Pediatric HESI #2 QUESTION AND ANSWERS 100% C
m m m m m m m
ORRECT…TEST BANK m
Themmothermofmamschoolmagemchildmasksmifmhermchildmhasmlicemduemtomnotmwashingmfrequentlymenough.m
Whatmismthembestmresponsemformthemnursemtommake
A.mlicemspreadmeasilymduemtomclosemproximitymnotmpoormhygiene
B.mFrequentlymwashingmofmthemheadmcanmhelpmpreventmlice
C.msoakingmcombsmandmbrushesminmpediculicidemshampoomcanmhelpmpreventminfection
D.mThemonlymwaymtompreventmlicemismtomteachmyourmchildmnotmtomsharemcombsmandmhatsmCorrectmAnswer:
mma
ThemRNminmthemclinicmismprovidingmf/upminstructionsmformamchildmdiagnosedmw/mnonbullousmimpetigo.mWh
ichmaremimportantmformthemRNmtomincludeminmthemteachingmSATA
a.mcompletemallmantibxmasmordered
b.mthemchildmmaymreturnmtomschoolmasmsoonmasmthemantibxmaremstarted
c.mthemlesionsmshouldmremainmopenmtomairmformhealing
d.mtrimmfingernailsmtompreventmscratching
e.mhoneymcoloredmcrustingmismnormalmandmwillmresolvemCorrectmAnswer:mma,md,me
ThemRNmobservesmamnewmmothermcaremformamnewbornmexperiencingmdiapermrash.mFormwhichmactionmshou
ldmthemRNmintervene
a.mShemchangesmthemdiapermfrequently
b.mShemwashesmthemskinmareamw/mmildmsoap
c.mShemsprinklesmbabympowdermovermthemarea
d.mshemleavesmthemskinmareamopenmtomairmform15mminsmCorrectmAnswer:mmc
ThemRNmismpreparingmteachingmmaterialmonmthemremovalmofmheadmlicemformamcommunitymhealthmprogram
.mWhichminformationmshouldmthemRNminclude
a.mremovemnitsmw/mamhairbrush
b.mcleanmallmbeddingminmcoldmwatermandmbleach
c.mplacemobjectsmthatmcannotmbemlaunderedminmamplasticmbag
d.mspraymthemfloorm+mfurnituremwithmpesticidemCorrectmAnswer:mmc
duringmamcommunitymfairmamtoddlermismburnedmw/mamhotmcoalmfrommamgrill.mWhichmactionmshouldmthemRN
mtake
a.mapplymicemtomthemarea
b.mplacemthemareaminmcoolmwater
c.mbreakmthemblistersmandmapplymicemovermthemarea
d/mwashmthemareamw/mlargemamountsmofmwarmmwatermCorrectmAnswer:mmb
ThemRNmismvisitingmamhomemofmamclientmwhomdeliveredmamfullmtermminfantm2mdaysmago.mFormwhichmhomems
afetymobservationmshouldmthemRNmmakemamrecommendation
a.mamguardrailmplacedminmfrontmofmthemfireplace
b.smokemalarmsminstalledmandmfunctioningminmallmrooms
,c.mamfiremextinguishermlocatedmatmthementrancemtomthemkitchen
d.mthemmothermholdsmtheminfantmwhilempouringmwatermformhotmteamCorrectmAnswer:mmd
themRNmismprovidingmparentmeducationmaboutmhowmtombestmtreatmamdiapermrash.mWhichmstatementmmade
mbymthemparentsmindicatemthatmtheymneedmfurthermteaching
a.mImshouldmonlymchangemthembabysmdiapermoncempermday
b.mImshouldmapplymamprotectivemcreammtomthemdiapermarea
c.mImshouldmletmthemdiapermareamdrymformamfewmminsmbeforemapplyingmamnewmdiaper
d.mImshouldmmonitormformsignsmofminfectionmifmthemdiapermrashmismseveremCorrectmAnswer:mma
AmRNmismprovidingmeducationmtomparentsmofmschoolmchildrenmw/mpediculosismcapitis.mWhichmstatementma
