When instilling ear drops in a 2-year-old child, how should the practical nurse (PN) position the earlobe to straighten the external auditory canal?- Skildor

Question 1 of 5

When instilling ear drops in a 2-year-old child, how should the practical nurse (PN) position the earlobe to straighten the external auditory canal?

A. Up and back. B. Down and back. C. Up and forward. D. Down and forward.

Correct Answer: B

Rationale: When administering ear drops to a child under three years old, it is essential to pull the earlobe down and back. This positioning helps straighten the external auditory canal, facilitating the proper administration of the ear drops. Pulling the earlobe down and back in young children aims to ensure that the medication reaches the intended area for optimal effectiveness.

Question 2 of 5

Which nursing intervention is most important to assist in detecting hypopituitarism and hyperpituitarism in children?

A. Carefully recording the height and weight of children to detect inappropriate growth. B. Performing head circumference measurements on infants under one year of age. C. Assessing for behavioral problems at home and school by interviewing the parents. D. Noting tracked weight gain without a gain in height on a growth chart.

Correct Answer: A

Rationale: Recording the height and weight of children is crucial in detecting growth abnormalities like hypopituitarism and hyperpituitarism. Inappropriate growth patterns, such as disproportionate weight gain or stunted height, can be indicative of these conditions. Regular monitoring of height and weight is a fundamental nursing intervention that can aid in the early identification and management of pituitary-related disorders in children.

Question 3 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 4 of 5

When caring for a 4-year-old child diagnosed with celiac disease, the parent asks about foods to avoid. Which response by the nurse is correct?

A. Avoid all dairy products B. Avoid foods containing wheat, barley, and rye C. Avoid all foods high in sugar D. Avoid foods with artificial coloring

Correct Answer: B

Rationale: Celiac disease is managed with a strict gluten-free diet, necessitating the avoidance of foods containing wheat, barley, and rye. Gluten is found in these grains and can trigger an immune response in individuals with celiac disease, leading to damage to the small intestine. Therefore, it is essential for individuals with celiac disease, including children, to carefully avoid gluten-containing foods to maintain their health and well-being.

Question 5 of 5

An adolescent's mother calls the primary HCP's office to inquire about the results of her daughter's serum test that was drawn last week. Since it is the teenager's 18th birthday, how should the nurse respond to this mother's inquiry?

A. Ask when the adolescent was last seen in the clinic B. Tell the mother to have the teenager call the clinic C. Since the serum sample was drawn last week, provide the mother with the findings D. Explain that the information cannot be released without the 18-year-old's permission

Correct Answer: D

Rationale: When an individual turns 18, they are considered a legal adult and have the right to privacy regarding their medical information. Therefore, the nurse should explain to the mother that without the 18-year-old's permission, the results cannot be disclosed.

HESI Practice Test Pediatrics

Skildor

HESI RN

HESI RN

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