PEDIATRIC HESI STUDY GUIDE FOR HESI EXAM

PEDIATRIC HESI STUDY GUIDE FOR HESI EXAM A 10 year old boy is admitted to the ED. He is unresponsive and his laboratory values include a blood sugar of 800, potassium of 5, and arterial blood gas of pH 7.30, HCO3 15, PaC02 37. Which intervention has the highest priority? Administer IV of normal saline and insulin Frequently assess the child's respiratory effort Maintain strict intake and output records Give subq regular insulin by protocol - CORRECT ANSWER-Administer IV of normal saline and insulin What snack is best to provide a 6 year old child on prescribed bedrest while receiving treatment for osteomyelitis? Soup broth Milkshake Applesauce Popsicle - CORRECT ANSWER-Milkshake The school nurse is assessing a child who reports having an itchy scalp. The nurse has sent home care instructions for the pediatric child. Which assessment should the nurse implement for this child? Determine if silvery crusty scales are seen in skin folds Observe base of neck and forehead for ring-shaped rash Look for raised, reddened areas and balding on scalp Inspect hair follicle shafts for adherence of nits - CORRECT ANSWER-Inspect hair follicle shafts for adherence of nits? An adolescent with pelvic inflammatory disease is admitted to the hospital after 14 days of taking levofloxacin twice daily. She asks the nurse Why do I have to be in the hospital? Why can't I get my treatment at home. Which purpose should the nurse provide that supports and effective outcome? Administration of a supervised parenteral antibiotic protocol Implementation of contact precautions to prevent spread of infection Detection of early symptoms of Jarisch-Herxheimer reaction Collection of serial anaerobic cultures of vaginal discharge - CORRECT ANSWERAdministration of a supervised parenteral antibiotic protocol The nurse administer digoxin to a 9 month old infant with an apical heart rate of 160 beats per minute. Which indicates the medication effect has been achieved. 60 beats per minute 120 beats per minute 180 beats per minute 80 beats per minute - CORRECT ANSWER-120 beats per minute A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first? Apply lotion to hands and feet place the child in a quiet environment Make a list of foods the child likes Encourage the parents to rest when possible - CORRECT ANSWER-Place the child in a quiet environment Which nursing problem has the highest priority when providing preoperative care for an infant born with bladder exstrophy? Risk for impaired parenting related to appearance of infant Risk for infection related to impaired skin integrity Altered urinary elimination related to exposure of bladder Knowledge deficit related to caring for the infant - CORRECT ANSWER-Risk for infection related to impaired skin integrity A 6 year old boy with bronchial asthma takes the beta adrenergic agonist agent albuterol. The child's mother tells the nurse that she uses this medication to open her son's airway when he is having trouble breathing. What is the nurses best response? Recommend that the mother bring the child in for immediate evaluation Advise the mom that over-use of the drug may cause chronic bronchitis Assure the mom that she is using the med correctly Confirm that the med helps to reduce airway inflammation - CORRECT ANSWERAssure the mom that she is using the med correctly A 9 year old boy is diagnosed with diabetes type 1. Which stage of Erikson's theory of psychosocial development is the nurse addressing the client about insulin injections? Initiative Industry Identity Autonomy - CORRECT ANSWER-Industry An unlicensed assistive personnel (UAP) is preparing to provide personal care for a 3 year old child who is NPO and awaiting surgery for. Wilm's tumor. It is most important for the nurse to provide the UAP with which instruction? Provide plenty of lubrication during mouth care Let the child make as many choices as possible Ensure warmth and privacy during the bath Avoid applying pressure to the child's abdomen - CORRECT ANSWER-Avoid applying pressure to the child's abdomen The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used?