A mother brings her school-aged daughter to the pediatric clinic for evaluation of her anti-epileptic medication regimen. What information should the nurse provide to the mother?- Skildor

Question 1 of 5

A mother brings her school-aged daughter to the pediatric clinic for evaluation of her anti-epileptic medication regimen. What information should the nurse provide to the mother?

A. The medication dose will be tapered over a period of 2 weeks when being discontinued B. If seizures return, multiple medications will be prescribed for another 2 years C. A dose of valproic acid (Depakote) should be available in the event of status epilepticus D. Phenytoin (Dilantin) and phenobarbital (Luminal) should be taken for life

Correct Answer: A

Rationale: Antiepileptic drugs should not be abruptly stopped as it may lead to seizure recurrence, hence the need for gradual tapering over 2 weeks.

Question 2 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 3 of 5

The infant scheduled for reduction of intussusception passes a soft-formed brown stool the day before the scheduled procedure. Which intervention should the nurse implement?

A. Instruct the parents that the infant needs to be NPO. B. Notify the healthcare provider of the passage of brown stool. C. Obtain a stool specimen for laboratory analysis. D. Ask the parents about recent changes in the infant's diet.

Correct Answer: B

Rationale: Notifying the healthcare provider is crucial in this situation because the passage of a brown stool may indicate the resolution of intussusception. It is important to keep the healthcare provider informed about any changes in the infant's condition to ensure appropriate care and management.

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

An adolescent female who comes to the school clinic is reluctant to confide her concerns to the practical nurse (PN). The PN tells the teen that confidentiality and privacy are maintained unless a life-threatening situation arises. Which principle supports the PN's response?

A. The adolescent should be encouraged to seek help outside of the school clinic. B. Disclosures from the adolescent should be kept confidential. C. Honest information ensures establishing a trusting relationship. D. Minor adolescents should not be encouraged to disclose private concerns.

Correct Answer: C

Rationale: The correct principle supporting the practical nurse's response is that honest information ensures establishing a trusting relationship. By assuring confidentiality and privacy to the adolescent unless there is a life-threatening situation, the practical nurse fosters an environment where the teen feels safe to share their concerns openly. This approach helps build trust, encouraging effective communication and support for the adolescent's well-being.

HESI Pediatric Practice Exam

Skildor

HESI RN

HESI RN

HESI Pediatric Practice Exam Questions

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