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HESI Case Studies Management of a Pediatric Unit Ms. Sanku Correct and Verified Answers Graded A
Question 1 Which task(s) should be assigned to an LPN, rather than a UAP? (select all the apply)
Correct Answer:
• Check the residual on the tube feeding for a child with a PEG tube • Perform a straight catheterization for urine specimen collection Question 2 What action should the nurse educator take first?
Correct Answer: Call for assistance from other clinic staff members.
Question 3 Which phone message requires the most immediate response by Ms. Sanku?Correct Answer: A school social worker who is reporting that a local teenager who often hangs out around the clinic has made death threats and expressed thoughts of suicide.Question 4 Which child requires the most immediate follow-up by a nurse?Correct Answer: A 9-year-old who got hit on the head with a baseball bat and has a bruise behind his ear and clear nasal discharge.Question 5 Which task(s) can be assigned to the UAP assisting the nurse?
Correct Answer:
• Apply a cold pack to the teenager's foot
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• Take the teen's vital signs Question 6 To whom should the nurse educator refer this mother?
Correct Answer: The clinic pediatric nurse practitioner.
Question 7 Which situation requires the most immediate follow-up by the nurse?Correct Answer: A mother expressing concern that her baby refuses to take formula, stating that the infant's "soft spot" seems more sunken.Question 8 What action should Ms. Sanku take?Correct Answer: Acknowledge that the LPN and UAP are working effectively in caring for the infant.Question 9 How should the nurse educator respond?Correct Answer: Explain the signs and symptoms of diabetes to all parents in the class.Question 10 Which member of the staff should be assigned to remain with the child until the ambulance arrives?
Correct Answer: An experienced staff RN.
Question 11 Which client should be assigned to a staff RN, rather than a staff LPN?
Correct Answer: A 2-year-old with diabetes who has been vomiting all night.
Question 12 What action should Ms. Sanku implement?
Correct Answer: Observe the effectiveness of the action performed by the LPN.
Question 13 How should Ms. Sanku respond?
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Correct Answer: We will go ahead and begin the meeting, and hope that Dr. Chan arrives shortly.Question 14 What action should Ms. Sanku take?
Correct Answer: Place the topic requested by the LPN on the meeting agenda for
discussion.Question 15 What action should Ms. Sanku take first?Correct Answer: Assign additional staff nurses to research the proposed changes.Question 16 How should Ms. Sanku respond?Correct Answer: As professionals, we should always consider new ways of implementing quality client care.Question 17 How should Ms. Sanku respond?Correct Answer: The best nursing practice combines clinical expertise with the most current research.Question 18 What action should Ms. Sanku take?
Correct Answer: Advise the RN to remain in the room with the child.
Question 19 What action should Ms. Sanku implement?Correct Answer: Instruct the RN to complete the client teaching in the conference room while the UAP prepares the room for the next client.Question 20 Ms. Sanku should instruct the UAP to take the oximeter to which client's room?Correct Answer: A 3-year-old with a sore throat who is drooling and sitting in a tripod position.
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Question 21 Which child should be removed from the play area?Correct Answer: An 8-year-old boy who is muttering swear words and poking holes in the furniture with a pocket knife.Question 22 What action should Ms. Sanku take?
Correct Answer: Instruct the nurse to draw up each dose personally.
Question 23 What action should Ms. Sanku take?Correct Answer: Calmly reassure both the nurse and the parent that it is safe to administer the immunization.Question 24 How should Ms. Sanku respond?
Correct Answer: We must report this, but we can help you find a safe place.
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