry for a few mins before applying a new diaper
d. I should monitor for signs of infection if the diaper rash is severe - ans a
A RN is providing education to parents of school children w/ pediculosis capitis. Which
statement about treating pediculosis if made by the parent would indicate a need for
further teaching
a. we will be sure to wash my childs bedding after using the shampoo
b. my childs toys will need to be bagged for at least 2 weeks and the nwashed
c. my child will need to continue to use the shampoo for 2mos
d. we will soak our childs combs and brushes in hot water and the shampoo - ans c
A RN is reviewing home care instructions to parents of a child diagnosed w/ cellulitis of
the forearm. Which important teaching about cellulitis should be included in the home
care instructions
a. cellulitis is an auto-immune disorder
b. Cellulitis is always caused by MRSA
c. parents and caregicers should seek medical help for increased fever or for increasing
redness, streaking and pain and swelling at the infection site
d. cellulitis always needs to be treated w/ IV antibx - ans c
which clinical manifestations in a pt w/ a burn would need priority nursing interventions
a. a child exhibiting increased redness, warmth and swelling at the site of the burn
b. child who is demonstrating decreased uriane output
c. child w/ pain score of 10/10
d. child w/ increased itching at site - ans b
a child diagnosed w/ impetigo is hospitalized. The admitting RN appropriately places
this child on which type of precautions
a. contact
b. droplet
c. airborne
d. neutropenic - ans a
,the school RN knows that pediculosis is coomonly found among school age children.
Which statement is true about lice
a. as the lice insects does not fly it is transmitted by close proximity which allows the
insect to crawl from one person to the next
b. lice is not easily transmitted from person to person
c. lice needs to be eradicated w/ special antibx cream
d. a child w/ lice will need to wear a hat at all times until it is eliminated - ans a
During a home visit, the RN determines that a parent needs additional teaching about
meds prescribed to treat a newborns hypothyroidism. Which observation caused the RN
to provide additional instructions SATA
a. mixed crushed meds w/ water
b. mixed crushed meds in soy formula
c. placed crushed meds in a feeding bottle
D. used a needleless syringe to dminister the med
e. prepared 2 doses of the med w/ the morning bottle - ans b,c,e
The RN instructs the parents of a toddler w/ type 1 DM. Which statement indicated that
additional teaching about sick day rules is required? SATA
a. we will not encourage fluids
b. we will not give the regular dose of insulin
c. we will monitor blood glucose levels frequently
d. we will not give any OTC meds
e. we will call the PCP for help if needed - ans a, b
a school age client w/ type 1 DM has ittle league baseball games at 5pm several times
a week. Which should the parents and client be instructed to do before games?
a. drink 16oz of water
b. withhold providing the routine insulin dose until after the game
c. eat a complex carb and protein between 4-430
d. ingest a serving of a rapid acting glucose source before the game begins - ans c
a school age pt is diagnosed w/ severe diabetic ketoacidosis. Which lab value should
the rn expect to confirm this diagnosis
a. venous blood pH 6.8
b. +4 ketones in the urine
c. blood glucose 220mg/dL
d. bicarb level 15mEq/L - ans a
DKA = pH <7
a pt w/ type 1 DM is flushed w/ dry skin and reports eating a large serving of pasta for
lunch. Which action should the rn take?
a. instruct to lie down
b. provide w/ a large glass of water
c. measure BP and HR
d. prepare an additional dose of prescribed insulin - ans b
, for too many carbs eaten, fluid should be increased
a 7yo pt is diagnosed w/ premature adrenarche. Which should the rn expect to assess
in this client?
a. onset menstruation
b. increased growth velocity
c. development of pubic, axillary and body hair
d. unilateral breast development w. areolae maturation - ans c
the rn instructs an adolescent client and the parents on a beta blocker med prescribed
for hyperthyroidism. Which statement indicates that teaching was effective?
a. I won't need surgery if I take this med
b. this will make my thyroid gland shrink in size
c. this will help my rapid HR and nervousness
d. this reduces the amt of thyroid hormone in my body - ans c
the rn is planning care for a pre-adolescent client newly diagnosed w/ type 1 DM. Which
should be the focis when providing nutrition teaching to this pt?
