615-PHARM EXAM 2 SUPER-DUPER Q&A 2024 LATEST UPDATED GRADED 100% PASS, Exams of Nursing

Download 615-PHARM EXAM 2 SUPER-DUPER Q&A 2024 LATEST UPDATED GRADED 100% PASS and more Exams Nursing in PDF only on Docsity! MDA 224- Pediatric Exit HESI exam -with 100% verified answers PEDIATRIC EXIT HESI 2024 LATEST UPDATED AND GRADED 100% PASS 1 yr old child with neuroblastoma crying continuously and curled into a fetal position. Most important Give a prescribed analgesic Mother brings her newborn to the well clinic for the 1 month check-up. Nurse reviews infant record and identifies that received first dose of HBV immunization on discharge. When should next be During this visit, one month of age When obtaining a throat culture from a 6 yr old with possible strep, which action Swab the child’s erythematous oropharyngeal surfaces or tonsillar pustules Infant is treated for intussusceptions with hydrostatic reduction. What instructions in parents teaching plan Signs and symptoms of recurrence Mother of 5 yr old boy calls the ER and reports pot of hot soup pulled off stove onto her child’s right arm and leg. Do first Place him in a cool bath and remove clothing Child swallowed corrosive substance. What should mom do immediately Call poison control Teen demanding mom to stay in hospital room Patient is insecure Question refers to baby soft spot and sutures Document Newborn baby with flea-like rash normal and will disappear Toddler needing genitals checked, what should nurse do examine genitals last MDA 224- Pediatric Exit HESI exam -with 100% verified answers Baby acting jittery check glucose level Gullain Barre syndrome Patient with severe cold week ago Celiac Disease MDA 224- Pediatric Exit HESI exam -with 100% verified answers Daytime toilet training at 18 months-2 years 2-3 word sentences at 2 years 50% of adult height at 2 years Uses scissors at 4 years Ties shoes at 5 years Autosomal Recessive Diseases CF, PKU, Sickle Cell, Tay-Sachs, Albinism Autosomal Dominant Diseases Huntington’s, Marfans, Polydactyl, Achondroplasia, Polycystic kidney 50% if one parent has the disease X-linked recessive Diseases MD, Hemophilia A Females are carries and never have the disease Males have the disease Down syndrome (Trisomy 21) Simian creases on palms, hypotonia, protruding tongue, upward and outward slant of the eyes, low ears PKU Avoid phenylalanine (aspartame/NutraSweet) Testing for PKU Guthrie test Care of patient with myelomeningocele Cover with moist sterile water soaked gauze and keep from pressure Indicators of IICP in infants Bulging fontanels, high pitched cry, increased head circumference, wide suture lines, lethargy Avoid in patients with IICP Suctioning, coughing, straining and bending Water retention, fluid overload, dilutional hyponatremia SIADH (too much ADH) CF kids need enzymes sprinkled on their foods NO MMR immunization for kids with Hx of allergic rxn to eggs or neomycin MDA 224- Pediatric Exit HESI exam -with 100% verified answers Child is drooling, tongue protrusion, chin out, and complains of sore throat Epiglotitis Hypoxic episodes relieved by squatting or knee-chest position TET spells On a hot day, what kind of drink should a teenager with sickle-cell anemia drink? Lemonade Why would you teach parents of toddlers and infants discipline and limit settings? Give the child a sense of security 3 ½ stands only on their tip toes Abnormal How to check strabismus in a 4 year old Cardinal signs of gaze Calculate doses on weight A mother brings in her 6 month old, what statement made by the mother indicates that the child is on track developmentally My baby cries when she is around strangers A 5-year-old Chinese boy has round circular symmetrical bruises all over his chest. What should you do Ask the parents if they practice any alternative therapies, like cupping How would you wash the hair of a baby with cradle cap Look up answer A babysitter is taking care of a child who suddenly becomes shaky, irritable, and diaphoretic. What do you tell her to do Give the child an 8 oz cup of milk A newborn is unconscious and not breathing. You check their airway and they still are not breathing, what do you do Give 2 breaths to lift the chest up A child with acyanotic heart defect is cyanotic. High heart rate, high RR what do you do Assess pulse Ox A 9 year old is in what stage of Erikson Industry MDA 224- Pediatric Exit HESI exam -with 100% verified answers A 12 year old has a hearing deficit. How would you communicate with him Animated facial expressions A child has a ruptured appendix, what finding would be most concerning An elevated BUN A child is having a Grand Mal seizure. What do you do Observe A child has nephritic syndrome, edema, oliguria. What fruit would you allow him to eat Apple (Low K) A 22 mo old has RSV. He also has a younger and older sibling. What would be the most important thing to teach the parent before the child is discharged Frequent hand washing Pertussis (Not sure about the rest of the question) Immunize the child and other family members A child is taking an anti histamine and albuterol metered dose inhaler and is complaining of …. Ask how many times she takes the metered dose inhaler daily A child had a cardiac cath via Right Femoral Artery. How would you know there is an arterial obstruction The right foot is cool to touch and pale A child with transposition of the great vessels is given prostaglandin to keep the