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?- Skildor

Question 1 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 2 of 5

What is the nurse's best response when a 2-year-old boy begins to cry as the mother starts to leave?

A. Let me read this book to you. B. Two-year-olds usually stop crying the minute the parent leaves. C. Now be a big boy. Mommy will be back soon. D. Let's wave bye-bye to mommy.

Correct Answer: D

Rationale: The best response for the nurse in this situation is to help the child understand that the separation is temporary. Waving bye-bye to mommy can be reassuring to the child and make the separation process easier. It acknowledges the child's feelings while providing a positive and comforting interaction.

Question 3 of 5

The caregiver discovers a 6-month-old infant unresponsive and calls for help. After opening the airway and finding the infant is still not breathing, what action should the caregiver take?

A. Palpate femoral pulse and check for regularity. B. Deliver cycles of 30 chest compressions and 2 breaths. C. Give two breaths that make the chest rise. D. Feel the carotid pulse and check for adequate breathing.

Correct Answer: C

Rationale: Providing two breaths that make the chest rise is the correct action in this situation. This helps to deliver oxygen to the infant's lungs and body, which is crucial in a situation where the infant is not breathing. Chest rise indicates successful ventilation, and it is an essential step in pediatric resuscitation, especially for infants.

Question 4 of 5

The mother of a one-month-old calls the clinic to report that the back of her infant's head is flat. How should the nurse respond?

A. Turn the infant on the left side braced against the crib when sleeping. B. Prop the infant in a sitting position with a cushion when not sleeping. C. Place a small pillow under the infant's head while lying on the back. D. Position the infant on the stomach occasionally when awake and active.

Correct Answer: D

Rationale: Positioning the infant on the stomach occasionally when awake and active can help prevent flat spots on the head.

Question 5 of 5

A 7-year-old child with a history of asthma is brought to the emergency department with an acute asthma exacerbation. The child is wheezing and using accessory muscles to breathe. What is the nurse's priority intervention?

A. Administer a nebulized bronchodilator B. Obtain an arterial blood gas C. Start the child on oxygen therapy D. Notify the healthcare provider

Correct Answer: A

Rationale: In a 7-year-old child with an acute asthma exacerbation showing signs of wheezing and increased work of breathing, the priority intervention for the nurse is to administer a nebulized bronchodilator immediately. Bronchodilators help dilate the airways, relieve bronchospasm, and improve breathing, which is crucial in managing an acute asthma attack and preventing further respiratory distress.

HESI Pediatric Practice Exam

Skildor

HESI RN

HESI RN

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