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pediatric hesi Questions and Answers
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pediatric hesi Questions and Answers pediatric hesi Questions and Answers pediatric hesi Questions and Answers
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pediatric hesi Questions and AnswersNorms for growth and development - answer Birth weight doubles by 6 months, triples by yr
Peek a boo by 6 month
Sits upright without support by 8
pincher grip by 10-12
Hesi hint - answer Mobiles: infant
Puppets: toddler/preschool
Cars: preschool
Games: school age
Themselves: adolescent
Toddlers - answer 2-3 word sentences at 2
Ritualistic
Preschool - answer Favorite word is why
Sentences of 5-8
School age - answer Each yr gains 4-6 lbs grows 2 inches
Socialization with peers very important
Immunization - answer Cold doesn't stop it unless > 99
Use acetaminophen orally
Cystic fibrosis - answer Autosomal recessive
Absence of pancreatic enzymes
Greasy stool
Chronic pulmonary infections
High sweat test
,Pancreatic enzymes with meals
Digoxin therapy in kids - answer Hold infants <100, kids <80
Don't skip or make up dose
Give 1-2 hrs before meals
S/s over dose: vomiting, diarrhea, muscle weakness, drowsiness
Vent septal defect - answer Abnormal opening between ventricles
Acyanotic
Atrial septal defect - answer Opening in atria
Acyanotic
Patent ductus arterious - answer Hole between aorta and pulmonary artery
Acyanototic
So are coarctation of aorta and aortic stenosis
Cyanotic heart defects - answer Tetralogy of fallot: 4 defects
Transposition of the great vessels: everything is criss crossed
Truncus arterious : single great vessel instead of 2
Rheumatic fever - answer Most common cause of acquired heart disease
Affects connective tissue, sore throat than fever
Lots of rest, home school
Resp distress infants - answer Increase rr
axillAry muscles for breathing
Restlessness
Nasal flaring
Tripod
Grunting
,Cyanotic
Resp failure infants - answer Brady
Deceased rr
Apneic
Deceased loc
Grunting
Deceased breath sounds
When does birth length double? - answer By 4 years
When does the child sit unsupported? - answer 8 months
When does a child achieve 50% of adult height? - answer 2 years
When does a child throw a ball overhand? - answer 18 months
When does a child speak 2-3 word sentences? - answer 2 Yeears
Age groups concepts of bodily injury - answer Infants: After 6 months, their cognitive development
allows them to remember pain.
Toddlers: Fear intrusive procedures.
Preschoolers: Fear body mutilation.
School age: Fear loss of control of their body.
Adolescent: Major concern is change in body image.
Following immunization, what teaching should the nurse provide to the parents? - answer
Irritability, fever (<102 degrees F), redness and soreness at injection site for 2-3days are normal side
effects of DPT and IPV administration.Call healthcare provider if seizures, high fever, or high -pitched
crying occur.A warm washcloth on the thigh injection site and "bicycling" the legs w/each diaper
change will decrease soreness.Acetaminophen (Tylenol) is administered orally every 4-6 hours (10-
15 mg/Kg)
, Hgb norms - answer Newborn: 14 to 24 g/dl
Infant: 10 to 15 g/dl
Child: 11 to 16 g/dl
Autosomal recessive - answer Both parents must be heterozygous, or carriers of the recessive trait,
for the disease to be expressed in their offspring. With each pregnancy, there is a 1:4 chance of the
infant having the disease. However, all children of such parents CAN get the disease - NOT 25% of
them.
A child with leukemia is being discharged after beginning chemotherapy. Which of the following
instructions will the nurse include when teaching the parents of this child?
a)provide a diet low in protein and high carbohydrates
b) avoid fresh vegetables that are not cooked or peeled
c) notify the doctor if the child's temperature exceeds 101 F (39C)
d) increase the use of humidifiers throughout the house - answer Answer B
fresh fruits and vegetables harbor microorganisms, which can cause infections in immune-
compromised child. Fruits and vegetables should either be peeled or cooked. The physician should
be notified of a temperature above 100F, a diet low in protein is not indicated, and humidifiers
harbor fungi in the water containers.
A client with hemophilia has a very swollen knee after falling from bicycleriding. Which of the
following is the first nursing action?
a)initiate an IV site to begin administration of cryoprecipitate
b) type and cross-match for possible transfusion
c) monitor the client's vital signs for the first 5 minutes
d) apply ice pack and compression dressings to the knee - answer Answer D
rest, ice, compression, and elevation (RICE)are the immediate treatments to reduce the swelling and
bleeding into the joint. These are the priority actions for bleeding into the joint of a client with
hemophilia
A client and her husband are positive for the sickle cell trait. The client asks the nurse about chances
of her children having sickle cell disease. Which of the following is appropriate response by the
nurse?
a)one of her children will have sickle cell disease
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