Pediatric HESI #2 QUESTION AND ANSWERS 100% COR
s s s s s s s
RECT…TEST BANK s
Thesmothersofsasschoolsageschildsaskssifsherschildshasslicesduestosnotswashingsfrequentlysenough.sWhatsissth
esbestsresponsesforsthesnursestosmake
A.slicesspreadseasilysduestosclosesproximitysnotspoorshygiene
B.sFrequentlyswashingsofsthesheadscanshelpspreventslice
C.ssoakingscombssandsbrushessinspediculicidesshampooscanshelpspreventsinfection
D.sThesonlyswaystospreventslicesisstosteachsyourschildsnotstossharescombssandshatssCorrectsAnswer:ssa
ThesRNsinsthesclinicsissprovidingsf/upsinstructionssforsaschildsdiagnosedsw/snonbulloussimpetigo.sWhichsaresi
mportantsforsthesRNstosincludesinsthesteachingsSATA
a.scompletesallsantibxsassordered
b.stheschildsmaysreturnstosschoolsasssoonsassthesantibxsaresstarted
c.stheslesionssshouldsremainsopenstosairsforshealing
d.strimsfingernailsstospreventsscratching
e.shoneyscoloredscrustingsissnormalsandswillsresolvesCorrectsAnswer:ssa,sd,se
ThesRNsobservessasnewsmotherscaresforsasnewbornsexperiencingsdiapersrash.sForswhichsactionsshouldsthes
RNsintervene
a.sSheschangessthesdiapersfrequently
b.sSheswashessthesskinsareasw/smildssoap
c.sShessprinklessbabyspowdersoversthesarea
d.sshesleavessthesskinsareasopenstosairsfors15sminssCorrectsAnswer:ssc
ThesRNsisspreparingsteachingsmaterialsonsthesremovalsofsheadslicesforsascommunityshealthsprogram.sWhich
sinformationsshouldsthesRNsinclude
a.sremovesnitssw/sashairbrush
b.scleansallsbeddingsinscoldswatersandsbleach
c.splacesobjectssthatscannotsbeslaunderedsinsasplasticsbag
d.sspraysthesfloors+sfurnitureswithspesticidesCorrectsAnswer:ssc
duringsascommunitysfairsastoddlersissburnedsw/sashotscoalsfromsasgrill.sWhichsactionsshouldsthesRNstake
a.sapplysicestosthesarea
b.splacesthesareasinscoolswater
c.sbreaksthesblisterssandsapplysicesoversthesarea
d/swashsthesareasw/slargesamountssofswarmswatersCorrectsAnswer:ssb
ThesRNsissvisitingsashomesofsasclientswhosdeliveredsasfullstermsinfants2sdayssago.sForswhichshomessafetysobs
ervationsshouldsthesRNsmakesasrecommendation
a.sasguardrailsplacedsinsfrontsofsthesfireplace
b.smokesalarmssinstalledsandsfunctioningsinsallsrooms
c.sasfiresextinguisherslocatedsatsthesentrancestostheskitchen
d.sthesmothersholdssthesinfantswhilespouringswatersforshotsteasCorrectsAnswer:ssd
,thesRNsissprovidingsparentseducationsaboutshowstosbeststreatsasdiapersrash.sWhichsstatementsmadesbysthes
parentssindicatesthatstheysneedsfurthersteaching
a.sIsshouldsonlyschangesthesbabyssdiapersoncespersday
b.sIsshouldsapplysasprotectivescreamstosthesdiapersarea
c.sIsshouldsletsthesdiapersareasdrysforsasfewsminssbeforesapplyingsasnewsdiaper
d.sIsshouldsmonitorsforssignssofsinfectionsifsthesdiapersrashsissseveresCorrectsAnswer:ssa
AsRNsissprovidingseducationstosparentssofsschoolschildrensw/spediculosisscapitis.sWhichsstatementsaboutstr
eatingspediculosissifsmadesbysthesparentswouldsindicatesasneedsforsfurthersteaching
a.sweswillsbessurestoswashsmyschildssbeddingsaftersusingsthesshampoo
b.smyschildsstoysswillsneedstosbesbaggedsforsatsleasts2sweekssandsthesnwashed
c.smyschildswillsneedstoscontinuestosusesthesshampoosfors2mos
