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Fortis College MontgomeryNursing

Associates Degree in Nursing Program

Pediatric Nursing HESI Review & PrepWinter 2016
1. Community HealthPediatrics---G/Dinfant vitamins with fluoride
Chapter 31, page 883
a. What is the importance of fluoride fortified vitamins for infants?
b. With regards to pediatric community health, why would it be
necessary for infants to receive fluoride fortified multivitamins
c. What age should fluoride supplementation begin?
2. Community HealthPediatricsIntegumentary/MSLyme disease
post tick removalChapter 47, pg 1510
a. What should you teach parents about Lymes disease and
exposure to ticks?
b. Anticipatory guidance related to tick exposure should include?
3. Pediatrics/Critical CareG/D/NeurologicalICPChapter 45p 1425;
Chapter 25p.664-665
a. What effect does increased ICP have on growth and development
of a child
b. What are some causes of increased ICP?
4. Fundamentals/PediatricsBasic Nursing/NutritionObesity in toddler
a. What anticipatory guidance can you provide to parents regarding
b. What factors put the child at-risk for obesity during toddlerhood?
5. Community HealthPediatrics/Professional IssuesSpecial Education
LegislationChapter 34, pg. 999, Chapter 36, pg 10531054
a. What does the law say about educational opportunities for
children with special needs?
6. Fundamentals/Peds-- Basic Nursing Skills/NutritionSpinal fusionT3L3Chapter 48, pg. 1556-1558
a. Why is this type of surgery indicated in the pediatric population?
b. What is basic nursing care for patient with spinal fusion
7. Fundamentals/PediatricsBasic Nursing Skills/NutritionCleft lip
feedingChapter 41, pg. 1289-1291
a. What feeding challenges might occur with a child with cleft lip
b. How can you help a breastfeeding mother with baby with cleft lip
c. What modifications are needed for the infant with cleft lip with
regards to feeding?
d. What type of bottles can be used to accommodate the infants
feeding with CL/P?
8. Fundamentals/PediatricsBasic Nursing Skills/NutritionHFdiet
Chapter 42, pg. 1335-1336
a. How would you manage the diet for a pediatric patient with HF--think about nutritional management for an infant and preemie

9. Fundamental/PedsBasic Nursing Skills/NutritionAdolescent Sports

nutritionpg 996, 1023-1024
a. How are nutritional requirements different for an active
Fundamentals/PedsCeliac dietpg. 1301-1302
a. What is celiac disease?
b. How do you manage a patient with celiac disease through diet
Fundamentals/PedsNGT feeding in a newbornpg 1185-1187
See guidelines
a. What equipment/supplies do you need at the bedside/treatment
b. How would you place an NGT on a peds patient---how do you
c. How do you check placement of an NGT using stethoscope/how is
placement confirmed---EBP!!!!
d. How do you check residual and how often should you check
e. How to you administer an NGT feeding to a patient?
Fundamentals/PediatricsBasic Nursing Skills/NutritionSolid
foods6 months. Chapter 31, pg. 882-884
a. When should parents introduce solid foods to an infant? At what
frequency should new foods be introduced to the infant?
b. What should parents start with and how should they feed the
c. Introducing foods at the correct frequency decreases the risk of?
Fundamentals/PediatricsMedication administrationAcute
myelocytic leukemia. Chapter 43, pg1380-1383
a. How are medications administered to a child with AML?
b. When should chemotherapy be held?
Fundamentals/PediatricsMedication administrationotitis
mediaear gtts. Chapter 39, pg. 1169-1170
a. How do you administer ear drops to a child less than 3 years old
b. How do you administer ear drops to a child greater than 3 years
c. Should otic medication be cold or room temperature prior to
Fundamentals/PediatricsMedication administration/MathPOmL doseChapter 25-Gray-Morris Dosage Book
a. Review oral calculations of medications for pediatricsweight
Fundamentals/PediatricsMedication administration/MathSubQ
mg/kgepinephrineChapter 41, pg 1251, EMERGENCY BOX
a. How do you administer epinephrine subQ
b. Be able to calculate the dose based on weight for a child