boutmtreatingmpediculosismifmmadembymthemparentmwouldmindicatemamneedmformfurthermteaching
a.mwemwillmbemsuremtomwashmmymchildsmbeddingmaftermusingmthemshampoo
b.mmymchildsmtoysmwillmneedmtombembaggedmformatmleastm2mweeksmandmthemnwashed
c.mmymchildmwillmneedmtomcontinuemtomusemthemshampoomform2mos
d.mwemwillmsoakmourmchildsmcombsmandmbrushesminmhotmwatermandmthemshampoomCorrectmAnswer:mmc
AmRNmismreviewingmhomemcareminstructionsmtomparentsmofmamchildmdiagnosedmw/mcellulitismofmthemforear
m.mWhichmimportantmteachingmaboutmcellulitismshouldmbemincludedminmthemhomemcareminstructions
a.mcellulitismismanmauto-immunemdisorder
b.mCellulitismismalwaysmcausedmbymMRSA
c.mparentsmandmcaregicersmshouldmseekmmedicalmhelpmformincreasedmfevermormformincreasingmredness,mstr
eakingmandmpainmandmswellingmatmtheminfectionmsite
d.mcellulitismalwaysmneedsmtombemtreatedmw/mIVmantibxmCorrectmAnswer:mmc
whichmclinicalmmanifestationsminmamptmw/mamburnmwouldmneedmprioritymnursingminterventions
a.mamchildmexhibitingmincreasedmredness,mwarmthmandmswellingmatmthemsitemofmthemburn
b.mchildmwhomismdemonstratingmdecreasedmurianemoutput
c.mchildmw/mpainmscoremofm10/10
d.mchildmw/mincreasedmitchingmatmsitemCorrectmAnswer:mmb
amchildmdiagnosedmw/mimpetigomismhospitalized.mThemadmittingmRNmappropriatelymplacesmthismchildmonmw
hichmtypemofmprecautions
a.mcontact
b.mdroplet
c.mairborne
d.mneutropenicmCorrectmAnswer:mma
themschoolmRNmknowsmthatmpediculosismismcoomonlymfoundmamongmschoolmagemchildren.mWhichmstateme
ntmismtruemaboutmlice
a.masmthemliceminsectsmdoesmnotmflymitmismtransmittedmbymclosemproximitymwhichmallowsmtheminsectmtomcra
wlmfrommonempersonmtomthemnext
b.mlicemismnotmeasilymtransmittedmfrommpersonmtomperson
c.mlicemneedsmtombemeradicatedmw/mspecialmantibxmcream
d.mamchildmw/mlicemwillmneedmtomwearmamhatmatmallmtimesmuntilmitmismeliminatedmCorrectmAnswer:mma
,Duringmamhomemvisit,mthemRNmdeterminesmthatmamparentmneedsmadditionalmteachingmaboutmmedsmprescri
bedmtomtreatmamnewbornsmhypothyroidism.mWhichmobservationmcausedmthemRNmtomprovidemadditionalmin
structionsmSATA
a.mmixedmcrushedmmedsmw/mwater
b.mmixedmcrushedmmedsminmsoymformula
c.mplacedmcrushedmmedsminmamfeedingmbottle
D.musedmamneedlelessmsyringemtomdministermthemmed
e.mpreparedm2mdosesmofmthemmedmw/mthemmorningmbottlemCorrectmAnswer:mmb,c,e
ThemRNminstructsmthemparentsmofmamtoddlermw/mtypem1mDM.mWhichmstatementmindicatedmthatmadditional
mteachingmaboutmsickmdaymrulesmismrequired?mSATA
a.mwemwillmnotmencouragemfluids
b.mwemwillmnotmgivemthemregularmdosemofminsulin
c.mwemwillmmonitormbloodmglucosemlevelsmfrequently
d.mwemwillmnotmgivemanymOTCmmeds
e.mwemwillmcallmthemPCPmformhelpmifmneededmCorrectmAnswer:mma,mb
amschoolmagemclientmw/mtypem1mDMmhasmittlemleaguembaseballmgamesmatm5pmmseveralmtimesmamweek.mWh
ichmshouldmthemparentsmandmclientmbeminstructedmtomdombeforemgames?