d.sweswillssoaksourschildsscombssandsbrushessinshotswatersandsthesshampoosCorrectsAnswer:ssc
AsRNsissreviewingshomescaresinstructionsstosparentssofsaschildsdiagnosedsw/scellulitissofsthesforearm.sWhic
hsimportantsteachingsaboutscellulitissshouldsbesincludedsinstheshomescaresinstructions
a.scellulitississansauto-immunesdisorder
b.sCellulitississalwaysscausedsbysMRSA
c.sparentssandscaregicerssshouldsseeksmedicalshelpsforsincreasedsfeversorsforsincreasingsredness,sstreakings
andspainsandsswellingsatsthesinfectionssite
d.scellulitissalwayssneedsstosbestreatedsw/sIVsantibxsCorrectsAnswer:ssc
whichsclinicalsmanifestationssinsasptsw/sasburnswouldsneedsprioritysnursingsinterventions
a.saschildsexhibitingsincreasedsredness,swarmthsandsswellingsatsthessitesofsthesburn
b.schildswhosissdemonstratingsdecreasedsurianesoutput
c.schildsw/spainsscoresofs10/10
d.schildsw/sincreasedsitchingsatssitesCorrectsAnswer:ssb
aschildsdiagnosedsw/simpetigosisshospitalized.sThesadmittingsRNsappropriatelysplacessthisschildsonswhichsty
pesofsprecautions
a.scontact
b.sdroplet
c.sairborne
d.sneutropenicsCorrectsAnswer:ssa
thesschoolsRNsknowssthatspediculosississcoomonlysfoundsamongsschoolsageschildren.sWhichsstatementsisstr
uesaboutslice
a.sasstheslicesinsectssdoessnotsflysitsisstransmittedsbysclosesproximityswhichsallowssthesinsectstoscrawlsfromso
nespersonstosthesnext
b.slicesissnotseasilystransmittedsfromspersonstosperson
c.slicesneedsstosbeseradicatedsw/sspecialsantibxscream
d.saschildsw/sliceswillsneedstoswearsashatsatsallstimessuntilsitsisseliminatedsCorrectsAnswer:ssa
Duringsashomesvisit,sthesRNsdeterminessthatsasparentsneedssadditionalsteachingsaboutsmedssprescribedstos
treatsasnewbornsshypothyroidism.sWhichsobservationscausedsthesRNstosprovidesadditionalsinstructionssSA
TA
a.smixedscrushedsmedssw/swater
,b.smixedscrushedsmedssinssoysformula
c.splacedscrushedsmedssinsasfeedingsbottle
D.susedsasneedlelessssyringestosdministersthesmed
e.sprepareds2sdosessofsthesmedsw/sthesmorningsbottlesCorrectsAnswer:ssb,c,e
ThesRNsinstructssthesparentssofsastoddlersw/stypes1sDM.sWhichsstatementsindicatedsthatsadditionalsteachin
gsaboutssicksdaysrulessissrequired?sSATA
a.sweswillsnotsencouragesfluids
b.sweswillsnotsgivesthesregularsdosesofsinsulin
c.sweswillsmonitorsbloodsglucoseslevelssfrequently
d.sweswillsnotsgivesanysOTCsmeds
e.sweswillscallsthesPCPsforshelpsifsneededsCorrectsAnswer:ssa,sb
asschoolsagesclientsw/stypes1sDMshassittlesleaguesbaseballsgamessats5pmsseveralstimessasweek.sWhichsshoul
dsthesparentssandsclientsbesinstructedstosdosbeforesgames?
a.sdrinks16ozsofswater
b.swithholdsprovidingsthesroutinesinsulinsdosesuntilsaftersthesgame
c.seatsascomplexscarbsandsproteinsbetweens4-430
d.singestsasservingsofsasrapidsactingsglucosessourcesbeforesthesgamesbeginssCorrectsAnswer:ssc
asschoolsagesptsissdiagnosedsw/sseveresdiabeticsketoacidosis.sWhichslabsvaluesshouldsthesrnsexpectstosconfi
rmsthissdiagnosis
a.svenoussbloodspHs6.8
b.s+4sketonessinsthesurine
c.sbloodsglucoses220mg/dL
d.sbicarbslevels15mEq/LsCorrectsAnswer:ssa
DKAs=spHs<7
asptsw/stypes1sDMsissflushedsw/sdrysskinsandsreportsseatingsaslargesservingsofspastasforslunch.sWhichsactions
shouldsthesrnstake?