a. fat reduction
b. wt reduction
c. protein restriction
d. carb exchanges - ans d
the RN suspects that an adolescent w/ type 1 DM is experiencing diabetic ketoacidosis
DKA. Which finding caused the rn to make this clinical determination?
a. slo HR
b. extreme hunger
c. deep and laborious respirations
d. slightly elevated BP - ans c
AKA= kussmaul breathing = pt is trying to correct metabolic acidosis by blowing off
excess carbon dioxide
a school age pt has a blood glucose of 60mg/dL. Which direction should the rn provide
the parent after giving the pt 6oz of regular soda
a. provide a protein
b. seek immediate medical attention
c. encourage to drink several glasses of water
d. recheck the blood glucose level in 15mins - ans d
the rn is concerned that an adolescent pt is experiencing hypoglycemia. Which finding
caused the rn to make this clinical determination
a. dizziness
b. stomach pain
c. extreme thirst
d. frequent urination - ans a
(100% pass guaranteed)
The mother of a school age child asks if her child has lice due to not washing frequently
enough. What is the best response for the nurse to make
A. lice spread easily due to close proximity not poor hygiene
B. Frequently washing of the head can help prevent lice
C. soaking combs and brushes in pediculicide shampoo can help prevent infection
D. The only way to prevent lice is to teach your child not to share combs and hats - ans
a
The RN in the clinic is providing f/up instructions for a child diagnosed w/ nonbullous
impetigo. Which are important for the RN to include in the teaching SATA
a. complete all antibx as ordered
b. the child may return to school as soon as the antibx are started
c. the lesions should remain open to air for healing
d. trim fingernails to prevent scratching
e. honey colored crusting is normal and will resolve - ans a, d, e
The RN observes a new mother care for a newborn experiencing diaper rash. For which
action should the RN intervene
a. She changes the diaper frequently
b. She washes the skin area w/ mild soap
c. She sprinkles baby powder over the area
d. she leaves the skin area open to air for 15 mins - ans c
The RN is preparing teaching material on the removal of head lice for a community
health program. Which information should the RN include
a. remove nits w/ a hairbrush
b. clean all bedding in cold water and bleach
c. place objects that cannot be laundered in a plastic bag
d. spray the floor + furniture with pesticide - ans c
during a community fair a toddler is burned w/ a hot coal from a grill. Which action
should the RN take
a. apply ice to the area
,b. place the area in cool water
c. break the blisters and apply ice over the area
d/ wash the area w/ large amounts of warm water - ans b
The RN is visiting a home of a client who delivered a full term infant 2 days ago. For
which home safety observation should the RN make a recommendation
a. a guardrail placed in front of the fireplace
b.smoke alarms installed and functioning in all rooms
c. a fire extinguisher located at the entrance to the kitchen
d. the mother holds the infant while pouring water for hot tea - ans d
the RN is providing parent education about how to best treat a diaper rash. Which
statement made by the parents indicate that they need further teaching
a. I should only change the babys diaper once per day
b. I should apply a protective cream to the diaper area
c. I should let the diaper area dry for a few mins before applying a new diaper
d. I should monitor for signs of infection if the diaper rash is severe - ans a
A RN is providing education to parents of school children w/ pediculosis capitis. Which
statement about treating pediculosis if made by the parent would indicate a need for
further teaching
a. we will be sure to wash my childs bedding after using the shampoo
b. my childs toys will need to be bagged for at least 2 weeks and the nwashed
c. my child will need to continue to use the shampoo for 2mos
d. we will soak our childs combs and brushes in hot water and the shampoo - ans c
A RN is reviewing home care instructions to parents of a child diagnosed w/ cellulitis of
the forearm. Which important teaching about cellulitis should be included in the home
care instructions
a. cellulitis is an auto-immune disorder
b. Cellulitis is always caused by MRSA
c. parents and caregicers should seek medical help for increased fever or for increasing
redness, streaking and pain and swelling at the infection site
d. cellulitis always needs to be treated w/ IV antibx - ans c
which clinical manifestations in a pt w/ a burn would need priority nursing interventions
a. a child exhibiting increased redness, warmth and swelling at the site of the burn
b. child who is demonstrating decreased uriane output
c. child w/ pain score of 10/10
d. child w/ increased itching at site - ans b
a child diagnosed w/ impetigo is hospitalized. The admitting RN appropriately places
this child on which type of precautions
a. contact
b. droplet
c. airborne
d. neutropenic - ans a
,the school RN knows that pediculosis is coomonly found among school age children.
