RN HESI PAEDIATRICS Exam 2
Total Questions : 48
Showing 25 questions, Sign in for moreOne week after removing a tick, a student arrives at the school nurse's office with reports of flu-like symptoms.
Which intervention should the school nurse implement first?
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A one-month old male infant is brought to the clinic by his mother who states that her son has been vomiting forcefully after each meal for the last three days. The infant is afebrile, dehydrated, and pyloric stenosis is suspected. Which other findings should the nurse identify that are consistent with pyloric stenosis?
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A healthy 2-day-old newborn received the first dose of hepatitis B prior to being discharge home with the parents. The nurse should instruct the parents to return to the clinic for the infant's next dose of hepatitis B in how many months?
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The nurse knows that a shunt procedure is the therapy of choice in almost all cases of hydrocephalus. Which is the most common reason for revision of a child's ventriculoperitoneal shunt?
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An infant diagnosed with respiratory syncytial virus is being discharged. Which instruction should the nurse include in caregiver education?
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What are some possible changes that might explain the trend in glycosylated haemoglobin in this client? Select all that apply.
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The healthcare provider prescribes amoxicillin-clavulanic acid suspension 300 mg by mouth (PO) three times daily (TID) for a child with a lower respiratory infection. The bottle is labelled, 250 mg/5 mL. How many mL should the nurse administer in a single dose? (Enter numeric value only.)
Explanation
Given: Prescribed dose = 300 mg Concentration = 250 mg/5 mL
Let's plug in the values:
Amount (mL) = 300 mg / (250 mg/5 mL)
First, calculate the concentration in mg per mL: 250 mg / 5 mL = 50 mg/mL
Now substitute this value into the formula:
Amount (mL) = 300 mg / 50 mg/mL
Amount (mL) = 6 mL
A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her respiratory rate and heart rate have increased during the last hour. Which intervention should the nurse implement?
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A 16-year-old adolescent with acute myelocytic leukemia is receiving chemotherapy via an implanted medication port at the outpatient oncology clinic. Which action should the nurse implement when the infusion is complete?
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A 6-year-old with heart failure (HF) gained 2 pounds (0.9 kg) in the last 24 hours. Which intervention is most important for the nurse to implement?
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The nurse is providing education to a group of adolescents about smoking prevention. Which approach should the nurse include to incorporate Piaget's cognitive development theory of formal operations?
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The nurse is planning care for a 4-year-old girl who is diagnosed as having a developmental disability. What should be the primary focus of treatment for this child?
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A newborn infant is diagnosed with hypospadias and the parents have requested a circumcision prior to discharge. Which response should the nurse provide?
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The nurse is caring for a school-age child with cystic fibrosis and reviews the admission medication prescriptions. Which medication should the nurse obtain a prescription for to be administered with every meal?
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The school nurse is planning a class for a group of adolescents about achieving and maintaining a healthy weight. Which intervention should the nurse recommend as the best way to lose weight and build lean body mass when eating a healthy diet?
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The nurse is admitting a child with a diagnosis of untreated hypoparathyroidism. Which finding indicative of hypocalcaemia should the nurse report to the healthcare provider?
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A mother brings her male pre-schooler to the clinic because he has had diarrhea, vomiting, and high fevers for the past three days. The child begins to cry and cling to his mother when the nurse enters the examination room. Which action should the nurse implement to get the child to cooperate?
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A three-year old child with neuroblastoma begins experiencing epistaxis episodes and bruising to the extremities over the past month. Which finding in the medical record should the nurse expect?
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How should the nurse instruct the parents of a 4-month-old with seborrheic dermatitis (cradle cap) to shampoo the child's hair?
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A male child is being prepared for a computed tomography (CT) scan when he begins to have a tonic clonic seizure. His mother is hysterical and is trying to hold the child down. Which action(s) should the nurse take? (Select all that apply.)
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A female infant recently admitted with vomiting and diarrhea now weighs 10 kg. Her weight at a previous well-baby visit was 11 kg. Which percentage of body weight loss for this infant should the nurse document in the electronic medical record?
Explanation
Percentage of Weight Loss = (Initial Weight - Current Weight) / Initial Weight × 100
Given: Initial Weight = 11 kg Current Weight = 10 kg
Percentage of Weight Loss = (11 kg - 10 kg) / 11 kg × 100 = 1 / 11 × 100 ≈ 9.09%
The nurse is providing education to a new parent on the potential causes of developmental dysplasia of the hip and recommendations to decrease the incidence in infants. Which statement made by the parent should the nurse recognize as understanding the education?
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A clinic nurse is assessing infants and toddlers for fine and gross motor development. Which child should the nurse refer to a healthcare provider for further evaluation?
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.The nurse is caring for a school-age child presenting to the emergency department with frequent productive coughing, chest tightness, and shortness of breath. Significant inspiratory and expiratory wheezing is auscultated bilaterally. Which finding should the nurse expect after administering a prescribed dose of albuterol?
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To maintain patency of the ductus arteriosus, the nurse administers a prescribed dose of prostaglandin intravenously (IV) to a week-old infant diagnosed with transposition of the great vessels. Based on which finding should the nurse stop the medication administration immediately?
No explanation
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