a.sinstructstosliesdown
b.sprovidesw/saslargesglasssofswater
c.smeasuresBPsandsHR
d.spreparesansadditionalsdosesofsprescribedsinsulinsCorrectsAnswer:ssb
forstoosmanyscarbsseaten,sfluidsshouldsbesincreased
as7yosptsissdiagnosedsw/sprematuresadrenarche.sWhichsshouldsthesrnsexpectstosassesssinsthissclient?
a.sonsetsmenstruation
b.sincreasedsgrowthsvelocity
c.sdevelopmentsofspubic,saxillarysandsbodyshair
d.sunilateralsbreastsdevelopmentsw.sareolaesmaturationsCorrectsAnswer:ssc
thesrnsinstructssansadolescentsclientsandsthesparentssonsasbetasblockersmedsprescribedsforshyperthyroidis
m.sWhichsstatementsindicatessthatsteachingswasseffective?
a.sIswon'tsneedssurgerysifsIstakesthissmed
b.sthisswillsmakesmysthyroidsglandsshrinksinssize
c.sthisswillshelpsmysrapidsHRsandsnervousness
d.sthissreducessthesamtsofsthyroidshormonesinsmysbodysCorrectsAnswer:ssc
, thesrnsissplanningscaresforsaspre-
adolescentsclientsnewlysdiagnosedsw/stypes1sDM.sWhichsshouldsbesthesfocisswhensprovidingsnutritionsteac
hingstosthisspt?
a.sfatsreduction
b.swtsreduction
c.sproteinsrestriction
d.scarbsexchangessCorrectsAnswer:ssd
thesRNssuspectssthatsansadolescentsw/stypes1sDMsissexperiencingsdiabeticsketoacidosissDKA.sWhichsfindings
causedsthesrnstosmakesthissclinicalsdetermination?
a.sslosHR
b.sextremeshunger
c.sdeepsandslaborioussrespirations
d.sslightlyselevatedsBPsCorrectsAnswer:ssc
sAKA=skussmaulsbreathings=sptsisstryingstoscorrectsmetabolicsacidosissbysblowingsoffsexcessscarbonsdioxide
asschoolsagesptshassasbloodsglucosesofs60mg/dL.sWhichsdirectionsshouldsthesrnsprovidesthesparentsaftersgivi
ngsthespts6ozsofsregularssoda
a.sprovidesasprotein
b.sseeksimmediatesmedicalsattention
c.sencouragestosdrinksseveralsglassessofswater
d.srechecksthesbloodsglucoseslevelsins15minssCorrectsAnswer:ssd
thesrnsissconcernedsthatsansadolescentsptsissexperiencingshypoglycemia.sWhichsfindingscausedsthesrnstosma
kesthissclinicalsdetermination
a.sdizziness
b.sstomachspain
c.sextremesthirst
d.sfrequentsurinationsCorrectsAnswer:ssa
insfetalscirculationswhichsstructuresissresponsiblesforscarryingsoxygenatedsbloodstosthesfetus
a.sumbilicalsvein
b.spulmonarysartery
c.spatentsductussarteriosus
d.sairtasCorrectsAnswer:ssa
thesrnsissassessingsas2daysoldsandsnotessBPsinsthesarmsofs69/45sw/sasbpsofs45/32sinsthesleg.sThesrnsundersta
ndssthissdiscrepancysissassociatedsw/swhichsdiagnosis
a.saorticsarchsabnormality
b.sventricularsseptalsdefect
c.satrialsseptalsdefect
d.spatentsductussarteriosussCorrectsAnswer:ssa
thesrnsissmeasuringsBPsonstheslegsofsassleepingstoddlersandsreceivessansunusuallyshighsreading.sWhatsissthes
bestsactionsforsthesRN
a.sconfirmsthesappropriatessizesofsthescuffsandsobtainsaslargerscuffsifsneededstosrecheck
b.sconfirmsthesappropriatessizescuffsandsobtainsassmallerscuffstosrecheck
s s s s s s s
RECT…TEST BANK s
Thesmothersofsasschoolsageschildsaskssifsherschildshasslicesduestosnotswashingsfrequentlysenough.sWhatsissth
esbestsresponsesforsthesnursestosmake
A.slicesspreadseasilysduestosclosesproximitysnotspoorshygiene
