Pediatric HESI

Correct Answer: B

Rationale: When a child with Graves' disease is prescribed propranolol (Inderal), the nurse should monitor for a decreased heart rate as a therapeutic response. Propranolol is a beta-blocker that acts to slow down the heart rate, which is beneficial in managing the symptoms of Graves' disease, such as tachycardia and other cardiovascular manifestations.

Correct Answer: C

Rationale: Surgical repairs for hypospadias are typically recommended to be performed before the child is potty trained. This timing helps in avoiding complications, ensures better outcomes, and makes the surgical process smoother. Early correction also minimizes the psychological impact on the child regarding genital differences and can improve long-term psychological well-being.

Correct Answer: D

Rationale: For a lumbar puncture in a school-age child, EMLA cream should be applied 2.5 hours before the procedure. EMLA is commonly used to numb the skin, reducing pain and discomfort for the child during the procedure.

Correct Answer: D

Rationale: The startle reflex should diminish by this age; persistence requires evaluation.

Correct Answer: B

Rationale: Placing a child in a cool bath during a seizure is not recommended as it can be dangerous. The priority is to ensure the safety of the child during the seizure and seek medical help if needed. Teaching should focus on appropriate interventions and safety measures during febrile seizures.