Which statement is true about lice
a. as the lice insects does not fly it is transmitted by close proximity which allows the
insect to crawl from one person to the next
b. lice is not easily transmitted from person to person
c. lice needs to be eradicated w/ special antibx cream
d. a child w/ lice will need to wear a hat at all times until it is eliminated - ans a
During a home visit, the RN determines that a parent needs additional teaching about
meds prescribed to treat a newborns hypothyroidism. Which observation caused the RN
to provide additional instructions SATA
a. mixed crushed meds w/ water
b. mixed crushed meds in soy formula
c. placed crushed meds in a feeding bottle
D. used a needleless syringe to dminister the med
e. prepared 2 doses of the med w/ the morning bottle - ans b,c,e
The RN instructs the parents of a toddler w/ type 1 DM. Which statement indicated that
additional teaching about sick day rules is required? SATA
a. we will not encourage fluids
b. we will not give the regular dose of insulin
c. we will monitor blood glucose levels frequently
d. we will not give any OTC meds
e. we will call the PCP for help if needed - ans a, b
a school age client w/ type 1 DM has ittle league baseball games at 5pm several times
a week. Which should the parents and client be instructed to do before games?
a. drink 16oz of water
b. withhold providing the routine insulin dose until after the game
c. eat a complex carb and protein between 4-430
d. ingest a serving of a rapid acting glucose source before the game begins - ans c
a school age pt is diagnosed w/ severe diabetic ketoacidosis. Which lab value should
the rn expect to confirm this diagnosis
a. venous blood pH 6.8
b. +4 ketones in the urine
c. blood glucose 220mg/dL
d. bicarb level 15mEq/L - ans a
DKA = pH <7
a pt w/ type 1 DM is flushed w/ dry skin and reports eating a large serving of pasta for
lunch. Which action should the rn take?
a. instruct to lie down
b. provide w/ a large glass of water
c. measure BP and HR
d. prepare an additional dose of prescribed insulin - ans b
, for too many carbs eaten, fluid should be increased
a 7yo pt is diagnosed w/ premature adrenarche. Which should the rn expect to assess
in this client?
a. onset menstruation
b. increased growth velocity
c. development of pubic, axillary and body hair
d. unilateral breast development w. areolae maturation - ans c
the rn instructs an adolescent client and the parents on a beta blocker med prescribed
for hyperthyroidism. Which statement indicates that teaching was effective?
a. I won't need surgery if I take this med
b. this will make my thyroid gland shrink in size
c. this will help my rapid HR and nervousness
d. this reduces the amt of thyroid hormone in my body - ans c
the rn is planning care for a pre-adolescent client newly diagnosed w/ type 1 DM. Which
should be the focis when providing nutrition teaching to this pt?
a. fat reduction
b. wt reduction
c. protein restriction
d. carb exchanges - ans d
the RN suspects that an adolescent w/ type 1 DM is experiencing diabetic ketoacidosis
DKA. Which finding caused the rn to make this clinical determination?
a. slo HR
b. extreme hunger
c. deep and laborious respirations
d. slightly elevated BP - ans c
AKA= kussmaul breathing = pt is trying to correct metabolic acidosis by blowing off
excess carbon dioxide
a school age pt has a blood glucose of 60mg/dL. Which direction should the rn provide
the parent after giving the pt 6oz of regular soda
a. provide a protein
b. seek immediate medical attention
c. encourage to drink several glasses of water
d. recheck the blood glucose level in 15mins - ans d
the rn is concerned that an adolescent pt is experiencing hypoglycemia. Which finding
caused the rn to make this clinical determination
a. dizziness
b. stomach pain
c. extreme thirst
d. frequent urination - ans a