Fundamentals/PediatricsMedication administrationAsthma
nebulized medication. Chapter 40, pg. 1231-1234
a. How do you administer a nebulizer treatment?
b. How do you teach a child/parent to administer a neb treatment?
Fundamentals/PedsMedication administrationadrenal
hyperplasiaaldosteronenewbornpg. 1473, 1475-1476
a. What is aldosterone and how does it work in the body?
b. Why is it important for an infant to have aldosterone for this
Fundamentals/Medication administration--Iron supplement
administrationp. 1366
a. How do you give iron to a child with a syringe
b. What are primary side effects of po iron supplementation
c. What do you tell parents to watch for
d. How to you teach the patients parents to give the iron
e. What should iron be given with to increase absorption?
Fundamentals/Medication Administrationmeningitispg. 14411442
a. What type of isolation will a patient have with regards to
meningitis dx?
b. What is the duration of isolation for this patient?
c. What is the difference between non-bacterial meningitis and
bacterial meningitis
d. Is antibiotic therapy indicated for non-bacterial meningitis?
e. How is meningitis prevented?
Pediatric DosagesIVmg/kg/24 hour--GM BookChapter 25
Pediatric Dosages---calculation of po elixir mLprn medications-GM BookChapters 17 & 19
Fundamentals/Medication Administrationotitis mediaear gtts.
Chapter 39, pg 1169-1170
a. How do you administer ear gtts to and infant, toddler, school age
b. How should patient be positioned?
Fundamentals/PedsTeaching atopic dermatitiseczemapg
a. What non-pharmacological measures can you teach parents to
use for this problem? Remember, infants may have this problem
and you do not always want to go straight to topical medications
b. What pharmacologic therapies are appropriate for peds patient
with eczema?
c. What should parents avoid
Fundamentals/PedsMShip spica castpg 1540-1542
a. Remember 6 Ps of compartment syndrome
b. Cast care
c. Neurovascular assessment

Fundamentals/Peds/Medication Administration---asthma and
fungal infectionspg 1227
a. What is the correlation between asthma medication and fungal
b. What do you teach patients and parents to do to avoid fungal
c. Where do the fungal infections occur and why?
Cardiovascular/PedsBP reading confirmChapter 29, pg. 800802
a. How do you assess BP in a pediatric patient?
b. How do you select the appropriate cuff size?
c. What are the different sites for BP assessment for pediatric
Cardiovascular/Peds--Digoxin administration--pg. 1333-1336
a. S/Sx if digoxin OD
b. Treatment of digoxin OD
c. What type of drug is digoxin
d. What does it do to the heart
e. What is it indicated for?
f. Remember that digoxin is dangerous----why!???
Cardiovascular/PedsRheumatic feverpg. 1345-1346
a. What is the cause of rheumatic fever and how is this avoided?
b. How is rheumatic fever treated
c. What do you teach parents about abx therapy for bacterial
Cardiovascular/Peds-- TET episodep. 1327
a. What is a TET episode
b. What position do you put patient in for TET spell and WHY???
Cardiovascular/PedsHypovolemiaaction. Chapter 42, pg
a. What are causes of hypovolemia?
b. S/Sx of hypovolemia in pediatric patient
c. How do you treat hypovolemia?
Cardiovascular/PedsTOFpostop infant fatigue. Chapter 42,
pg. 1342-1343
a. How do you decrease infant fatigue the patient?
Endocrine/PedsGraves diseaseInderal-pg. 1469-1470
a. Think about clinical manifestations of Graves disease.
b. Why is Inderal given to a pediatric patient with Graves disease
c. What type of drug is Inderal and what will it do to the patient?
Cardiovascular/Peds-- Kawasaki disease and aspirin therapypg.
a. What is Kawasakis disease
b. How is it treated

c. Why is aspirin essential therapy with this disease?

