COMMUNITY HEALTH HESI RN V1 V2 V3
COMPREHENSIVE TEST BANK 2026
COMPLETE ANSWERS ACCURATE
⫸ 2. Which muscle is the preferred intramuscular injection site for
infants?
A. Deltoid
B. Vastus lateralis
C. Ventrogluteal
D. Dorsogluteal Answer: Answer: B. Vastus lateralis
Rationale: The vastus lateralis in the anterolateral thigh is preferred in
infants due to adequate muscle mass and low risk of nerve injury.
⫸ 3. Which sign indicates severe asthma in a child?
A. Occasional cough with no retractions
B. Mild wheezing only during exertion
C. Audible wheezing and cyanosis
D. Occasional shortness of breath after activity Answer: Answer: C.
Audible wheezing and cyanosis
Rationale: Severe asthma presents with severe dyspnea, audible
wheezing, tachypnea, nasal flaring, accessory muscle use, cyanosis, and
altered LOC.
,⫸ 4. When measuring an infant's head circumference, where should the
tape measure be placed?
A. Around the neck
B. Above the ears and eyebrows, around the occipital prominence
C. Mid-forehead to mid-occiput
D. Across the temples and jaw Answer: Answer: B. Above the ears and
eyebrows, around the occipital prominence
Rationale: Head circumference is measured at the largest point — just
above the eyebrows and around the occipital prominence.
⫸ 5. The primary goal of eye patching in a child with strabismus is to:
A. Improve depth perception
B. Strengthen the stronger eye
C. Strengthen the weaker eye
D. Prevent astigmatism Answer: Answer: C. Strengthen the weaker eye
Rationale: Patching the stronger eye forces the weaker eye to work
harder, improving muscle strength and preventing amblyopia.
⫸ 6. In a peak flow meter reading, a yellow zone value means:
A. Asthma is under control
B. Medical alert — seek help
C. Caution — asthma may be worsening
D. No immediate action needed Answer: Answer: C. Caution — asthma
may be worsening
,Rationale: Yellow zone (50-80% of personal best) indicates caution and
the need for monitoring and possible treatment adjustment.
⫸ 7. What is the priority nursing intervention for a child post-
tonsillectomy?
A. Encourage frequent coughing
B. Position child flat on their back
C. Observe for frequent swallowing
D. Provide warm milk for comfort Answer: Answer: C. Observe for
frequent swallowing
Rationale: Frequent swallowing may indicate bleeding, the most serious
complication after tonsillectomy.
⫸ 8. A 4 kg infant's normal urinary output should be:
A. 0.5-1 mL/kg/hr
B. 1-2 mL/kg/hr
C. 2-3 mL/kg/hr
D. 3-4 mL/kg/hr Answer: Answer: C. 2-3 mL/kg/hr
Rationale: Infants 1-5 kg should have 2-3 mL/kg/hr urinary output,
which indicates adequate kidney function and hydration.
⫸ 9. Which finding is characteristic of impetigo?
A. Vesicles with clear fluid
B. Honey-colored crusts after vesicle rupture
, C. Pustules with white heads
D. Large red plaques with scaling Answer: Answer: B. Honey-colored
crusts after vesicle rupture
Rationale: Impetigo lesions begin as red macules that become vesicles
and rupture, forming honey-colored crusts.
⫸ 10. For most pediatric patients, the goal A1C is:
A. <6 Answer: B. <6.5%
C. <7.5%
D. <8%
%Answer: C. <7.5%
Rationale: The target A1C for most pediatric patients with diabetes is
<7.5% to maintain good glycemic control and reduce complications.
⫸ 11. Which initial action has highest priority in a child with suspected
inhalation injury from burns?
A. Start IV fluids using the Parkland formula
B. Administer IV opioids for pain
C. Secure the airway and assess breathing
D. Apply topical antimicrobial to facial burns Answer: Answer: C.
Secure the airway and assess breathing
Rationale: Burn care priorities follow ABCs; airway and breathing take
precedence, especially with possible inhalation injury.
