LATEST PRACTICE QUESTIONS FOR HESI EXAM PEDS GRADED A+ (2023/2024
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1. The nurse is assessing a 9-year-old boy who was admitted to the hospital with possible acute poststreptococcal glomerulonephritis (APSGN). In obtaining his history, what information is most signifi ... cant? A. A sore throat las week *Causes for glomerulonephritis: -immunological disease -Autoimmune disease -Antecedent group A B-hemolytic streptococcal infection of the pharynx or skin -History of pharyngitis or tonsillitis 2-3 weeks before symptoms. -Acute type: occurs 2-3 weeks after a streptococcal infection -Complications: kidney failure, hypersensitivity encephalopathy, pulmonary edema, heart failure, and seizures -The priority for these kids is to watch out for fluid overload: -assess airway patency, vitals, & weight -Dyspnea, bounding pulses, dysrhythmias, htn, distended hand and neck veins, generalized edema (anasarca), and check urine output -Restrictions: sodium and water, pt will need diuretics. 2. The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-old infant, and the FOC has increased 5 inches (12.7 cm) since birth and the child’s head appears large in relation to body size. Which action is most important for the nurse to take next? D. Palpate the anterior fontanel for tension and bulging [Show More]
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