ductus open. How would you know the Tx is effective (Not sure the answer, but…) The Tx is used to prevent cyanosis and help oxygenate the child’s blood RF caused by a bacterial infection beta hemolytic strep that injures the heart and its valves. A child is having an open-heart surgery, what teaching needs to be done preoperatively Teach the child to cough, deep breath and splint the chest for pain A child has celiac disease. How do you know teaching about the diet was successful The child chooses rice cereal over a piece of wheat toast for breakfast How do you assess if a child has hypo/hyperpituitaryism Monitor their growth and weight If you miss a dose of linoxin you can give the missed dose if it was supposed to be given less than 4 hours ago. If more than 4 hours have passed, skip the dose and give the next dose. What is a common cause associated with bacterial meningitis Ear infections MDA 224- Pediatric Exit HESI exam -with 100% verified answers A child has a mild fever, which additional symptom is most concerning and requires further evaluation Difficulty swallowing A child has Celiac’s disease. Which dietary selection would indicate that teaching was successful Rice cake instead of wheat A child who has meningitis can also be expected to have which of the following additional symptoms Earache There are 3 simple med math questions, use these answers as a comparison for the responses you obtain but note that they may have changed the numbers. These are not multiple choice questions; you have to enter the numeric value For medication digoxin, answer 1.2 10 mL 4 mL Child with intussusceptions Notify physician of brown stool A child with asthma symptoms should receive which medication Bronchodilator Care of a child with pertussis would include (select all that apply) Sleep apnea monitor Advise the family not to kiss the child cardiac enzymes blood work Child with acyanotic heart condition who is now cyanotic, what is the priority action - check O2 saturation Lice- what implementation wash sheets with hot water Lyme disease wear long sleeves and pants A child with Hodgkin’s lymphoma is receiving IV chemotherapy, he develops a reaching, which action is appropriate Stop the chemotherapy Discipline the child Sense of security MDA 224- Pediatric Exit HESI exam -with 100% verified answers Sickle cell anemia Lemonade 9-week-old male was going to have cleft palate repair, which of the following should the nurse report to the surgeon Low neutrophils (400) 6 month old male stranger anxiety A child has a throat infection and is drooling, what is the best action Notify HCP A babysitter calls in regarding the child she is caring for who is a diabetic. Currently he is diaphoretic, weak, what instructions should be provided Give the milk before bringing in (hypoglycemia) Which symptom is suggestive of pyloric stenosis Forceful vomiting Congenital heart disease, pulse decreased, which symptom should alarm the nurse Low BP 70/40 A child has a VP shunt. The mother inquires on what happens when the child is older. Which is the appropriate response Don’t worry, as the child grows it will be replaced A child has rheumatic fever and a history of previous infection, which is the complication of the condition Inflammation and scarring occurs in the heart valves and cause cardiac problems A child has a broken femur and is in a cast, what is a priority nursing action Check pulse and sensation Which indicates arterial obstruction Right foot is pale and blanched Infant has seborrheic dermatitis Use a soft brush to scrub area Which is an abnormal finding Diminished Moro reflex in a 3.5 month old infant What teaching is important for a mother who has a 4 month old with congenital hypothyroidism Thyroid hormone replacement medication should be administered daily MDA 224- Pediatric Exit HESI exam -with 100% verified answers What intervention is important in detecting hypo and hyper pituitarism in children Monitor and record height and weight A mother calls the clinic stating that the back of her infant’s head has a flat appearance, which response should the nurse provide Place the infant in a prone position while awake and supervised Patient with RSV is going home, what teaching should be provided Frequent hand hygiene for all family members What is the function of the Denver developmental screening test for a 2-year-old It provides activity suggestive the parents’ activity suggestions for stimulating activities A child with transposition of the great is receiving treatment and is being treated with prostaglandin. Heart rate is now 50 bpm, what should the nurse do first Stop prostaglandin A 4-month old has a bulging in the groin area while he cries or is straining, what instructions should be provided Gently manipulate the hernia for reduction What should be included in the plan of care for a child with von Willebrand’s disease Guard against bleeding injuries A patient who is taking azithromycin calls the clinic and states he has joint pain, what should instructions should the nurse provide Call 911 emergency services (Risk for Steven Johnson Syndrome with antibiotic use) A 9-year-old child would be in which of Erikson’s developmental task stages Industry (School age child) A child who is admitted in the hospital and has a plaster cast is scratching the inside of the cast with a pencil, what should the patient’s parent do Call the nurse A patient with asthma