COMPREHENSIVE TEST BANK 2026
COMPLETE ANSWERS ACCURATE
⫸ 2. Which muscle is the preferred intramuscular injection site for
infants?
A. Deltoid
B. Vastus lateralis
C. Ventrogluteal
D. Dorsogluteal Answer: Answer: B. Vastus lateralis
Rationale: The vastus lateralis in the anterolateral thigh is preferred in
infants due to adequate muscle mass and low risk of nerve injury.
⫸ 3. Which sign indicates severe asthma in a child?
A. Occasional cough with no retractions
B. Mild wheezing only during exertion
C. Audible wheezing and cyanosis
D. Occasional shortness of breath after activity Answer: Answer: C.
Audible wheezing and cyanosis
Rationale: Severe asthma presents with severe dyspnea, audible
wheezing, tachypnea, nasal flaring, accessory muscle use, cyanosis, and
altered LOC.
,⫸ 4. When measuring an infant's head circumference, where should the
tape measure be placed?
A. Around the neck
B. Above the ears and eyebrows, around the occipital prominence
C. Mid-forehead to mid-occiput
D. Across the temples and jaw Answer: Answer: B. Above the ears and
eyebrows, around the occipital prominence
Rationale: Head circumference is measured at the largest point — just
above the eyebrows and around the occipital prominence.
⫸ 5. The primary goal of eye patching in a child with strabismus is to:
A. Improve depth perception
B. Strengthen the stronger eye
C. Strengthen the weaker eye
D. Prevent astigmatism Answer: Answer: C. Strengthen the weaker eye
Rationale: Patching the stronger eye forces the weaker eye to work
harder, improving muscle strength and preventing amblyopia.
⫸ 6. In a peak flow meter reading, a yellow zone value means:
A. Asthma is under control
B. Medical alert — seek help
C. Caution — asthma may be worsening
D. No immediate action needed Answer: Answer: C. Caution — asthma
may be worsening
,Rationale: Yellow zone (50-80% of personal best) indicates caution and
the need for monitoring and possible treatment adjustment.
⫸ 7. What is the priority nursing intervention for a child post-
tonsillectomy?
A. Encourage frequent coughing
B. Position child flat on their back
C. Observe for frequent swallowing
D. Provide warm milk for comfort Answer: Answer: C. Observe for
frequent swallowing
Rationale: Frequent swallowing may indicate bleeding, the most serious
complication after tonsillectomy.
⫸ 8. A 4 kg infant's normal urinary output should be:
A. 0.5-1 mL/kg/hr
B. 1-2 mL/kg/hr
C. 2-3 mL/kg/hr
D. 3-4 mL/kg/hr Answer: Answer: C. 2-3 mL/kg/hr
Rationale: Infants 1-5 kg should have 2-3 mL/kg/hr urinary output,
which indicates adequate kidney function and hydration.
⫸ 9. Which finding is characteristic of impetigo?
A. Vesicles with clear fluid
B. Honey-colored crusts after vesicle rupture
, C. Pustules with white heads
D. Large red plaques with scaling Answer: Answer: B. Honey-colored
crusts after vesicle rupture
Rationale: Impetigo lesions begin as red macules that become vesicles
and rupture, forming honey-colored crusts.
⫸ 10. For most pediatric patients, the goal A1C is:
A. <6 Answer: B. <6.5%
C. <7.5%
D. <8%
%Answer: C. <7.5%
Rationale: The target A1C for most pediatric patients with diabetes is
<7.5% to maintain good glycemic control and reduce complications.
⫸ 11. Which initial action has highest priority in a child with suspected
inhalation injury from burns?
A. Start IV fluids using the Parkland formula
B. Administer IV opioids for pain
C. Secure the airway and assess breathing
D. Apply topical antimicrobial to facial burns Answer: Answer: C.
Secure the airway and assess breathing
Rationale: Burn care priorities follow ABCs; airway and breathing take
precedence, especially with possible inhalation injury.
