Pediatric HESI

Correct Answer: C

Rationale: A set of cloth and hand puppets is safe and developmentally appropriate for a 3-year-old with a spica cast.

Correct Answer: D

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

Correct Answer: D

Rationale: Acknowledging the child's anger as part of the coping process helps the mother understand her child's emotional response.

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: A

Rationale: To calculate the dose for each administration, multiply the child's weight (25 kg) by the dose (300 mg/kg/24 hours) and divide by the number of doses per day (6, as doses are every 4 hours). This gives us (25 kg * 300 mg/kg / 24 hours) / 6 doses = 1875 mg. Therefore, the nurse should administer 1875 mg for each dose.