HESI Questions NUR 404 Questions With Complete
Solutions
Children with chronic otitis media are at risk for developing
what problem? Correct Answers Hearing loss
Compare the dietary interventions for AGN & nephrosis
Correct Answers AGN: Low sodium diet with no added salt
Nephrosis: High protein, low salt diet
Compare the S&S of AGN (Acute Glomerulonephritis) with
those of nephrosis Correct Answers AGN: Gross hematuria,
recent strep infection, hypertension, & mild edema
Nephrosis: Severe edema, massive proteinuria, frothy appearing
urine, anorexia
Describe developmental factors that would affect the school-age
child with diabetes Correct Answers Need to be like peers
Assuming responsibility for own care
Modification of diet
Snacks & exercise in school
Describe feeding techniques for a child with cleft lip or palate
Correct Answers Use lamb's nipple or prosthesis
Feed child upright, with frequent bubbling
Describe nursing interventions to reduce the workload of the
heart Correct Answers Give small, frequent feedings or gavage
feedings
,Plan frequent rest periods
Maintain neutral thermal environments
Organize activities to disturb child only as indicated
Describe safe monitoring of prednisone administration &
withdrawal Correct Answers Long term prednisone should be
given every other day
Signs of edema, mood changes, & GI distress should be noted
and reported
The drug should be tapered, not d/c suddenly
Describe scissoring Correct Answers A common characteristic
of spastic CP (cerebral palsy) in infants
Legs are extended & crossed over each other, feet are plantar
flexed
Describe the care of a child in a mist tent Correct Answers
Monitor child's temperature, keep tent edges tucked in, keep
clothing dry, assess respiratory status, look at child inside tent
Describe the function of an osmotic diuretic Correct Answers
Remove water from the CNS to reduce cerebral edema
Describe the information families should be given when a child
is receiving oral iron preparations Correct Answers Give PO
iron on an empty stomach & with Vitamin C
Use straws to avoid discoloring teeth
Tarry stools are normal
Increase dietary sources of iron
, Describe the mechanism of inheritance of Duchenne muscular
dystrophy Correct Answers Inherited as an X-linked recessive
trait
Describe the nursing care of a child with ketoacidosis Correct
Answers Provide care for an unconscious child, administer
regular insulin IV in NS, monitor blood gas values, and maintain
strict I&O
Describe the patho of vesicoureteral reflux Correct Answers A
malfunction of the valves at the end of the ureters, allowing
urine to reflux out of the bladder into the ureters & possibly into
the kidneys
Describe the postoperative nursing care for a child with
Hirschsprung disease Correct Answers Check VS & take
axillary temperature
Provide bowel cleansing program & teach about colostomy
Observe for bowel perforation
Measure abdominal girth
Describe the postoperative nursing care for an infant with
pyloric stenosis Correct Answers Maintain IV hydration, and
provide small, frequent oral feedings of glucose or electrolyte
solutions or both within 4 to 6 hours
Gradually increase to full strength formula
Position infant on right side in semi-Fowler position after
feeding
Describe the purpose of bronchodilators Correct Answers To
help open the airways by relaxing the bronchial muscles
Solutions
Children with chronic otitis media are at risk for developing
what problem? Correct Answers Hearing loss
Compare the dietary interventions for AGN & nephrosis
Correct Answers AGN: Low sodium diet with no added salt
Nephrosis: High protein, low salt diet
Compare the S&S of AGN (Acute Glomerulonephritis) with
those of nephrosis Correct Answers AGN: Gross hematuria,
recent strep infection, hypertension, & mild edema
Nephrosis: Severe edema, massive proteinuria, frothy appearing
urine, anorexia
Describe developmental factors that would affect the school-age
child with diabetes Correct Answers Need to be like peers
Assuming responsibility for own care
Modification of diet
Snacks & exercise in school
Describe feeding techniques for a child with cleft lip or palate
Correct Answers Use lamb's nipple or prosthesis
Feed child upright, with frequent bubbling
Describe nursing interventions to reduce the workload of the
heart Correct Answers Give small, frequent feedings or gavage
feedings
,Plan frequent rest periods
Maintain neutral thermal environments
Organize activities to disturb child only as indicated
Describe safe monitoring of prednisone administration &
withdrawal Correct Answers Long term prednisone should be
given every other day
Signs of edema, mood changes, & GI distress should be noted
and reported
The drug should be tapered, not d/c suddenly
Describe scissoring Correct Answers A common characteristic
of spastic CP (cerebral palsy) in infants
Legs are extended & crossed over each other, feet are plantar
flexed
Describe the care of a child in a mist tent Correct Answers
Monitor child's temperature, keep tent edges tucked in, keep
clothing dry, assess respiratory status, look at child inside tent
Describe the function of an osmotic diuretic Correct Answers
Remove water from the CNS to reduce cerebral edema
Describe the information families should be given when a child
is receiving oral iron preparations Correct Answers Give PO
iron on an empty stomach & with Vitamin C
Use straws to avoid discoloring teeth
Tarry stools are normal
Increase dietary sources of iron
, Describe the mechanism of inheritance of Duchenne muscular
dystrophy Correct Answers Inherited as an X-linked recessive
trait
Describe the nursing care of a child with ketoacidosis Correct
Answers Provide care for an unconscious child, administer
regular insulin IV in NS, monitor blood gas values, and maintain
strict I&O
Describe the patho of vesicoureteral reflux Correct Answers A
malfunction of the valves at the end of the ureters, allowing
urine to reflux out of the bladder into the ureters & possibly into
the kidneys
Describe the postoperative nursing care for a child with
Hirschsprung disease Correct Answers Check VS & take
axillary temperature
Provide bowel cleansing program & teach about colostomy
Observe for bowel perforation
Measure abdominal girth
Describe the postoperative nursing care for an infant with
pyloric stenosis Correct Answers Maintain IV hydration, and
provide small, frequent oral feedings of glucose or electrolyte
solutions or both within 4 to 6 hours
Gradually increase to full strength formula
Position infant on right side in semi-Fowler position after
feeding
Describe the purpose of bronchodilators Correct Answers To
help open the airways by relaxing the bronchial muscles