a.mdrinkm16ozmofmwater
b.mwithholdmprovidingmthemroutineminsulinmdosemuntilmaftermthemgame
c.meatmamcomplexmcarbmandmproteinmbetweenm4-430
d.mingestmamservingmofmamrapidmactingmglucosemsourcembeforemthemgamembeginsmCorrectmAnswer:mmc
amschoolmagemptmismdiagnosedmw/mseveremdiabeticmketoacidosis.mWhichmlabmvaluemshouldmthemrnmexpectm
tomconfirmmthismdiagnosis
a.mvenousmbloodmpHm6.8
b.m+4mketonesminmthemurine
c.mbloodmglucosem220mg/dL
d.mbicarbmlevelm15mEq/LmCorrectmAnswer:mma
DKAm=mpHm<7
amptmw/mtypem1mDMmismflushedmw/mdrymskinmandmreportsmeatingmamlargemservingmofmpastamformlunch.mWhi
chmactionmshouldmthemrnmtake?
a.minstructmtomliemdown
b.mprovidemw/mamlargemglassmofmwater
c.mmeasuremBPmandmHR
d.mpreparemanmadditionalmdosemofmprescribedminsulinmCorrectmAnswer:mmb
formtoommanymcarbsmeaten,mfluidmshouldmbemincreased
am7yomptmismdiagnosedmw/mprematuremadrenarche.mWhichmshouldmthemrnmexpectmtomassessminmthismclient
?
a.monsetmmenstruation
b.mincreasedmgrowthmvelocity
c.mdevelopmentmofmpubic,maxillarymandmbodymhair
d.munilateralmbreastmdevelopmentmw.mareolaemmaturationmCorrectmAnswer:mmc
, themrnminstructsmanmadolescentmclientmandmthemparentsmonmambetamblockermmedmprescribedmformhyperth
yroidism.mWhichmstatementmindicatesmthatmteachingmwasmeffective?
a.mImwon'tmneedmsurgerymifmImtakemthismmed
b.mthismwillmmakemmymthyroidmglandmshrinkminmsize
c.mthismwillmhelpmmymrapidmHRmandmnervousness
d.mthismreducesmthemamtmofmthyroidmhormoneminmmymbodymCorrectmAnswer:mmc
themrnmismplanningmcaremformampre-
adolescentmclientmnewlymdiagnosedmw/mtypem1mDM.mWhichmshouldmbemthemfocismwhenmprovidingmnutriti
onmteachingmtomthismpt?
a.mfatmreduction
b.mwtmreduction
c.mproteinmrestriction
d.mcarbmexchangesmCorrectmAnswer:mmd
themRNmsuspectsmthatmanmadolescentmw/mtypem1mDMmismexperiencingmdiabeticmketoacidosismDKA.mWhichm
findingmcausedmthemrnmtommakemthismclinicalmdetermination?
a.mslomHR
b.mextrememhunger
c.mdeepmandmlaboriousmrespirations
d.mslightlymelevatedmBPmCorrectmAnswer:mmc
mAKA=mkussmaulmbreathingm=mptmismtryingmtomcorrectmmetabolicmacidosismbymblowingmoffmexcessmcarbonm
dioxide
amschoolmagemptmhasmambloodmglucosemofm60mg/dL.mWhichmdirectionmshouldmthemrnmprovidemthemparentm
aftermgivingmthemptm6ozmofmregularmsoda
a.mprovidemamprotein
b.mseekmimmediatemmedicalmattention
c.mencouragemtomdrinkmseveralmglassesmofmwater
d.mrecheckmthembloodmglucosemlevelminm15minsmCorrectmAnswer:mmd
themrnmismconcernedmthatmanmadolescentmptmismexperiencingmhypoglycemia.mWhichmfindingmcausedmthemr
nmtommakemthismclinicalmdetermination
a.mdizziness
b.mstomachmpain
c.mextrememthirst
d.mfrequentmurinationmCorrectmAnswer:mma
inmfetalmcirculationmwhichmstructuremismresponsiblemformcarryingmoxygenatedmbloodmtomthemfetus
a.mumbilicalmvein
b.mpulmonarymartery
c.mpatentmductusmarteriosus
d.mairtamCorrectmAnswer:mma
themrnmismassessingmam2daymoldmandmnotesmBPminmthemarmmofm69/45mw/mambpmofm45/32minmthemleg.mThemr
