Pediatric HESI BS
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 - ANS-Administer IV of normal saline and insulin
A 10 year old girl was bitten by a tick during a camping trip receives a prescription for
tetracycline for Lyme's disease. Which information should the nurse ensure the client
understands?
Inspect all areas of skin daily for tick attachment while camping in wooded areas
Wear sunglasses when outside during the day
Apply insect repellent to skin and clothes when exposure to vectors is likely
Don't take tetracyclines with milk or antacids - ANS-Don't take tetracyclines with milk or antacids
A 17 year old male student with cystic fibrosis talks with the school nurse about his disease and
wonders how it will affect getting married. What relevant info would the nurse include in this
discussion?
He should undergo cystic fibrosis screening before having children
Impotence is a frequent problem for males with cystic fibrosis
He is likely to have infertility problems and needs further evaluation
If the father is a carrier 50% of the offspring will have cystic fibrosis - ANS-He is likely to have
infertility problems and needs further evaluation
A 3 month old who is developmentally delayed has a ventricular peritoneal shunt for
hydrocephalus. The nurse makes a postoperative appointment for the child's progress. During
the visit the mother tells the nurse When the shunt is removed the pressure in my baby's head
will be gone. What teaching should the nurse provide?
Many infants outgrow the need for a shunt after the neonatal period
Other pathways in the brain will drain fluid after the shunt is removed
The shunt will have to be reinserted only if an infection or blockage develops
The shunt will be replaced as your child grows to reduce pressure in the brain - ANS-The shunt
will be replaced as your child grows to reduce pressure in the brain?
A 6 month old diagnosed with short bowel syndrome began enteral feedings yesterday. To
maintain normal growth and development of the child during this period What actions should the
nurse include in the infant's plan of care?
Speak to the healthcare provider about instituting physical therapy
Use sterile technique during feedings
Give the infant a pacifier during feedings
Ensure placement of nasogastric tube with an abdominal x-ray - ANS-Give the infant a pacifier
during feedings
, 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 - ANS-Assure the mom that she is
using the med correctly
A 6 year old child is diagnosed with rheumatic fever and demonstrates associated chorea
(sudden aimless movements of the arms and legs). Which information should the nurse provide
to the parents?
The chorea or movements are temporary and will eventually disappear
Consistent discipline is needed to help the child control the movements
Muscle tension is decreased with fine motor skill projects so these activities should be
encouraged
Permanent life style changes need to be made to promote safety in the home - ANS-The chorea
or movements are temporary and will eventually disappear
A 6 year old is brought into the healthcare providers office after stepping on a rusty nail. Upon
inspection the nurse notes that the nail went through the shoe and pierced the bottom of the
child's foot. Which action should the nurse implement first? - ANS-cleanse the foot with soap
and water and apply an antibiotic ointment as prescribed
A 6 year old with heart failure has gained 2 pounds in the last 24 hours. Which intervention is
most important for the nurse to implement?
Assess bilateral lung sounds
Graph the daily weight for the past week
Restrict intake of oral fluids
Decrease IV flow rate - ANS-Assess bilateral lung sounds
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 - ANS-Industry
A 9 year old with celiac disease is admitted to the pediatric unit following an appendectomy.
Which food should the nurse remove from this child's meal tray?
Chicken rice soup
Turkey
Crackers
Fruit cup - ANS-Crackers
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
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 - ANS-Administer IV of normal saline and insulin
A 10 year old girl was bitten by a tick during a camping trip receives a prescription for
tetracycline for Lyme's disease. Which information should the nurse ensure the client
understands?
Inspect all areas of skin daily for tick attachment while camping in wooded areas
Wear sunglasses when outside during the day
Apply insect repellent to skin and clothes when exposure to vectors is likely
Don't take tetracyclines with milk or antacids - ANS-Don't take tetracyclines with milk or antacids
A 17 year old male student with cystic fibrosis talks with the school nurse about his disease and
wonders how it will affect getting married. What relevant info would the nurse include in this
discussion?
He should undergo cystic fibrosis screening before having children
Impotence is a frequent problem for males with cystic fibrosis
He is likely to have infertility problems and needs further evaluation
If the father is a carrier 50% of the offspring will have cystic fibrosis - ANS-He is likely to have
infertility problems and needs further evaluation
A 3 month old who is developmentally delayed has a ventricular peritoneal shunt for
hydrocephalus. The nurse makes a postoperative appointment for the child's progress. During
the visit the mother tells the nurse When the shunt is removed the pressure in my baby's head
will be gone. What teaching should the nurse provide?
Many infants outgrow the need for a shunt after the neonatal period
Other pathways in the brain will drain fluid after the shunt is removed
The shunt will have to be reinserted only if an infection or blockage develops
The shunt will be replaced as your child grows to reduce pressure in the brain - ANS-The shunt
will be replaced as your child grows to reduce pressure in the brain?
A 6 month old diagnosed with short bowel syndrome began enteral feedings yesterday. To
maintain normal growth and development of the child during this period What actions should the
nurse include in the infant's plan of care?
Speak to the healthcare provider about instituting physical therapy
Use sterile technique during feedings
Give the infant a pacifier during feedings
Ensure placement of nasogastric tube with an abdominal x-ray - ANS-Give the infant a pacifier
during feedings
, 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 - ANS-Assure the mom that she is
using the med correctly
A 6 year old child is diagnosed with rheumatic fever and demonstrates associated chorea
(sudden aimless movements of the arms and legs). Which information should the nurse provide
to the parents?
The chorea or movements are temporary and will eventually disappear
Consistent discipline is needed to help the child control the movements
Muscle tension is decreased with fine motor skill projects so these activities should be
encouraged
Permanent life style changes need to be made to promote safety in the home - ANS-The chorea
or movements are temporary and will eventually disappear
A 6 year old is brought into the healthcare providers office after stepping on a rusty nail. Upon
inspection the nurse notes that the nail went through the shoe and pierced the bottom of the
child's foot. Which action should the nurse implement first? - ANS-cleanse the foot with soap
and water and apply an antibiotic ointment as prescribed
A 6 year old with heart failure has gained 2 pounds in the last 24 hours. Which intervention is
most important for the nurse to implement?
Assess bilateral lung sounds
Graph the daily weight for the past week
Restrict intake of oral fluids
Decrease IV flow rate - ANS-Assess bilateral lung sounds
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 - ANS-Industry
A 9 year old with celiac disease is admitted to the pediatric unit following an appendectomy.
Which food should the nurse remove from this child's meal tray?
Chicken rice soup
Turkey
Crackers
Fruit cup - ANS-Crackers
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