B.sFrequentlyswashingsofsthesheadscanshelpspreventslice
C.ssoakingscombssandsbrushessinspediculicidesshampooscanshelpspreventsinfection
D.sThesonlyswaystospreventslicesisstosteachsyourschildsnotstossharescombssandshatssCorrectsAnswer:ssa
ThesRNsinsthesclinicsissprovidingsf/upsinstructionssforsaschildsdiagnosedsw/snonbulloussimpetigo.sWhichsaresi
mportantsforsthesRNstosincludesinsthesteachingsSATA
a.scompletesallsantibxsassordered
b.stheschildsmaysreturnstosschoolsasssoonsassthesantibxsaresstarted
c.stheslesionssshouldsremainsopenstosairsforshealing
d.strimsfingernailsstospreventsscratching
e.shoneyscoloredscrustingsissnormalsandswillsresolvesCorrectsAnswer:ssa,sd,se
ThesRNsobservessasnewsmotherscaresforsasnewbornsexperiencingsdiapersrash.sForswhichsactionsshouldsthes
RNsintervene
a.sSheschangessthesdiapersfrequently
b.sSheswashessthesskinsareasw/smildssoap
c.sShessprinklessbabyspowdersoversthesarea
d.sshesleavessthesskinsareasopenstosairsfors15sminssCorrectsAnswer:ssc
ThesRNsisspreparingsteachingsmaterialsonsthesremovalsofsheadslicesforsascommunityshealthsprogram.sWhich
sinformationsshouldsthesRNsinclude
a.sremovesnitssw/sashairbrush
b.scleansallsbeddingsinscoldswatersandsbleach
c.splacesobjectssthatscannotsbeslaunderedsinsasplasticsbag
d.sspraysthesfloors+sfurnitureswithspesticidesCorrectsAnswer:ssc
duringsascommunitysfairsastoddlersissburnedsw/sashotscoalsfromsasgrill.sWhichsactionsshouldsthesRNstake
a.sapplysicestosthesarea
b.splacesthesareasinscoolswater
c.sbreaksthesblisterssandsapplysicesoversthesarea
d/swashsthesareasw/slargesamountssofswarmswatersCorrectsAnswer:ssb
ThesRNsissvisitingsashomesofsasclientswhosdeliveredsasfullstermsinfants2sdayssago.sForswhichshomessafetysobs
ervationsshouldsthesRNsmakesasrecommendation
a.sasguardrailsplacedsinsfrontsofsthesfireplace
b.smokesalarmssinstalledsandsfunctioningsinsallsrooms
c.sasfiresextinguisherslocatedsatsthesentrancestostheskitchen
d.sthesmothersholdssthesinfantswhilespouringswatersforshotsteasCorrectsAnswer:ssd
,thesRNsissprovidingsparentseducationsaboutshowstosbeststreatsasdiapersrash.sWhichsstatementsmadesbysthes
parentssindicatesthatstheysneedsfurthersteaching
a.sIsshouldsonlyschangesthesbabyssdiapersoncespersday
b.sIsshouldsapplysasprotectivescreamstosthesdiapersarea
c.sIsshouldsletsthesdiapersareasdrysforsasfewsminssbeforesapplyingsasnewsdiaper
d.sIsshouldsmonitorsforssignssofsinfectionsifsthesdiapersrashsissseveresCorrectsAnswer:ssa
AsRNsissprovidingseducationstosparentssofsschoolschildrensw/spediculosisscapitis.sWhichsstatementsaboutstr
eatingspediculosissifsmadesbysthesparentswouldsindicatesasneedsforsfurthersteaching
a.sweswillsbessurestoswashsmyschildssbeddingsaftersusingsthesshampoo
b.smyschildsstoysswillsneedstosbesbaggedsforsatsleasts2sweekssandsthesnwashed
c.smyschildswillsneedstoscontinuestosusesthesshampoosfors2mos
d.sweswillssoaksourschildsscombssandsbrushessinshotswatersandsthesshampoosCorrectsAnswer:ssc
AsRNsissreviewingshomescaresinstructionsstosparentssofsaschildsdiagnosedsw/scellulitissofsthesforearm.sWhic