nmunderstandsmthismdiscrepancymismassociatedmw/mwhichmdiagnosis
a.maorticmarchmabnormality
b.mventricularmseptalmdefect
m m m m m m m
ORRECT…TEST BANK m
Themmothermofmamschoolmagemchildmasksmifmhermchildmhasmlicemduemtomnotmwashingmfrequentlymenough.m
Whatmismthembestmresponsemformthemnursemtommake
A.mlicemspreadmeasilymduemtomclosemproximitymnotmpoormhygiene
B.mFrequentlymwashingmofmthemheadmcanmhelpmpreventmlice
C.msoakingmcombsmandmbrushesminmpediculicidemshampoomcanmhelpmpreventminfection
D.mThemonlymwaymtompreventmlicemismtomteachmyourmchildmnotmtomsharemcombsmandmhatsmCorrectmAnswer:
mma
ThemRNminmthemclinicmismprovidingmf/upminstructionsmformamchildmdiagnosedmw/mnonbullousmimpetigo.mWh
ichmaremimportantmformthemRNmtomincludeminmthemteachingmSATA
a.mcompletemallmantibxmasmordered
b.mthemchildmmaymreturnmtomschoolmasmsoonmasmthemantibxmaremstarted
c.mthemlesionsmshouldmremainmopenmtomairmformhealing
d.mtrimmfingernailsmtompreventmscratching
e.mhoneymcoloredmcrustingmismnormalmandmwillmresolvemCorrectmAnswer:mma,md,me
ThemRNmobservesmamnewmmothermcaremformamnewbornmexperiencingmdiapermrash.mFormwhichmactionmshou
ldmthemRNmintervene
a.mShemchangesmthemdiapermfrequently
b.mShemwashesmthemskinmareamw/mmildmsoap
c.mShemsprinklesmbabympowdermovermthemarea
d.mshemleavesmthemskinmareamopenmtomairmform15mminsmCorrectmAnswer:mmc
ThemRNmismpreparingmteachingmmaterialmonmthemremovalmofmheadmlicemformamcommunitymhealthmprogram
.mWhichminformationmshouldmthemRNminclude
a.mremovemnitsmw/mamhairbrush
b.mcleanmallmbeddingminmcoldmwatermandmbleach
c.mplacemobjectsmthatmcannotmbemlaunderedminmamplasticmbag
d.mspraymthemfloorm+mfurnituremwithmpesticidemCorrectmAnswer:mmc
duringmamcommunitymfairmamtoddlermismburnedmw/mamhotmcoalmfrommamgrill.mWhichmactionmshouldmthemRN
mtake
a.mapplymicemtomthemarea
b.mplacemthemareaminmcoolmwater
c.mbreakmthemblistersmandmapplymicemovermthemarea
d/mwashmthemareamw/mlargemamountsmofmwarmmwatermCorrectmAnswer:mmb
ThemRNmismvisitingmamhomemofmamclientmwhomdeliveredmamfullmtermminfantm2mdaysmago.mFormwhichmhomems
afetymobservationmshouldmthemRNmmakemamrecommendation
a.mamguardrailmplacedminmfrontmofmthemfireplace
b.smokemalarmsminstalledmandmfunctioningminmallmrooms
,c.mamfiremextinguishermlocatedmatmthementrancemtomthemkitchen
d.mthemmothermholdsmtheminfantmwhilempouringmwatermformhotmteamCorrectmAnswer:mmd
themRNmismprovidingmparentmeducationmaboutmhowmtombestmtreatmamdiapermrash.mWhichmstatementmmade
mbymthemparentsmindicatemthatmtheymneedmfurthermteaching
a.mImshouldmonlymchangemthembabysmdiapermoncempermday
b.mImshouldmapplymamprotectivemcreammtomthemdiapermarea
c.mImshouldmletmthemdiapermareamdrymformamfewmminsmbeforemapplyingmamnewmdiaper
d.mImshouldmmonitormformsignsmofminfectionmifmthemdiapermrashmismseveremCorrectmAnswer:mma
AmRNmismprovidingmeducationmtomparentsmofmschoolmchildrenmw/mpediculosismcapitis.mWhichmstatementma
