HESI Pediatric review
A 4 y.o. Is brought to the clinic with a fever of 103, sore throat, and moderate respiratory distress
caused by a suspected bacterial infection. Which medical diagnosis is a contraindication to
obtaining a throat culture? - ANS-Epiglottis
A 7 y.o. Is to have a painful procedure. Which statement by the RN best prepares the child to
cope with this? - ANS-"Sometimes it feels like a pushing"
A child with hydrocephalus is 1 day postop for revision of a ventriculoatrial shunt. Which finding
is most important? - ANS-Increased BP
A school age child with nephrotic syndrome is seen at the clinic 2 days after discharge from the
hospital. Which assessment is most important to obtain after hemodialysis - ANS-Daily weight
Acute Glomerulonephritis
Assessment - ANS-Recent strep infection
Dark urine
Irritable and/or lethargic
Acute Glomerulonephritis
Common features - ANS-Oliguria (less than 400ml of urine in 24hr)
Hematuria
Proteinuria
Edema
Hypertension
Circulatory congestion
Acute Glomerulonephritis
Nursing interventions - ANS-VS Q4
Daily weight
Low sodium, low potassium diet
Acute Glomerulonephritis
Therapeutic management - ANS-Maintain fluid balance
Tx of hypertension
Acyanotic Congenital Heart Disorders - ANS-Ventricular septal defect
Atrial septal defect
Patent ductus arteriosus
Coarctation of the aorta
Aortic stenosis
Asthma
Nursing interventions - ANS-Monitor for resp distress
O2 nebuilizer therapy
Evaluate effects of albuteral
And corticosteroids
Asthma
nursing assessment - ANS-Tight cough
, Expiratory wheezing peak flow levels
Bacterial meningitis
Nursing interventions - ANS-Isolate for at least 24hrs
Admin antibiotics
Frequent Neuro and VS checks
Measure head circumference daily
Fluid restriction may be necessary
Bacterial meningitis caused by - ANS-H. Influenzae type b
Streptococcus pneumoniae
Neisseria meningitidis
Bacterial meningitis S/S - ANS-Petechial of purpuric rashes (especially with a shock like state)
Increased ICP
Neck sickness
+Kernig's and Brudzinski's sign
Poor feeding
Vomiting
Irritable
Bulging fontanels
Buck's traction - ANS-For knee immobilization
Carbamazepine (Tegertol) - ANS-Generalized tonic clonic
Partial
Cardinal signs of respiratory distress - ANS-Restlessness
Increased respiratory rate
Increased pulse
Diaphoresis
Cerebral Palsy
Nursing interventions - ANS-Prevent aspiration with feeding
Phenytoin (Dilantin) for seizures
Diazepam (Valium) for muscle spasms
Cerebral Palsy (CP)
Diagnosis - ANS-Neonatal reflexes after 6 months
Spasticity
Scissoring of legs
Right abductor muscles of hips
Tightening of heel cord
No parachute reflex
CHF
Nursing interventions - ANS-Monitor VS, elevate head of bed, O2
Digoxin, diuretics, and ACE inhibitors
Daily weight
CHF
Signs and symptoms - ANS-Pedal edema
Neck vein distention
Cyanosis
A 4 y.o. Is brought to the clinic with a fever of 103, sore throat, and moderate respiratory distress
caused by a suspected bacterial infection. Which medical diagnosis is a contraindication to
obtaining a throat culture? - ANS-Epiglottis
A 7 y.o. Is to have a painful procedure. Which statement by the RN best prepares the child to
cope with this? - ANS-"Sometimes it feels like a pushing"
A child with hydrocephalus is 1 day postop for revision of a ventriculoatrial shunt. Which finding
is most important? - ANS-Increased BP
A school age child with nephrotic syndrome is seen at the clinic 2 days after discharge from the
hospital. Which assessment is most important to obtain after hemodialysis - ANS-Daily weight
Acute Glomerulonephritis
Assessment - ANS-Recent strep infection
Dark urine
Irritable and/or lethargic
Acute Glomerulonephritis
Common features - ANS-Oliguria (less than 400ml of urine in 24hr)
Hematuria
Proteinuria
Edema
Hypertension
Circulatory congestion
Acute Glomerulonephritis
Nursing interventions - ANS-VS Q4
Daily weight
Low sodium, low potassium diet
Acute Glomerulonephritis
Therapeutic management - ANS-Maintain fluid balance
Tx of hypertension
Acyanotic Congenital Heart Disorders - ANS-Ventricular septal defect
Atrial septal defect
Patent ductus arteriosus
Coarctation of the aorta
Aortic stenosis
Asthma
Nursing interventions - ANS-Monitor for resp distress
O2 nebuilizer therapy
Evaluate effects of albuteral
And corticosteroids
Asthma
nursing assessment - ANS-Tight cough
, Expiratory wheezing peak flow levels
Bacterial meningitis
Nursing interventions - ANS-Isolate for at least 24hrs
Admin antibiotics
Frequent Neuro and VS checks
Measure head circumference daily
Fluid restriction may be necessary
Bacterial meningitis caused by - ANS-H. Influenzae type b
Streptococcus pneumoniae
Neisseria meningitidis
Bacterial meningitis S/S - ANS-Petechial of purpuric rashes (especially with a shock like state)
Increased ICP
Neck sickness
+Kernig's and Brudzinski's sign
Poor feeding
Vomiting
Irritable
Bulging fontanels
Buck's traction - ANS-For knee immobilization
Carbamazepine (Tegertol) - ANS-Generalized tonic clonic
Partial
Cardinal signs of respiratory distress - ANS-Restlessness
Increased respiratory rate
Increased pulse
Diaphoresis
Cerebral Palsy
Nursing interventions - ANS-Prevent aspiration with feeding
Phenytoin (Dilantin) for seizures
Diazepam (Valium) for muscle spasms
Cerebral Palsy (CP)
Diagnosis - ANS-Neonatal reflexes after 6 months
Spasticity
Scissoring of legs
Right abductor muscles of hips
Tightening of heel cord
No parachute reflex
CHF
Nursing interventions - ANS-Monitor VS, elevate head of bed, O2
Digoxin, diuretics, and ACE inhibitors
Daily weight
CHF
Signs and symptoms - ANS-Pedal edema
Neck vein distention
Cyanosis
