A mother reports to the nurse at the pediatric clinic that her toddler has had a fever and sore throat for the past two days. The nurse observes several swollen red spots on the child's body, some of which are fluid-filled blisters. What action should the nurse take?- Skildor

Question 1 of 5

A mother reports to the nurse at the pediatric clinic that her toddler has had a fever and sore throat for the past two days. The nurse observes several swollen red spots on the child's body, some of which are fluid-filled blisters. What action should the nurse take?

A. Obtain a fluid culture from the blisters B. Administer a fever-reducing medication C. Cover the draining vesicles with a dressing D. Implement transmission precautions

Correct Answer: D

Rationale: The presence of swollen red spots and fluid-filled blisters may indicate a contagious condition. Implementing transmission precautions is crucial to prevent the spread of the infection to others in the clinic setting.

Question 2 of 5

A child receives a prescription for amantadine 42 mg PO BID. Amantadine is available as a 50 mg/5 mL syrup. Using a supplied calibrated measuring device, how many mL should be administered per dose? (Round to the nearest tenth.)

A. 4.2 mL B. 5 mL C. 3.6 mL D. 4 mL

Correct Answer: A

Rationale: To calculate the mL per dose, divide the prescribed dose (42 mg) by the concentration of the syrup (50 mg/5 mL) and then convert the result to mL. 42 mg / 50 mg = 0.84. To find the amount in mL, multiply 0.84 by 5 mL, which equals 4.2 mL. Therefore, 4.2 mL should be administered per dose.

Question 3 of 5

After observing a mother giving her 11-month-old ferrous sulfate followed by two ounces of orange juice, what should the nurse do next?

A. Suggest placing the iron drops in the orange juice and feed the infant. B. Advise the mother to follow the iron drops with formula instead of orange juice. C. Instruct the mother to feed the infant nothing in the next 30 minutes after the iron. D. Give positive feedback about the way she administered the sulfate.

Correct Answer: D

Rationale: Providing positive feedback is essential in reinforcing correct behaviors. By praising the mother for properly administering the ferrous sulfate to her 11-month-old, the nurse can encourage her to continue following the correct procedure. This positive reinforcement can boost the mother's confidence and adherence to the recommended administration method, ultimately benefiting the infant's health.

Question 4 of 5

An 8-year-old male client with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response?

A. Decreased urinary output B. Decreased periorbital edema C. Increased periods of rest D. Weight gain of 0.5 kg/day

Correct Answer: B

Rationale: In nephrotic syndrome treatment, decreased periorbital edema is a positive therapeutic response as it indicates a reduction in fluid retention. Periorbital edema is a common symptom of nephrotic syndrome due to fluid accumulation, so a decrease in this swelling signifies an improvement in the condition.

Question 5 of 5

The mother of a 4-month-old asks the nurse for advice in preventing diaper rash. What suggestion should the nurse provide?

A. At diaper change generously powder the baby's diaper area with talcum powder to promote dryness. B. Wash the diaper area every 2 hours with soap and water to help prevent skin breakdown. C. Use a barrier cream, such as zinc oxide, which does not have to be completely removed with each diaper change. D. Place a cloth diaper inside the disposable diaper for overnight periods when increased wearing time is likely.

Correct Answer: C

Rationale: Using a barrier cream like zinc oxide protects the skin and helps prevent diaper rash.

HESI Practice Test Pediatrics

Skildor

HESI RN

HESI RN

HESI Practice Test Pediatrics Questions

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