boutmtreatingmpediculosismifmmadembymthemparentmwouldmindicatemamneedmformfurthermteaching
a.mwemwillmbemsuremtomwashmmymchildsmbeddingmaftermusingmthemshampoo
b.mmymchildsmtoysmwillmneedmtombembaggedmformatmleastm2mweeksmandmthemnwashed
c.mmymchildmwillmneedmtomcontinuemtomusemthemshampoomform2mos
d.mwemwillmsoakmourmchildsmcombsmandmbrushesminmhotmwatermandmthemshampoomCorrectmAnswer:mmc
AmRNmismreviewingmhomemcareminstructionsmtomparentsmofmamchildmdiagnosedmw/mcellulitismofmthemforear
m.mWhichmimportantmteachingmaboutmcellulitismshouldmbemincludedminmthemhomemcareminstructions
a.mcellulitismismanmauto-immunemdisorder
b.mCellulitismismalwaysmcausedmbymMRSA
c.mparentsmandmcaregicersmshouldmseekmmedicalmhelpmformincreasedmfevermormformincreasingmredness,mstr
eakingmandmpainmandmswellingmatmtheminfectionmsite
d.mcellulitismalwaysmneedsmtombemtreatedmw/mIVmantibxmCorrectmAnswer:mmc
whichmclinicalmmanifestationsminmamptmw/mamburnmwouldmneedmprioritymnursingminterventions
a.mamchildmexhibitingmincreasedmredness,mwarmthmandmswellingmatmthemsitemofmthemburn
b.mchildmwhomismdemonstratingmdecreasedmurianemoutput
c.mchildmw/mpainmscoremofm10/10
d.mchildmw/mincreasedmitchingmatmsitemCorrectmAnswer:mmb
amchildmdiagnosedmw/mimpetigomismhospitalized.mThemadmittingmRNmappropriatelymplacesmthismchildmonmw
hichmtypemofmprecautions
a.mcontact
b.mdroplet
c.mairborne
d.mneutropenicmCorrectmAnswer:mma
themschoolmRNmknowsmthatmpediculosismismcoomonlymfoundmamongmschoolmagemchildren.mWhichmstateme
ntmismtruemaboutmlice
a.masmthemliceminsectsmdoesmnotmflymitmismtransmittedmbymclosemproximitymwhichmallowsmtheminsectmtomcra
wlmfrommonempersonmtomthemnext
b.mlicemismnotmeasilymtransmittedmfrommpersonmtomperson
c.mlicemneedsmtombemeradicatedmw/mspecialmantibxmcream
d.mamchildmw/mlicemwillmneedmtomwearmamhatmatmallmtimesmuntilmitmismeliminatedmCorrectmAnswer:mma
,Duringmamhomemvisit,mthemRNmdeterminesmthatmamparentmneedsmadditionalmteachingmaboutmmedsmprescri
bedmtomtreatmamnewbornsmhypothyroidism.mWhichmobservationmcausedmthemRNmtomprovidemadditionalmin
structionsmSATA
a.mmixedmcrushedmmedsmw/mwater
b.mmixedmcrushedmmedsminmsoymformula
c.mplacedmcrushedmmedsminmamfeedingmbottle
D.musedmamneedlelessmsyringemtomdministermthemmed
e.mpreparedm2mdosesmofmthemmedmw/mthemmorningmbottlemCorrectmAnswer:mmb,c,e
ThemRNminstructsmthemparentsmofmamtoddlermw/mtypem1mDM.mWhichmstatementmindicatedmthatmadditional
mteachingmaboutmsickmdaymrulesmismrequired?mSATA
a.mwemwillmnotmencouragemfluids
b.mwemwillmnotmgivemthemregularmdosemofminsulin
c.mwemwillmmonitormbloodmglucosemlevelsmfrequently
d.mwemwillmnotmgivemanymOTCmmeds
e.mwemwillmcallmthemPCPmformhelpmifmneededmCorrectmAnswer:mma,mb
amschoolmagemclientmw/mtypem1mDMmhasmittlemleaguembaseballmgamesmatm5pmmseveralmtimesmamweek.mWh
ichmshouldmthemparentsmandmclientmbeminstructedmtomdombeforemgames?
