Pediatric HESI unit 4 EXAM QUESTIONS AND CORRECT ANSWERS
VERIFIED 100%
which parent education would the nurse provide about the frequency of cast
changes needed for an infant with talipes equinovarus?
a. each week
b. once a month
c. when cast edges fray
d. if cast becomes soiled
a
which activities would be encouraged of a child with juvenile idiopathic
arthritis to prevent loss of joint function? SATA
a. riding a bicycle
b. walking to school
c. watching videos after school
d. swimming in the community pool
e. playing computer games after school
abd
which parental statement would the nurse recognize as signs that an infant
may need to be evaluated for cerebral palsy? SATA
a. baby does not make eye contact
b. seems to have a voracious appetite
c. able to turn from front to back by 2 months
d. ive noticed that this baby clings to me more than the other children of the
same age
e. all of my other children were sitting alone by this age. this does seem to be
anywhere near sitting alone
ce
spasticity that causes unintentional turn from front to back
,neurological problem that commonly recognized when child fails to meet
developmental norms
which nursing intervention is the priority for an infant with myelomeningocele
before surgical correction?
a. minimizing infection
b. preventing trauma to site
c. monitoring for increasing paralysis
d. preventing hypothermia
b
which is most important for the nurse to attempt to prevent for a child with
juvenile idiopathic arthritis?
a. infection
b. hemarthrosis
c. contracture deformities
d. delayed intellectual development
c
which intervention would the nurse provide to facilitate the drying of a cast
recently applied to a child with clubfoot?
a. using a blow dryer
b. opening the window
c. exposing casted extremity
d. covering the cast with light sheet
c
which intervention is a priority when caring for a child who sustained a head
injury 12 hours earlier?
a. assessing the level of consciousness every hour
b. promoting rest by fostering a quiet environment
c. asking about the circumstances that led to the injury
d. administering the prescribed opioid for complaints of a headache
a. assessing the level of consciousness every hour
diminishing level of consciousness is an early indicator of neurological damage,
evidence of a subdural hemorrhage may take hours or days to develop.
an 8 year old boy is found to have a mild concussion and is to be discharged
home. The parent is instructed to check their child for responsiveness every 2
, hours and to wake hi for this assessment after he goes to sleep. They call the
nurse and say they are afraid to allow him to go to sleep. How would the nurse
respond?
a. you can bring him to the hospital before bedtime, if you prefer
b. if your son becomes difficult to awaken bring him to the hospital.
c. theres no need to worry because you son is past the critical period.
d. awakening your son throughout the night is no longer necessary
b
a child is admitted to the pediatric intensive care unit with acute bacterial
meningitis. Which intervention would the nurse include in the plan of care?
a. offering clear liquids when the child is awake
b. checking the child level of consciousness hourly
c. assessing the childs BP every 4 hours
d. administering the prescribed oral antibiotic medication
b
checking LOC is part of the total neurological check, it can reveal increasing ICP as
result of cerebral inflammation.
Which clinical manifestation would the nurse recognize as a sign of neurologic
injury when assessing a 7 month old infant injured in an automobile accident?
a. babinki reflex
b. persistent vomiting
c. heart rate of 110 bpm
d. temp of 99.6
b
vomiting commonly accompanies a head injury because of increased ICP
which clinical finding would the nurse recognize as a sign that an infants ICP
has increased?
a. hypoactive reflexes
b. increased pulse rate
c. decreased BP
d. tension of anterior fontanel
d
anterior fontanel would be widened and tense due to increased volume of
cerebrospinal fluid
VERIFIED 100%
which parent education would the nurse provide about the frequency of cast
changes needed for an infant with talipes equinovarus?
a. each week
b. once a month
c. when cast edges fray
d. if cast becomes soiled
a
which activities would be encouraged of a child with juvenile idiopathic
arthritis to prevent loss of joint function? SATA
a. riding a bicycle
b. walking to school
c. watching videos after school
d. swimming in the community pool
e. playing computer games after school
abd
which parental statement would the nurse recognize as signs that an infant
may need to be evaluated for cerebral palsy? SATA
a. baby does not make eye contact
b. seems to have a voracious appetite
c. able to turn from front to back by 2 months
d. ive noticed that this baby clings to me more than the other children of the
same age
e. all of my other children were sitting alone by this age. this does seem to be
anywhere near sitting alone
ce
spasticity that causes unintentional turn from front to back
,neurological problem that commonly recognized when child fails to meet
developmental norms
which nursing intervention is the priority for an infant with myelomeningocele
before surgical correction?
a. minimizing infection
b. preventing trauma to site
c. monitoring for increasing paralysis
d. preventing hypothermia
b
which is most important for the nurse to attempt to prevent for a child with
juvenile idiopathic arthritis?
a. infection
b. hemarthrosis
c. contracture deformities
d. delayed intellectual development
c
which intervention would the nurse provide to facilitate the drying of a cast
recently applied to a child with clubfoot?
a. using a blow dryer
b. opening the window
c. exposing casted extremity
d. covering the cast with light sheet
c
which intervention is a priority when caring for a child who sustained a head
injury 12 hours earlier?
a. assessing the level of consciousness every hour
b. promoting rest by fostering a quiet environment
c. asking about the circumstances that led to the injury
d. administering the prescribed opioid for complaints of a headache
a. assessing the level of consciousness every hour
diminishing level of consciousness is an early indicator of neurological damage,
evidence of a subdural hemorrhage may take hours or days to develop.
an 8 year old boy is found to have a mild concussion and is to be discharged
home. The parent is instructed to check their child for responsiveness every 2
, hours and to wake hi for this assessment after he goes to sleep. They call the
nurse and say they are afraid to allow him to go to sleep. How would the nurse
respond?
a. you can bring him to the hospital before bedtime, if you prefer
b. if your son becomes difficult to awaken bring him to the hospital.
c. theres no need to worry because you son is past the critical period.
d. awakening your son throughout the night is no longer necessary
b
a child is admitted to the pediatric intensive care unit with acute bacterial
meningitis. Which intervention would the nurse include in the plan of care?
a. offering clear liquids when the child is awake
b. checking the child level of consciousness hourly
c. assessing the childs BP every 4 hours
d. administering the prescribed oral antibiotic medication
b
checking LOC is part of the total neurological check, it can reveal increasing ICP as
result of cerebral inflammation.
Which clinical manifestation would the nurse recognize as a sign of neurologic
injury when assessing a 7 month old infant injured in an automobile accident?
a. babinki reflex
b. persistent vomiting
c. heart rate of 110 bpm
d. temp of 99.6
b
vomiting commonly accompanies a head injury because of increased ICP
which clinical finding would the nurse recognize as a sign that an infants ICP
has increased?
a. hypoactive reflexes
b. increased pulse rate
c. decreased BP
d. tension of anterior fontanel
d
anterior fontanel would be widened and tense due to increased volume of
cerebrospinal fluid
