Pediatric Hesi Review questions and answers
How is Duchenne muscular dystrophy inherited? Correct Answer: X-linked disorder typically due to *frameshift* (deletions, duplications, or nonsense) mutations --> truncated dystrophin protein --> inhibited muscle regeneration
X-linked recessive...
Pediatric Hesi Review questions and answers
How is Duchenne muscular dystrophy inherited? Correct Answer: X-linked disorder typically due to
*frameshift* (deletions, duplications, or nonsense) mutations --> truncated dystrophin protein -->
inhibited muscle regeneration
X-linked recessive, affecting males mostly
*D*uchenne = *d*eleted *d*ystrophin
An infant has patent ductus arteriosus and is receiving indomethacin, what is the purpose of
administering this drug? Correct Answer: decrease murmur
What kind of toy is appropriate for a 10 yr old child with Rheumatic fever who is on strict bedrest
Correct Answer: checkers
What assessment is most important for the nurse to obtain when a dm1 pt said she wants to use a
pump instead of insulin inj? Correct Answer: understanding quality control and troubleshooting the
pump
A nine-week old infant is scheduled for a cleft lip repair. Which information is most important for the
nurse to convey to the surgeon before transporting the infant to the surgical suite?
A. wt gain lbs from birth
B. RBC count of 2.3 million
C. Urine specific gravity is 1.011
D. WBC count of 10,000 Correct Answer: RBC of 2.3 million/ normal is 4-5.5
What intervention is most important for nurse to include in the care of a child with pertussis receiving IV
azithromycin Correct Answer: Monitor for signs of facial swelling and urticaria
What may be a problem seen after surgery for Tetrology of Fallot? Correct Answer: Post-op fatigue,
anorexia, resp distress
What are the S/S of pyloric stenosis? Correct Answer: Olive mass in epigastric region
visible peristaltic waves
hyperemeresis
What kind of diet is best for celiac disease? Correct Answer: gluten free items and ingredients
What would cause an infant to have flaring nares ? Correct Answer: Sign of respiratory distress, infant
are nose breathers
When and why would a Lyme test be done on a child ? Correct Answer: By drawing blood, testing for
Borrelia burgdorferi after getting bitten by ticks. Done after 1-2 wks exposure.
What test is done to detect cystic fibrosis in children? Correct Answer: A 'sweat chloride test' is done if
PKU/ Metabolic screening is positive or there is a meconium ileus in the newborn or when the infant has
other such as; salty skin
, What is cradle cap and how do you get rid of it on an infant Correct Answer: A skin condition on the
infants scalp due to excessive sebum production; yellow/ brown scales on top of the head
- use mineral oil to moisten and brush with a fine comb
What is acute myeloid leukemia (AML) in children and what are the s/s? Correct Answer: blood caner
where blast cells do not become healthy wbc and stay in the bone marrow
s/s- anemia, frequent inf, bone/joint pain, bruising/ bleeding with petechiae
peaks btwn ages 2-5
What causes acute glomerlonephritis (AGN)? Correct Answer: post-streptococcal inf. tea colored urine
with hematuria, protein, and HBP with fluid retention
self limiting
Why do sickle cell pts have enuresis (bedwetting) Correct Answer: over hydration due to crisis & diluted
urine
enuresis is a s/s of sickle
What is Wilm's tumor? Correct Answer: nephroblastoma (kidney), mass in the ABD, DO NOT PALPATE
What are the s/s of congenital hip dysplasia? Correct Answer: Asymmetrical gluteal folds, seen with
breech babies, get an ultrasound & ortalani maneuver to check for loose hip in the socket
-tx with pavlik harness to abduct the hips, traction, serial casting
What is patent ductus arteriosus (PDA)? Correct Answer: heart defect w/ machine like murmur
treat w/ idomethacin to see if it will close w/o surgery can cause lung probs
What is the 'field of gaze' in a newborn and how important is this to assess? Correct Answer: if a
newborn does not respond when you talk or stare back at you when you are 'enface' position then you
may consider they have a hearing, sight, or autistic problem
What is a VP shunt? Correct Answer: a ventriculoperitoneal shunt is placed to relieve pressure on the
ventricles (4) of the head. primarily used in hydrocephaly
What is juvenile idiopathic arthritis (JIA) and how is it treated? Correct Answer: dx- before age 16; if you
have arthritis for 6 weeks or more, doctor rules out other causes.
tx- NSAIDs, steroids, methotrexate
regular eye exams to monitor for damage due to inflammation
When should solid food be offered to a baby? Correct Answer: when they are able to turn their head
toward the spoon
4-6mo, only give one food at a time
What is 'Synagis' and why is it given? Correct Answer: RSV vaccine, series of 5 injections
When a pediatric patient has an amputation what kind of teaching will the nurse do that is very
important to the patient's health? Correct Answer: inspect the stump for breakdown
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HIGHFLYER. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
