PNR204 HESI REVIEW: PEDIATRIC NURSING TOPICS
EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS GRADED A++ LATEST UPDATE
Meningococcal meningitis
Nursing care of a child with meningococcal meningitis includes spinal tap, IV antibiotics,
droplet precautions until 24 hours after antibiotics started, and frequent monitoring of
neurological status.
Cushing's syndrome
Cushing's patients have hypoglycemia, thin legs & arms, excess glucocorticoids, and a
moon face.
Priority question for parents
The nurse should ask the parents, 'What signs and symptoms has your child been
having?'
Post-surgery assessment
The priority outcome for a child who has just returned from surgery in a hip spica cast is
that circulation is adequate and the head of the bed is elevated.
Glomerulonephritis
A child diagnosed with new-onset glomerulonephritis may present with hypotension,
tea-colored urine, low serum potassium, and elevated creatinine levels.
Newborn complications from diabetes
, A newborn of a mother with diabetes mellitus is at risk for respiratory distress syndrome,
hyperglycemia, hypobilirubinemia, and hypercalcemia.
Head injury care
For a child with a head injury from a fall, the nurse should restrict oral fluid intake,
elevate the head of the bed, encourage coughing and deep breathing, and perform
neurological assessments.
Broken leg action
For a child with a broken right leg, the priority action is to immobilize the leg.
Subdural hematoma assessment
To check for major symptoms in a newborn with a subdural hematoma, monitor the
urine for blood and the urinary output pattern.
Wrist restraints post-surgery
A priority intervention regarding wrist restraints after a cleft lip repair is to check the
color, sensation, and pulses distal to the restraints.
Furniture polish ingestion
If a child swallows furniture polish, the mother should call the poison control center
immediately.
Post-tonsillectomy drink
A 5-year-old client 3 hours after a tonsillectomy should be offered diluted apple juice.
Precautions for RSV
For an infant with respiratory syncytial virus (RSV) bronchiolitis, the nurse should
implement contact and droplet precautions.
Asthma assessment
EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS GRADED A++ LATEST UPDATE
Meningococcal meningitis
Nursing care of a child with meningococcal meningitis includes spinal tap, IV antibiotics,
droplet precautions until 24 hours after antibiotics started, and frequent monitoring of
neurological status.
Cushing's syndrome
Cushing's patients have hypoglycemia, thin legs & arms, excess glucocorticoids, and a
moon face.
Priority question for parents
The nurse should ask the parents, 'What signs and symptoms has your child been
having?'
Post-surgery assessment
The priority outcome for a child who has just returned from surgery in a hip spica cast is
that circulation is adequate and the head of the bed is elevated.
Glomerulonephritis
A child diagnosed with new-onset glomerulonephritis may present with hypotension,
tea-colored urine, low serum potassium, and elevated creatinine levels.
Newborn complications from diabetes
, A newborn of a mother with diabetes mellitus is at risk for respiratory distress syndrome,
hyperglycemia, hypobilirubinemia, and hypercalcemia.
Head injury care
For a child with a head injury from a fall, the nurse should restrict oral fluid intake,
elevate the head of the bed, encourage coughing and deep breathing, and perform
neurological assessments.
Broken leg action
For a child with a broken right leg, the priority action is to immobilize the leg.
Subdural hematoma assessment
To check for major symptoms in a newborn with a subdural hematoma, monitor the
urine for blood and the urinary output pattern.
Wrist restraints post-surgery
A priority intervention regarding wrist restraints after a cleft lip repair is to check the
color, sensation, and pulses distal to the restraints.
Furniture polish ingestion
If a child swallows furniture polish, the mother should call the poison control center
immediately.
Post-tonsillectomy drink
A 5-year-old client 3 hours after a tonsillectomy should be offered diluted apple juice.
Precautions for RSV
For an infant with respiratory syncytial virus (RSV) bronchiolitis, the nurse should
implement contact and droplet precautions.
Asthma assessment
