PN HESI PEDS EVALUATION EXAM 2025 QUESTIONS AND
ANSWERS RATED A+
✔✔After post-operative ulcer/stomach surgeries
TO PREVENT DUMING SYNDROME: - ✔✔EAT IN RECLINING POSITION, LIE
DOWN AFTER MEALS FOR 20-30 MINUTES. (restrict fluids during meals, low CHO
and fiber diet, small frequent meals.)
✔✔Positioning after ABOVE THE KNEE AMPUTATION - ✔✔Elevate for first 24 hours
on pillow, position prone daily to provide for hip extension.
✔✔Positioning after BELOW KNEE AMPUTATION - ✔✔Foot of bed elevated for first 24
hours, position prone daily to provide for hip extension.
✔✔Detached Retina Position - ✔✔Area of detachment should be in the dependent
position.
✔✔Administration of Fleet Enema - ✔✔Position patient in LEFT SIDE-LING (Sim's) with
knee flexed.
✔✔After Supratentorial Surgery
(behind the hairline) - ✔✔Elevate HOB 30-45 degrees.
✔✔After Infratentorial Surgery
(incision at nape of neck) - ✔✔Position pt flat and lateral on either side.
✔✔Position During Internal Radiation - ✔✔On BEDREST while implant in place.
✔✔S/S and Positioning Autonomic Dysreflexia/Hyperreflexia
(Over reaction of the involuntary nervous system to stimulation/ Increase HR, HTN,
Sweating, muscle spasms) - ✔✔Pounding HA, profuse sweating, nasal congestion,
goose flex, bradycardia, hypertension = place pt in sitting position (elevate HOB) first
before any other implementation.
✔✔Positioning for SHOCK - ✔✔Bedrest w/extremities elevated 20 degrees, knees
straight, head slightly elevated (modified Trendelenburg)
✔✔Positioning with HEAD INJURY - ✔✔ELEVATE HOB
✔✔Position for Pt w/Peritoneal Dialysis when Outflow is Inadequate> - ✔✔Turn Pt from
side to side BEFORE checking for kinks in tubing (according to Kaplan)
✔✔Positioning after Lumbar Puncture => - ✔✔AFTER the procedure, the client should
be placed in the supine (on back) position for 4 to 12 hour as prescribed.
, ✔✔Pain Med for Pancreatitis - ✔✔Demorol, NOT morphine sulfate.
✔✔Myasthenia Gravis - ✔✔Abnormal weakness of certain muscles. Worsens with
exercise and improves with rest.
✔✔Myasthenia Crisis: Give _______ for positive reaction of improvements. -
✔✔Tensilon - will improve symptoms.
✔✔Cholinergic Crisis: - ✔✔Over-stimulation at a neuromuscular junction due to an
excess of ACh. = caused by excessive medication - stop giving Tensilon=will make it
worse.
✔✔Head Injury Medication: - ✔✔Mannitol (osmotic diuretic) This medication crystallizes
at room temp so ALWAYS use filter needle.
✔✔Lab to check before Liver Biopsy - ✔✔Be aware of Prothrombin time
✔✔Ph = From the A** (diarrhea) - ✔✔Metabolic adicosis
✔✔Ph = From the mouth (vomitus) - ✔✔Metabolic alkalosis
✔✔S/S Myxedema/Hypothyroidism - ✔✔Slowed physical and mental function,
sensitivity to cold, dry skin and hair.
✔✔S/S Grave's Disease
(HYPERTHYROIDISM) - ✔✔Accelerated physical and mental function; sensitivity to
heat, fine/soft hair.
✔✔S/S Hypo-Parathyroid:
Recommended Diet - ✔✔CATS
C=Convulsions
A=Arrhythmia,
T=Tetany
S=Spasms, Stridor (decreased calcium)
DIET: High Ca, low phosphorus diet
✔✔S/S Hyper-Parathyroid - ✔✔Fatigue, muscle weakness, renal calculi, back and joint
pain (increased calcium)
DIET: Low Ca, high phosphorus diet
✔✔S/S Hypovolemia - ✔✔Increased temp, rapid/weak pulse, increased respiration,
hypotension, anxiety, urine specific gravity >1.030
ANSWERS RATED A+
✔✔After post-operative ulcer/stomach surgeries
TO PREVENT DUMING SYNDROME: - ✔✔EAT IN RECLINING POSITION, LIE
DOWN AFTER MEALS FOR 20-30 MINUTES. (restrict fluids during meals, low CHO
and fiber diet, small frequent meals.)