hsimportantsteachingsaboutscellulitissshouldsbesincludedsinstheshomescaresinstructions
a.scellulitississansauto-immunesdisorder
b.sCellulitississalwaysscausedsbysMRSA
c.sparentssandscaregicerssshouldsseeksmedicalshelpsforsincreasedsfeversorsforsincreasingsredness,sstreakings
andspainsandsswellingsatsthesinfectionssite
d.scellulitissalwayssneedsstosbestreatedsw/sIVsantibxsCorrectsAnswer:ssc
whichsclinicalsmanifestationssinsasptsw/sasburnswouldsneedsprioritysnursingsinterventions
a.saschildsexhibitingsincreasedsredness,swarmthsandsswellingsatsthessitesofsthesburn
b.schildswhosissdemonstratingsdecreasedsurianesoutput
c.schildsw/spainsscoresofs10/10
d.schildsw/sincreasedsitchingsatssitesCorrectsAnswer:ssb
aschildsdiagnosedsw/simpetigosisshospitalized.sThesadmittingsRNsappropriatelysplacessthisschildsonswhichsty
pesofsprecautions
a.scontact
b.sdroplet
c.sairborne
d.sneutropenicsCorrectsAnswer:ssa
thesschoolsRNsknowssthatspediculosississcoomonlysfoundsamongsschoolsageschildren.sWhichsstatementsisstr
uesaboutslice
a.sasstheslicesinsectssdoessnotsflysitsisstransmittedsbysclosesproximityswhichsallowssthesinsectstoscrawlsfromso
nespersonstosthesnext
b.slicesissnotseasilystransmittedsfromspersonstosperson
c.slicesneedsstosbeseradicatedsw/sspecialsantibxscream
d.saschildsw/sliceswillsneedstoswearsashatsatsallstimessuntilsitsisseliminatedsCorrectsAnswer:ssa
Duringsashomesvisit,sthesRNsdeterminessthatsasparentsneedssadditionalsteachingsaboutsmedssprescribedstos
treatsasnewbornsshypothyroidism.sWhichsobservationscausedsthesRNstosprovidesadditionalsinstructionssSA
TA
a.smixedscrushedsmedssw/swater
,b.smixedscrushedsmedssinssoysformula
c.splacedscrushedsmedssinsasfeedingsbottle
D.susedsasneedlelessssyringestosdministersthesmed
e.sprepareds2sdosessofsthesmedsw/sthesmorningsbottlesCorrectsAnswer:ssb,c,e
ThesRNsinstructssthesparentssofsastoddlersw/stypes1sDM.sWhichsstatementsindicatedsthatsadditionalsteachin
gsaboutssicksdaysrulessissrequired?sSATA
a.sweswillsnotsencouragesfluids
b.sweswillsnotsgivesthesregularsdosesofsinsulin
c.sweswillsmonitorsbloodsglucoseslevelssfrequently
d.sweswillsnotsgivesanysOTCsmeds
e.sweswillscallsthesPCPsforshelpsifsneededsCorrectsAnswer:ssa,sb
asschoolsagesclientsw/stypes1sDMshassittlesleaguesbaseballsgamessats5pmsseveralstimessasweek.sWhichsshoul
dsthesparentssandsclientsbesinstructedstosdosbeforesgames?
a.sdrinks16ozsofswater
b.swithholdsprovidingsthesroutinesinsulinsdosesuntilsaftersthesgame
c.seatsascomplexscarbsandsproteinsbetweens4-430
d.singestsasservingsofsasrapidsactingsglucosessourcesbeforesthesgamesbeginssCorrectsAnswer:ssc
asschoolsagesptsissdiagnosedsw/sseveresdiabeticsketoacidosis.sWhichslabsvaluesshouldsthesrnsexpectstosconfi
rmsthissdiagnosis
a.svenoussbloodspHs6.8
b.s+4sketonessinsthesurine
c.sbloodsglucoses220mg/dL
d.sbicarbslevels15mEq/LsCorrectsAnswer:ssa
DKAs=spHs<7
asptsw/stypes1sDMsissflushedsw/sdrysskinsandsreportsseatingsaslargesservingsofspastasforslunch.sWhichsactions
shouldsthesrnstake?