Cardiovascular/RespiratoryAcyanotic Heart defectpg. 13221323
a. Examples of Acyanotic heart defects OR heart defects in which
blood flow to the lungs IS NOT impaired AND blood flow from
ventricles IS NOT impaired
b. How can the heart rate vary if the patient has a congenital heart
Glomerulonephritis (AGN)history. Chapter 44, pg. 1406-1407
a. What can cause AGN in children
b. What subjective data must be assessed in arriving at the cause
of AGN
Cardiovascular/EndocrineDM 1assess insulin pump. Chapter
46, pg. 1479-1481
a. Explain how an insulin pump works. What are complications
associated with insulin pumps
b. What are advantages/disadvantages of an insulin pump?
Endocrine/Pedsdiabetes in the adolescent. Chapter 46, p. 14771490
a. How can you provide support to the adolescent with diabetes
b. What psychosocial effect might the chronic disease have on the
Endocrine/Pedshyperglycemia--- pg. 1477-1488
a. s/sx of hyperglycemia;
b. treatment for DKA & HHNKS
c. Long term effects of uncontrolled blood sugar
Endocrine/PedsTeachingDiabetes Type 2acanthosis
a. What is acanthosis nigricans
b. What may it indicate in a pediatric patient
c. Go to http://www.healthline.com/health/acanthosisnigricans#Definition1 to read about this condition
Endocrine/G&D/Pediatricsthyroid disease. Chapter 46, pg. 1467
a. What effect can thyroid disease have on growth and
b. Congenital hypothyroidism/juvenile hypothyroidism
Endocrine/Pedsprecocious puberty--p. 1465-1466
a. How is this condition defined
b. How is it treated?
GI/Hepaticabdominal painpgs.857, 1275, 1196
a. Assessment
b. Causes

c. What should you assess for related to psychosocial causes of

abdominal pain?
GI/Hepatic-- V/D infantpg. 1259-1266 & 1269-1270
a. How do you assess for dehydration
b. ORT and ORS
c. When are IVF necessary
GI/Hepatic/Integumentaryperi-anal itching in a childChapter
41, pg.1274, Box 41-8
a. Peri-anal itching can indicate what problem in a child
b. How do you collect a specimen from the anal area
GI/Hepatic/Oncology-- ANCpg. 1363 & 1382
a. What is absolute neutrophil count
b. Why is ANC important?
c. What is the relationship between ANC and chemotherapy
GI/Hepatic/PEpyloric stenosis/abd. Masspg.1294-1297
a. What is pyloric stenosis?
b. How do you assess for pyloric stenosis
c. What is the intervention of for the condition?
G/D--sibling information--breastfeedingpg. 1123
a. How do you explain breastfeeding to sibling
b. How do you get the sibling involved in breastfeeding the new
G/DGender-based playtoddler-- Chapter 28, 31, 32, 33p.
761-764, 928, 956, 991
a. Review types of play based on age group of pediatric patient
b. Be familiar with what is appropriate play techniques based on
G/DMiddle school--Chapter 34, Chapter 35
a. What becomes important to children in this age group?
b. What are typical behaviors
c. What would be anticipatory guidance for parents of children in
this age group?
G/D/Neuro-- Developmental disabilityp. 1059
a. How does this impact the family and patient?
G/DFine & Gross motor developmentp. 865-869
a. What are milestones for fine and gross motor development based
on age?
b. Child should be able to do this or perform that by what age?
G/DPhysical Assessment of Toddlerpg 793, 923
a. Discuss physical assessment of a toddler
b. Toddlerhood includes what age group
Pediatrics G/Dage of walkingGesells theory

a. Go to
b. What age does an infant start to walk?
c. If an infant/toddler is not walking by? Age, what should you do?
G/D Pediatrics/NeurologicalADHDearly school age. Chapter
34, pg. 10011003
a. How is ADHD diagnosed in a pre-school/school age child
b. What are s/sx of ADHD
c. How is it treated?
PertussisAzithromycin POCpg. 1216
a. What is duration of treatment
b. What are side effects of medication
c. What should you teach patient/family
d. How do you prevent pertussis
e. What would you teach the family about immunizations
Hemophiliajoint swellingpg. 1375-1377
a. Remember RICE
b. What is treatment for hemophilia
Immune/Hematology-PediatricsHIV medication compliance.
Chapter 43, pg. 1385-1388
a. Why is medication compliance a problem with regards to HIV?
b. How can you educate a parent/adolescent regarding medication
compliance with regards to HIV
Pertussis coughpg. 1216
a. Review treatment and prevention
Respiratory---tonsillectomypost-op assessment
a. How do you assess if patient has post-op bleeding after a
b. How do you position a patient and why
c. What do you do if you suspect and assess post-op bleeding
d. What foods/drinks are avoid after a tonsillectomy
Integumentarydiaper rashsleep disruptionpg. 1513
a. What is the most important in treating diaper rash related to
sleep disruption?
a. Clinical manifestationswhat does it look like?
b. How is it treated
c. Isolation? Yes or No, if so what type
MusculoskeletalLegg-Calve-Perthespg 1554
a. S/Sx
b. Treatment
NeurologicalDC seizure medicationspg. 1449-1450
a. How should seizure meds be discontinued
Injury Preventionpg.941-948