complains of racing heart and uses a metered dose inhaler, what action is appropriate Ask the patient how many times per day she is using the inhaler A patient who has nephrotic syndrome is being treated with albumin, which sign suggests that treatment is effective The patient has decreased edema MDA 224- Pediatric Exit HESI exam -with 100% verified answers The HR for a 3 year old with a congenital heart defect has steadily decreased over the last few hours BP 70/40 2 year old is admitted to the hospital with possible encephalitis and a lumbar puncture is scheduled Describe the side-lying, knees to chest position that must be assumed during the Procedure The parents of a 3 y/o boy who has Duchene muscular dystrophy (DMD) ask “how can our son has this disease This is an inherited X-linked recessive disorder, which primarily affects male children in the family The nurse finds a 6 month old infant unresponsive and calls for help Give two breaths that make the chest rise A 3 year old with HIV infection staying with a foster family who is caring for 3 other foster children in their home Review the immunization documentation of the child who has HIV A 16 y/o female student with a history of asthma controlled with both an oral Antihistamine and an albuterol (Provenfil) metered-dose inhaler (MDI) comes to the school nurse How often the MDI is used daily A child for neurological soft signs Poor coordination and sense of position Infant with pyloric stenosis Metabolic alkalosis 4 month-old girl brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke up this morning with a hacking cough and difficulty breathing flaring of the nares 2 year old boy begins to cry when the mother starts to leave Let me read this book to you 2 year old child with a heart failure (HF) admitted for replacement of a graft for coarctation of the aorta Administer the scheduled dose A child with leukemia is admitted for Chemotherapy and the nursing diagnosis “altered nutrition, less those body requirements related to anorexia, nausea and vomiting” Allow the child to eat any food desired and tolerated MDA 224- Pediatric Exit HESI exam -with 100% verified answers 6 year old that has asthma with a prolonged expiratory phase, wheezing and 35% of personal best peak expiratory flow rate (PEFR) Administer a prescribed bronchodilator The nurse plans to administer 10 mcg/kg of digoxin elixir as a loading dose to a child who weighs 55 pounds Digoxin is available as elixir of 50 mcg/ml 5 ml mother giving her 11 month-old ferrous sulfate, followed by two ounces of orange juice Give positive feedback about the way she administered the sulfate Most important to include in the plan of care for a child with acute glomerulonephritis weight the child daily During a well baby visit the parents explain that a soft bulge appears in the groin of their 4 month old son when he cries or strain stooling Gently manipulate the hernia for reduction 16 year old male has been treated in the past for a seizure disorder admitted to the hospital he begins to have a grand mal seizure Observe him carefully 9 month old who was diagnosed with respiratory syncytial virus yesterday mom calls the clinic to see if it all right to take her to the first b-day party of a friend child Do not expose other children to RSV It is very contagious even without direct contact 5 year old with strabismus Direct the child through the six cardinal position of glaze 6 month old infant being examined Demonstrate startle reflex Child brought to the clinic complaining of fever and joins pain, and is Dx with rheumatic fever Prevent cardiac damage Nurse working on the pediatric unit takes two 8-year old girls to the playroom Selecting a board game Nurse developing plan of care for a hospitalized child with von Willebrand disease Guard against bleeding injuries Parents of a 4 month old with seborrheic dermatitis (cradle cap) get instructions to shampoo the child’s hair Use a soft brush and gently scrub the area MDA 224- Pediatric Exit HESI exam -with 100% verified answers The parents of a child with cystic fibrosis are demonstrating chest physiotherapy (CPT) that they will perform for their child at home The child is placed in a supine position to begin percussion Assessing breath sounds of 18 month old child who is crying Allow the child to initially play with stethoscope, and distract during auscultation Mother of a one month old calls the clinic to report that the back of her infant head is flat Position the infant on the stomach occasionally when awake and active Which nursing intervention is most important to assist in detecting hypopituitarism and hyperpituitarism Carefully recording the height and weight of children to detect inappropriate Growth 7 year old child admitted to the hospital with acute glomerulonephritis (AGN) A recent strep throat infection Nurse screening only the highest risk children for scoliosis Girls between ages 10 and 14 Assessing a 10 year old newly diagnosed with osteomyelitis Recent recurrence of infections 3 year old boy in a daycare facility scratches his head a lot and the nurse finds head lice. , washes the child’s hair with permethrin (Nix) shampoo and call his parents Wash the child’s bed linens and clothing in hot soapy water Nurse on a pediatric unit observes a distraught mother in the hallway scolding her 3 year old son for wetting his Inform the mother that toilet training is slower for boys