a.sinstructstosliesdown
b.sprovidesw/saslargesglasssofswater
c.smeasuresBPsandsHR
d.spreparesansadditionalsdosesofsprescribedsinsulinsCorrectsAnswer:ssb
forstoosmanyscarbsseaten,sfluidsshouldsbesincreased
as7yosptsissdiagnosedsw/sprematuresadrenarche.sWhichsshouldsthesrnsexpectstosassesssinsthissclient?
a.sonsetsmenstruation
b.sincreasedsgrowthsvelocity
c.sdevelopmentsofspubic,saxillarysandsbodyshair
d.sunilateralsbreastsdevelopmentsw.sareolaesmaturationsCorrectsAnswer:ssc
thesrnsinstructssansadolescentsclientsandsthesparentssonsasbetasblockersmedsprescribedsforshyperthyroidis
m.sWhichsstatementsindicatessthatsteachingswasseffective?
a.sIswon'tsneedssurgerysifsIstakesthissmed
b.sthisswillsmakesmysthyroidsglandsshrinksinssize
c.sthisswillshelpsmysrapidsHRsandsnervousness
d.sthissreducessthesamtsofsthyroidshormonesinsmysbodysCorrectsAnswer:ssc
, thesrnsissplanningscaresforsaspre-
adolescentsclientsnewlysdiagnosedsw/stypes1sDM.sWhichsshouldsbesthesfocisswhensprovidingsnutritionsteac
hingstosthisspt?
a.sfatsreduction
b.swtsreduction
c.sproteinsrestriction
d.scarbsexchangessCorrectsAnswer:ssd
thesRNssuspectssthatsansadolescentsw/stypes1sDMsissexperiencingsdiabeticsketoacidosissDKA.sWhichsfindings
causedsthesrnstosmakesthissclinicalsdetermination?
a.sslosHR
b.sextremeshunger
c.sdeepsandslaborioussrespirations
d.sslightlyselevatedsBPsCorrectsAnswer:ssc
sAKA=skussmaulsbreathings=sptsisstryingstoscorrectsmetabolicsacidosissbysblowingsoffsexcessscarbonsdioxide
asschoolsagesptshassasbloodsglucosesofs60mg/dL.sWhichsdirectionsshouldsthesrnsprovidesthesparentsaftersgivi
ngsthespts6ozsofsregularssoda
a.sprovidesasprotein
b.sseeksimmediatesmedicalsattention
c.sencouragestosdrinksseveralsglassessofswater
d.srechecksthesbloodsglucoseslevelsins15minssCorrectsAnswer:ssd
thesrnsissconcernedsthatsansadolescentsptsissexperiencingshypoglycemia.sWhichsfindingscausedsthesrnstosma
kesthissclinicalsdetermination
a.sdizziness
b.sstomachspain
c.sextremesthirst
d.sfrequentsurinationsCorrectsAnswer:ssa
insfetalscirculationswhichsstructuresissresponsiblesforscarryingsoxygenatedsbloodstosthesfetus
a.sumbilicalsvein
b.spulmonarysartery
c.spatentsductussarteriosus
d.sairtasCorrectsAnswer:ssa
thesrnsissassessingsas2daysoldsandsnotessBPsinsthesarmsofs69/45sw/sasbpsofs45/32sinsthesleg.sThesrnsundersta
ndssthissdiscrepancysissassociatedsw/swhichsdiagnosis
a.saorticsarchsabnormality
b.sventricularsseptalsdefect
c.satrialsseptalsdefect
d.spatentsductussarteriosussCorrectsAnswer:ssa
thesrnsissmeasuringsBPsonstheslegsofsassleepingstoddlersandsreceivessansunusuallyshighsreading.sWhatsissthes
bestsactionsforsthesRN
a.sconfirmsthesappropriatessizesofsthescuffsandsobtainsaslargerscuffsifsneededstosrecheck
b.sconfirmsthesappropriatessizescuffsandsobtainsassmallerscuffstosrecheck
