HESI PEDIATRIC PRACTICE EXAM
1. The nurse is giving pre-op instructions to a 14 yr old female scheduled
for surgery to correct a spinal curvature. Which stmt best demonstrates that
leaning has taken place?Answer "I understand that I will be in a body cast and I will show you how you
taught me to turn"
2. To take the v/s of a 4 month old, which ordered will give the most accurate
results?
Answer RR - HR - rectal temp
3. During routine screening at a school clinic, an otoscope exam reveals a
tympanic mb that is pearly gray, slightly bulging, and not movable. What action
should the nurse take next?
Answer Ask the child if they have had a cold, runny nose, or any ear pain lately
4. Which restraint should be used for a toddler after a cleft palate repair?
Answer Elbow
,5. What pre-op nsg intervention should be included in the POC for an infant w/
pyloric stenosis?
Answer Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
6. A 6 month old returns from surgery w/ elbow restraints in place. What nsg
care should be included when caring for any restrained child?
Answer Remove the restraints one at a time and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
7. A 2 yr old w/ Down syndrome is brought to the clinic for his regular physical
exam. The nurse knows which problem is requently associated w/ Downs?
Answer Con- genital heart disease
(CHD is the most common associated defect w/ Downs. - also, remember Professor Moore said that heart and ear
problems go hand in hand)
8. When assessing a child w/ asthma, the nurse should expect intercostal retrac-
,tions during
Answer Inspriation
9. When planning the care for a child who has had a cleft lip repair, the nurse
know that crying should be minimized because it
Answer Stresses the suture line
10. A full-term infant is admitted to the newborn nursery. After careful assess-
ment, the nurse suspects that the infant may have an esophageal atresia.
Which sx's is this newborn likely to have exhibited?
Answer Choking , coughing, and cyanosis
, Hesi Pediatric Practice Exam
Study online at https
Answer//quizlet.com/_4jgild
(this answer includes the 3 "C"s of esophageal atresia caused by the overflow of secretions to the trachea)
11. Which behavior would the nurse expect a 2 yr old to exhibit?
Answer Display possessiveness of toys
(they are egocentric and unable to share w/ others)
12. the other of a preschool-aged child asks the nurse if it is all right to admin-
ister Pepto Bismol to her son when he has a tummy ache. After reminding her
to check the label of all OTC meds for the presence of ASA, which instruction
should the nurse include when replying to the mom's question?
Answer Do not give if they have chicken pox, the flue, or any other viral illness
(ASA can cause Reye's syndrome)
13. the nurse observes a 4 yr old boy in a daycare. Which behavior should the
nurse consider normal for this child?Answer Demonstrates aggressiveness by boasting when
telling a story
1. The nurse is giving pre-op instructions to a 14 yr old female scheduled
for surgery to correct a spinal curvature. Which stmt best demonstrates that
leaning has taken place?Answer "I understand that I will be in a body cast and I will show you how you
taught me to turn"
2. To take the v/s of a 4 month old, which ordered will give the most accurate
results?
Answer RR - HR - rectal temp
3. During routine screening at a school clinic, an otoscope exam reveals a
tympanic mb that is pearly gray, slightly bulging, and not movable. What action
should the nurse take next?
Answer Ask the child if they have had a cold, runny nose, or any ear pain lately
4. Which restraint should be used for a toddler after a cleft palate repair?
Answer Elbow
,5. What pre-op nsg intervention should be included in the POC for an infant w/
pyloric stenosis?
Answer Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
6. A 6 month old returns from surgery w/ elbow restraints in place. What nsg
care should be included when caring for any restrained child?
Answer Remove the restraints one at a time and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
7. A 2 yr old w/ Down syndrome is brought to the clinic for his regular physical
exam. The nurse knows which problem is requently associated w/ Downs?
Answer Con- genital heart disease
(CHD is the most common associated defect w/ Downs. - also, remember Professor Moore said that heart and ear
problems go hand in hand)
8. When assessing a child w/ asthma, the nurse should expect intercostal retrac-
,tions during
Answer Inspriation
9. When planning the care for a child who has had a cleft lip repair, the nurse
know that crying should be minimized because it
Answer Stresses the suture line
10. A full-term infant is admitted to the newborn nursery. After careful assess-
ment, the nurse suspects that the infant may have an esophageal atresia.
Which sx's is this newborn likely to have exhibited?
Answer Choking , coughing, and cyanosis
, Hesi Pediatric Practice Exam
Study online at https
Answer//quizlet.com/_4jgild
(this answer includes the 3 "C"s of esophageal atresia caused by the overflow of secretions to the trachea)
11. Which behavior would the nurse expect a 2 yr old to exhibit?
Answer Display possessiveness of toys
(they are egocentric and unable to share w/ others)
12. the other of a preschool-aged child asks the nurse if it is all right to admin-
ister Pepto Bismol to her son when he has a tummy ache. After reminding her
to check the label of all OTC meds for the presence of ASA, which instruction
should the nurse include when replying to the mom's question?
Answer Do not give if they have chicken pox, the flue, or any other viral illness
(ASA can cause Reye's syndrome)
13. the nurse observes a 4 yr old boy in a daycare. Which behavior should the
nurse consider normal for this child?Answer Demonstrates aggressiveness by boasting when
telling a story