✔✔Positioning after ABOVE THE KNEE AMPUTATION - ✔✔Elevate for first 24 hours
on pillow, position prone daily to provide for hip extension.
✔✔Positioning after BELOW KNEE AMPUTATION - ✔✔Foot of bed elevated for first 24
hours, position prone daily to provide for hip extension.
✔✔Detached Retina Position - ✔✔Area of detachment should be in the dependent
position.
✔✔Administration of Fleet Enema - ✔✔Position patient in LEFT SIDE-LING (Sim's) with
knee flexed.
✔✔After Supratentorial Surgery
(behind the hairline) - ✔✔Elevate HOB 30-45 degrees.
✔✔After Infratentorial Surgery
(incision at nape of neck) - ✔✔Position pt flat and lateral on either side.
✔✔Position During Internal Radiation - ✔✔On BEDREST while implant in place.
✔✔S/S and Positioning Autonomic Dysreflexia/Hyperreflexia
(Over reaction of the involuntary nervous system to stimulation/ Increase HR, HTN,
Sweating, muscle spasms) - ✔✔Pounding HA, profuse sweating, nasal congestion,
goose flex, bradycardia, hypertension = place pt in sitting position (elevate HOB) first
before any other implementation.
✔✔Positioning for SHOCK - ✔✔Bedrest w/extremities elevated 20 degrees, knees
straight, head slightly elevated (modified Trendelenburg)
✔✔Positioning with HEAD INJURY - ✔✔ELEVATE HOB
✔✔Position for Pt w/Peritoneal Dialysis when Outflow is Inadequate> - ✔✔Turn Pt from
side to side BEFORE checking for kinks in tubing (according to Kaplan)
✔✔Positioning after Lumbar Puncture => - ✔✔AFTER the procedure, the client should
be placed in the supine (on back) position for 4 to 12 hour as prescribed.
, ✔✔Pain Med for Pancreatitis - ✔✔Demorol, NOT morphine sulfate.
✔✔Myasthenia Gravis - ✔✔Abnormal weakness of certain muscles. Worsens with
exercise and improves with rest.
✔✔Myasthenia Crisis: Give _______ for positive reaction of improvements. -
✔✔Tensilon - will improve symptoms.
✔✔Cholinergic Crisis: - ✔✔Over-stimulation at a neuromuscular junction due to an
excess of ACh. = caused by excessive medication - stop giving Tensilon=will make it
worse.
✔✔Head Injury Medication: - ✔✔Mannitol (osmotic diuretic) This medication crystallizes
at room temp so ALWAYS use filter needle.
✔✔Lab to check before Liver Biopsy - ✔✔Be aware of Prothrombin time
✔✔Ph = From the A** (diarrhea) - ✔✔Metabolic adicosis
✔✔Ph = From the mouth (vomitus) - ✔✔Metabolic alkalosis
✔✔S/S Myxedema/Hypothyroidism - ✔✔Slowed physical and mental function,
sensitivity to cold, dry skin and hair.
✔✔S/S Grave's Disease
(HYPERTHYROIDISM) - ✔✔Accelerated physical and mental function; sensitivity to
heat, fine/soft hair.
✔✔S/S Hypo-Parathyroid:
Recommended Diet - ✔✔CATS
C=Convulsions
A=Arrhythmia,
T=Tetany
S=Spasms, Stridor (decreased calcium)
DIET: High Ca, low phosphorus diet
✔✔S/S Hyper-Parathyroid - ✔✔Fatigue, muscle weakness, renal calculi, back and joint
pain (increased calcium)
DIET: Low Ca, high phosphorus diet
✔✔S/S Hypovolemia - ✔✔Increased temp, rapid/weak pulse, increased respiration,
hypotension, anxiety, urine specific gravity >1.030
