A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse that she would like to use a pump instead of insulin injections to manage her diabetes. Which assessment of the girl is most important for the nurse to obtain?- Skildor

Question 1 of 5

A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse that she would like to use a pump instead of insulin injections to manage her diabetes. Which assessment of the girl is most important for the nurse to obtain?

A. Understanding of the quality control process used to troubleshoot the pump B. Interpretation of fingerstick glucose levels that influence diet selections C. Knowledge of her glycosylated hemoglobin A1c levels for the past year D. Ability to perform the pump for basal insulin with mealtime boluses

Correct Answer: A

Rationale: In a patient transitioning to an insulin pump, understanding the quality control process to troubleshoot the pump is essential for ensuring proper and safe management of diabetes. This knowledge enables the individual to identify and address any issues that may arise with the pump, helping maintain optimal glycemic control and prevent complications.

Question 2 of 5

What action should be taken by the healthcare provider for a child who has ingested a corrosive product?

A. Induce vomiting using Ipecac to remove the corrosive agent. B. Administer vinegar or lemon juice to neutralize the caustic agent. C. Give activated charcoal to decontaminate the stomach. D. Telephone the poison control center and follow their advice.

Correct Answer: D

Rationale: In cases of corrosive product ingestion, it is crucial to contact the poison control center for guidance. Inducing vomiting or attempting to neutralize the agent can lead to further harm. The poison control center professionals are trained to provide specific instructions tailored to the situation, ensuring the best possible outcome for the child.

Question 3 of 5

A 4-month-old girl is brought to the clinic by her mother because she has had a cold for 2 or 3 days and woke up this morning with a hacking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress?

A. Bilateral bronchial breath sounds. B. Diaphragmatic respiration. C. A resting respiratory rate of 35 breaths per minute. D. Flaring of the nares.

Correct Answer: D

Rationale: Flaring of the nares is a classic sign of acute respiratory distress in infants. It indicates increased work of breathing and is a visible cue that the child is struggling to breathe. This finding should alert healthcare providers to the severity of the respiratory distress and the need for prompt intervention to support the child's breathing.

Question 4 of 5

A 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure?

A. Describe the side-lying, knees-to-chest position that must be assumed during the procedure. B. Explain that fluids cannot be taken for 8 hours before the procedure and for 4 hours after the procedure. C. Reassure the child that there will be no restrictions on activity after the procedure is completed. D. Tell the child to expect loud clicking noises during the procedure that may be slightly annoying.

Correct Answer: A

Rationale: Children, especially young ones, benefit from knowing what position they will be in during a procedure as it helps them understand and feel more in control. Describing the side-lying, knees-to-chest position can reduce anxiety and promote cooperation during the lumbar puncture.

Question 5 of 5

The caregiver is caring for a 10-year-old child with a history of frequent ear infections. The parents are concerned about their child's hearing and speech development. What is the caregiver's best response?

A. Let's schedule a hearing test and refer to a speech therapist if needed B. Most children outgrow ear infections and speech delays C. There is no need to worry unless the infections persist into adolescence D. Your child's hearing and speech should be normal by now

Correct Answer: A

Rationale: The appropriate response for the caregiver is to address the parents' concerns by suggesting scheduling a hearing test and potentially referring the child to a speech therapist if necessary. This proactive approach can help evaluate and support the child's hearing and speech development effectively.

HESI Pediatric Practice Exam

Skildor

HESI RN

HESI RN

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