HESI Case Study( peds)
1. Meet the Clients: Casey and John Martin
Six-month-old Casey Martin and her 4-year-old
brother, John Martin sustain head injuries when the
car driven by their mother is struck head on at an
intersection. Although Casey is in an infant seat,
her head is severely shaken. John unbuckles his
car seat and his head strikes the dash board with
force.
The Martins are transported to the emergency de-
partment (ED) where Mrs. Martin is treated and
released. The children are triaged as needing im-
mediate intervention.
2. The nurse recognizes that epidural hematomas Rapid brain decompression
have which characteristic?
3. To prepare Casey's parents for her CT scan, which A nurse from the ED will remain
explanation by the nurse is accurate? with Casey to monitor her con-
stantly.
4. Which symptom is most characteristic of ICP in Separated cranial sutures
infants?
5. While conducting Casey's neurological assess- Ptosis and dilated pupils
ment, the nurse notes possible damage to cranial
nerve III as evidenced by which of the following
symptoms?
6. Which data should the nurse include in document- Lid lag for both eyes and dilated
ing Casey's ocular findings? pupils
7. -Frequent neuro assessment
-Maintain the airway and moni-
1/4
1. Meet the Clients: Casey and John Martin
Six-month-old Casey Martin and her 4-year-old
brother, John Martin sustain head injuries when the
car driven by their mother is struck head on at an
intersection. Although Casey is in an infant seat,
her head is severely shaken. John unbuckles his
car seat and his head strikes the dash board with
force.
The Martins are transported to the emergency de-
partment (ED) where Mrs. Martin is treated and
released. The children are triaged as needing im-
mediate intervention.
2. The nurse recognizes that epidural hematomas Rapid brain decompression
have which characteristic?
3. To prepare Casey's parents for her CT scan, which A nurse from the ED will remain
explanation by the nurse is accurate? with Casey to monitor her con-
stantly.
4. Which symptom is most characteristic of ICP in Separated cranial sutures
infants?
5. While conducting Casey's neurological assess- Ptosis and dilated pupils
ment, the nurse notes possible damage to cranial
nerve III as evidenced by which of the following
symptoms?
6. Which data should the nurse include in document- Lid lag for both eyes and dilated
ing Casey's ocular findings? pupils
7. -Frequent neuro assessment
-Maintain the airway and moni-
1/4