a.mdrinkm16ozmofmwater
b.mwithholdmprovidingmthemroutineminsulinmdosemuntilmaftermthemgame
c.meatmamcomplexmcarbmandmproteinmbetweenm4-430
d.mingestmamservingmofmamrapidmactingmglucosemsourcembeforemthemgamembeginsmCorrectmAnswer:mmc
amschoolmagemptmismdiagnosedmw/mseveremdiabeticmketoacidosis.mWhichmlabmvaluemshouldmthemrnmexpectm
tomconfirmmthismdiagnosis
a.mvenousmbloodmpHm6.8
b.m+4mketonesminmthemurine
c.mbloodmglucosem220mg/dL
d.mbicarbmlevelm15mEq/LmCorrectmAnswer:mma
DKAm=mpHm<7
amptmw/mtypem1mDMmismflushedmw/mdrymskinmandmreportsmeatingmamlargemservingmofmpastamformlunch.mWhi
chmactionmshouldmthemrnmtake?
a.minstructmtomliemdown
b.mprovidemw/mamlargemglassmofmwater
c.mmeasuremBPmandmHR
d.mpreparemanmadditionalmdosemofmprescribedminsulinmCorrectmAnswer:mmb
formtoommanymcarbsmeaten,mfluidmshouldmbemincreased
am7yomptmismdiagnosedmw/mprematuremadrenarche.mWhichmshouldmthemrnmexpectmtomassessminmthismclient
?
a.monsetmmenstruation
b.mincreasedmgrowthmvelocity
c.mdevelopmentmofmpubic,maxillarymandmbodymhair
d.munilateralmbreastmdevelopmentmw.mareolaemmaturationmCorrectmAnswer:mmc
, themrnminstructsmanmadolescentmclientmandmthemparentsmonmambetamblockermmedmprescribedmformhyperth
yroidism.mWhichmstatementmindicatesmthatmteachingmwasmeffective?
a.mImwon'tmneedmsurgerymifmImtakemthismmed
b.mthismwillmmakemmymthyroidmglandmshrinkminmsize
c.mthismwillmhelpmmymrapidmHRmandmnervousness
d.mthismreducesmthemamtmofmthyroidmhormoneminmmymbodymCorrectmAnswer:mmc
themrnmismplanningmcaremformampre-
adolescentmclientmnewlymdiagnosedmw/mtypem1mDM.mWhichmshouldmbemthemfocismwhenmprovidingmnutriti
onmteachingmtomthismpt?
a.mfatmreduction
b.mwtmreduction
c.mproteinmrestriction
d.mcarbmexchangesmCorrectmAnswer:mmd
themRNmsuspectsmthatmanmadolescentmw/mtypem1mDMmismexperiencingmdiabeticmketoacidosismDKA.mWhichm
findingmcausedmthemrnmtommakemthismclinicalmdetermination?
a.mslomHR
b.mextrememhunger
c.mdeepmandmlaboriousmrespirations
d.mslightlymelevatedmBPmCorrectmAnswer:mmc
mAKA=mkussmaulmbreathingm=mptmismtryingmtomcorrectmmetabolicmacidosismbymblowingmoffmexcessmcarbonm
dioxide
amschoolmagemptmhasmambloodmglucosemofm60mg/dL.mWhichmdirectionmshouldmthemrnmprovidemthemparentm
aftermgivingmthemptm6ozmofmregularmsoda
a.mprovidemamprotein
b.mseekmimmediatemmedicalmattention
c.mencouragemtomdrinkmseveralmglassesmofmwater
d.mrecheckmthembloodmglucosemlevelminm15minsmCorrectmAnswer:mmd
themrnmismconcernedmthatmanmadolescentmptmismexperiencingmhypoglycemia.mWhichmfindingmcausedmthemr
nmtommakemthismclinicalmdetermination
a.mdizziness
b.mstomachmpain
c.mextrememthirst
d.mfrequentmurinationmCorrectmAnswer:mma
inmfetalmcirculationmwhichmstructuremismresponsiblemformcarryingmoxygenatedmbloodmtomthemfetus
a.mumbilicalmvein
b.mpulmonarymartery
c.mpatentmductusmarteriosus
d.mairtamCorrectmAnswer:mma
themrnmismassessingmam2daymoldmandmnotesmBPminmthemarmmofm69/45mw/mambpmofm45/32minmthemleg.mThemr
nmunderstandsmthismdiscrepancymismassociatedmw/mwhichmdiagnosis
a.maorticmarchmabnormality
b.mventricularmseptalmdefect