a. How do you prevent injury---all age groups

Pediatric Oncology-- Wilms Tumorpg. 1409-1408
a. What is Wilms tumor
b. What is the treatment and prognosis
c. What about assessment? How do you assess for wilms tumor?
Operativepost op herniorrhaphyinfant pain assessmentpg.
Reproductive Pedscryptorchidism ---pg. 1403
a. How do you assess for this condition
b. What is the treatment?
i. Non-surgical
ii. Surgical
Respiratory/PedsCFsweat testpg. 1235-1241
a. What is CF
b. How is it diagnosed
c. What is the treatment/prognosis
Respiratory/Pedsback blowsinfantReview CPR for
Respiratory/PedsOMpg. Otitis Mediapg. 1205-1207
a. Causes
b. Treatment
c. Nsg management
Respiratory/PedsCroup syndrome/Epiglottitispg. 1208-1210
a. Review ALL content
b. How to prevent?
c. Home care for croup syndromes
Sensory/Traumaocular traumapg.1097-1099look at
Emergency boxeye injuries
Cardiovascular/Peds-- Coarctation of the Aorta--restenosispg.
a. What age group has highest rate of restenosis
b. What intervention is best based on age group?
Cultural/Spiritualteaching Jewish faith--hypospadias --Chapter
22, 27, 44pg. 570, 744,1403
PediatricsFamily-centered care-- Chapter 38
a. Discuss family-centered care
Pediatricpriority intervention
a. Remember ABCs and Maslows hierarchy
GUNursing Process-- Exstrophy bladderPreopChapter 44
Pediatric Obesitypg. 1031-1035
a. Risk factors
b. Anticipatory guidance
c. Nutritional assessment
GU/Reproductive-- PID adolescenceChapter 4, 35
a. Treatment

Pediatrics/Neurologicalautismassess. Chapter 37, pg 11041107
a. Assessment of autism
b. Interventions related to autism
c. Family support and autism
Pediatrics/oncologygrief process-therapeutic response. Chapter
36, pg. 1079-1080
a. What is your role as the nurse in assisting a family during the
grief process?
b. Think about therapeutic communication
Pediatrics/oncologyWilms tumor. Chapter 44, pg. 1408
a. What is Wilms tumor?
b. How is it diagnosed?
c. What is the primary s/sx of Wilms tumor? Which kidney is
usually involved?
d. What is the prognosis for a patient with Wilms tumor
Fundamentals/PediatricsBasic Nursing Skills/SafetyMedication
Administration/MathDehydrationinfant. Chapter 41, pg. 1256-1258
a. What are s/sx of dehydration in an infant.
b. How do your re-hydrate an infant, toddler, etc. with mild,
moderate, severe dehydration?
PediatricsCardiovascularTransposition of Great Vessels.
Chapter 42 pg. 1328
a. What is the intervention for this problem
b. What about prognosis?
Fundamentals/PediatricsBasic Nursing Skills/SafetySeizures
child. Chapter 45, pg. 1445-1455
a. What is the priority intervention for a child having a seizure?
Pediatrics/Integumentaryatopic dermatitis (eczema). Chapter
47, pg. 1514-1515
a. What is atopic dermatitis?
b. What other childhood condition is it associated with
c. What is the treatment? Pharm/nonpharm treatment?
d. What are nutrition considerations with regards atopic dermatitis