A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child's oral temperature is 101.2�F. Which intervention should the nurse implement?- Skildor

Question 1 of 5

A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child's oral temperature is 101.2�F. Which intervention should the nurse implement?

A. Ask the mother if the child has had a runny nose B. Cleanse purulent exudate from the affected ear canal C. Apply a topical antibiotic to the periauricular area D. Provide parent education to prevent recurrence

Correct Answer: A

Rationale: In a child presenting with ear pain and fever, asking if the child has had a runny nose is crucial in assessing for possible ear infection causes. Respiratory infections can lead to secondary ear infections, so exploring symptoms related to upper respiratory tract infections, like a runny nose, can help in the evaluation and management of the child's condition.

Question 2 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. Tell the child to expect loud clicking noises during the procedure that may be slightly annoying. C. Reassure the child that there will be no restrictions on activity after the procedure is completed. D. Explain that fluids cannot be taken for 8 hours before the procedure and for 4 hours after the procedure.

Correct Answer: A

Rationale: Describing the position helps the child understand what to expect and reduces anxiety.

Question 3 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 4 of 5

A child with sickle cell anemia is being treated for a vaso-occlusive crisis. Which intervention should the practical nurse (PN) implement?

A. Apply cold packs to painful areas. B. Encourage increased fluid intake. C. Administer high doses of vitamin C. D. Provide low-calorie meals.

Correct Answer: B

Rationale: Encouraging increased fluid intake is crucial in managing vaso-occlusive crises in patients with sickle cell anemia. Dehydration can worsen these crises, so adequate hydration is essential to prevent complications and improve outcomes.

Question 5 of 5

A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child's oral temperature is 101.2�F. Which intervention should the nurse implement?

A. Ask the mother if the child has had a runny nose B. Cleanse purulent exudate from the affected ear canal C. Apply a topical antibiotic to the periauricular area D. Provide parent education to prevent recurrence

Correct Answer: A

Rationale: In a child presenting with ear pain and fever, asking if the child has had a runny nose is crucial in assessing for possible ear infection causes. Respiratory infections can lead to secondary ear infections, so exploring symptoms related to upper respiratory tract infections, like a runny nose, can help in the evaluation and management of the child's condition.

HESI Pediatric Practice Exam

Skildor

HESI RN

HESI RN

HESI Pediatric Practice Exam Questions

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