HESI Case Studies Management of a Pediatric Unit Ms.

Sanku
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1. Which phone message A school social worker who is 14. What action should Ms. Place the topic requested by the
requires the most reporting that a local teenager who Sanku take? LPN on the meeting agenda for
immediate response often hangs out around the clinic discussion.
by Ms. Sanku? has made death threats and
15. What action should Ms. Assign additional staff nurses to
expressed thoughts of suicide.
Sanku take first? research the proposed changes.
2. Which situation A mother expressing concern that
16. How should Ms. Sanku As professionals, we should always
requires the most her baby refuses to take formula,
respond? consider new ways of
immediate follow-up stating that the infant's "soft spot"
implementing quality client care.
by the nurse? seems more sunken.
17. How should Ms. Sanku The best nursing practice combines
3. Which child requires a 9-year-old who got hit on the
respond? clinical expertise with the most
the most immediate head with a baseball bad and has a
current research.
follow-up by a nurse? bruise behind his ear and clear
nasal discharge. 18. What action should Ms. Advise the RN to remain in the
Sanku take? room with the child.
4. Which task(s) can be -Apply a cold pack to the
assigned to the UAP teenager's foot 19. What action should Ms. Instruct the RN to complete the
assisting the nurse? Sanku implement? client teaching in the conference
-Take the teen's vial signs room while the UAP prepares the
room for the next client.
5. What action should Ms. Acknowledge that the LPN and UAP
Sanku take? are working effectively in caring for 20. Ms. Sanku should A 3-year-old with a sore throat
the infant. instruct the UAP to who is drooling and sitting in a
take the oximeter to tripod position.
6. Which member of the An experienced staff RN.
which client's room?
staff should be
assigned to remain 21. Which child should be An 8-year-old boy who is
with the child until the removed from the play muttering swear words and poking
ambulance arrives? area? holes in the furniture with a pocket
knife.
7. What action should the Call for assistance from other clinic
nurse educator take staff members. 22. What action should Ms. Instruct the nurse to draw up each
first? Sanku take? dose personally.

8. To whom should the The clinic pediatric nurse 23. What action should Ms. Calmly reassure both the nurse and
nurse educator refer practitioner. Sanku take? the parent that it is safe to
this mother? administer the immunization.

9. How should the nurse Explain the signs and symptoms of 24. How should Ms. Sanku We must report this, but we can
educator respond? diabetes to all parents in the class. respond? help you find a safe place.

10. Which task(s) should -Check the residual on the tube

be assigned to an LPN, feeding for a child with a PEG tube
rather than a UAP?
(select all the apply) -Perform a straight catheterization
for urine specimen collection.
11. Which client should be A 2-year-old with diabetes who has
assigned to a staff RN, been vomiting all night.
rather than a staff
LPN?
12. What action should Ms. Observe the effectiveness of the
Sanku implement? action performed by the LPN.
13. How should Ms. Sanku We will go ahead and begin the
respond? meeting, and hope that Dr. Chan
arrives shortly.