PNR204 Week 9 HESI Review

An infant with diarrhea is lethargic. What assessment findings would be consistent with dehydation?

School nurse with an asthma attack patient. He cannot speak, is cyanotic, & decreased, shallow breath sounds. Priority?

Why would you mix an iron supplement with orange juice to deliver the dose?

An adolescent with Type 1 Diabetes checks his blood sugar before bed and it is 60. He ate 4 hours earlier.

What statement indicates understanding of the mode of transmission of lyme disease?

What foods should you restrict from a child with complete renal failure?

What would be the drink of choice for a child with Sickle Cell Disease on a hot summer day?

Child is scheduled for the reduction of an intussusception and passes a soft brown stool. What should you do?

Chinese child just finished treatment for pneumonia. You notice round bruise-like blemishes on chest. Nursing action?

A toddler needs a LP for possible meningitis. What teaching should the nurse provide?

4 year old with NG tube states I am going to throw up. What should the nurse do?

Parents want to have more children after there son was just diagnosed with Duchenne Muscular Dystropy (DMD). Reply?

How do you evaluate the effectiveness of thyroid therapy in a 5 month infant?

Signs of meningitis in an 8 y/o child include?

A 3 month old with GERD has lost weight from the last appointment. How can you increase calories and decrease vomiting?

Infant develops arm/leg movement before fine-motor finger skills. This as an example of which pattern of development?

After cardiac catheterization 2 hours ago via right femoral artery, which finding indicated an arterial obstruction?

You find a child unresponsive with a pulse and you yell for help. What action should the nurse take next?

Toddler with a spica cast from a motor vehicle accident wants a toy. Which toy is most appropriate?

A 10 y/o is in the acute phase of rheumatic fever. What activity is appropriate for the nurse's plan of care?

A child is admitted with depression. What finding is most significant in confirming depression?

An adolescent is very depressed. What finding might indicate a risk for suicide?

What would you expect to see when assessing a child with impetigo?

While measuring head circumference of a 3 month old infant the nurse notices an increase of 5 inches. What action next?

Child with DKA has Kussmaul respirations. This is a compensatory mechanism for what acid-base alteration?

How can you prevent diaper rash on a 4 -month old?

A mother says that her child with spina bifida sneezes and gets a rash when playing with balloons. What allergy is this?

What instructions should the nurse reinforce to parents of a child with application of cast for fractures right ulna?

An infant just had a cleft lip repair surgery. Why should you minimize crying during the postoperative recovery?

A child has a central line for treatment of ALL and now has a fever of 103. What intervention is most important?

What complication of carbamazepine (Tegretol) is prevented by weekly blood tests ?

A 13 y/o girl is evaluated for possible Crohn's disease. The nurse expects to prepare her for which diagnostic study.

How do you assess fontanels on a 4 week old infant?

A newborn is noticed to have hypospadius. The parents want to know when this should be repaired?

Mom hides a toy under an infant's blanket. The infant looks for the toy. What is this called?

What S/S should the parents of a child with congestive heart failure report to the healthcare provider?

Child is admitted with persistent vomiting. A NG tube is inserted. What finding should be reported to provider?

What is the most important reason for implementing discipline for infants and toddlers?

What foods are appropriate to introduce to an infant after they are six months old?

What type of play would you expect to see when 2-year-old children are playing.

A child received an irreversible head injury after struck by a truck. Who should approach the family for organ donation?

A toddler has a broviac catheter. While playing the IV tubing disconnects from the catheter. Priority action?

A 3-month-old infant just had a cleft lip repair. To prevent trauma to the surgical site the nurse should:

How can you reduce an infant's risk for otitis media?

Which food are appropriate for a child with celiac disease?

Personal protective equipment for a child diagnoses with Severe Acute Respiratory Syndrome include?

Infant with TOF suddenly goes cyanotic and hyperpneic. Priority action?

A 3 y.o. child with CHD pulse is getting slower over several hours. What else needs reported immediately?

An adolescence's psychosocial development focuses on?

What finding would you see with a child with celiac disease?