HESI PEDIATRICS PRACTICE EXAM |
LATEST UPDATED VERSION 2026-27 |
COMPLETE SOLUTION!!
100% Correct 84
Incorrect 00
Status: passed!!
Questions & answers
1 of 84
Term
During routine screening at a school clinic, an otoscope examination of
a child's ear reveals a tympanic membrane that is pearly gray, slightly
bulging, and not movable. What action should the nurse take next?
A. No action required, as this is an expected finding for a school-aged
child
B.Ask the child if he/she has had a cold, runny nose, or any ear
pain lately.
C. Send a note home advising the parents to have the child
evaluated by a healthcare provider as soon as possible.
,d. Call the parents and have them take the child home from school for
the rest of the day.
Give this one a try later!
C. stop the infusion immediately and notify the healthcare provider
The child is exhibiting signs of a reaction to the blood transfusion. The blood
transfusion should be stopped immediately and the healthcare provider notified.
After the transfusion is discontinued, IV access should be maintained with fluids that do
not introduce and more cellular products. (B and D place the child at risk for
further blood reactions
B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
More information is needed to interpret these findings. The tympanic
membrane is normally pearly gray, not bulging, and moves when the client
blows against resistance or a small puff of air is blown into the ear canal. Since
this child's findings are not completely normal, further assessment of history
and related signs and symptoms is indicated for accurate interpretation of the
findings. (A), (C), and (D) are inappropriate actions based on the data obtained
from the otoscope examination.
B. administer PRN prescription of nifedipine (Procardia) sublingually.
Sublingual Procardia lowers BP very quickly, and this should be done first. (A) may also
be done, but oral diuretics do not work as rapidly as the sublingual
antihypertensive. When notifying the healthcare provider, the first thing he/she will want
to know is if the PRN antihypertensive has been administered. (D) does not
consider the seriousness of this finding. The nurse should stay with the client until
the BP is reduced.
, C. Wash the hair and skin frequently with soap and hot water
Washing the hair and skin with soap and hot water removes oil and debris from the
skin and helps prevent and treat acne. Oily skin is especially bothersome during
adolescence when hormones cause enlargement of sebaceous glands and
increased glandular secretions which predispose the teenager to acne. (A) is
contraindicated. Cosmetics ("medicated" or not) should be used sparingly to avoid
further blocking of sebaceous gland ducts. (D) may be indicated at a later time, if
healthcare recommendations are not successful.
Don't know?
2 of 84
Term
A female teenager is taking oral tetracycline HCL (Achromycin V)
for acne vulgaris. What is the most important instruction for the nurse
to include in this client's teaching plan?
A. Use sunscreen when lying by the pool.
B.cleanse the skin at least 4 times a day.
C. take the medication with a glass of milk
D.menstrual periods may become irregular
Give this one a try later!
D. Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
Prevention of abdominal palpation minimizes the risk of rupturing the encapsulated
tumor and subsequent metastasis. (A) is unnecessary and this action could
traumatize the tumor in the same manner as palpation. (B and C) are incorrect
since the abdomen is not discolored and cold compresses are not indicated.
, A. Use sunscreen when lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin V)
therapy. Severe sunburn can occur with minimal sun exposure and clients
should be instructed to avoid sunlight and to use sunscreen. (B and D) are not
related to tetracyline HCL (Achromycin V) therapy. (C) should be avoided
because dairy products interfere with the absorption of tetracyclines.
B.assessing fontanels
All of these interventions evaluate fluid status in infants. But, now old is this child?
Posterior fontanel closes at 2 months and anterior fontanels close by 18 months of
age. Remember normal growth and development
A. apical heart rate of 60.
A heart rate of 60 is much lower than normal for a 6-month old and warrants
immediate intervention. the normal heart rate for a 6-month old is 80-150 bpm when
awake, and a rate of 70 while sleeping is considered within normal limits. (B and C)
are expected symptoms of heart failure in an infant. (D) normal limits for an infant.
Don't know?
LATEST UPDATED VERSION 2026-27 |
COMPLETE SOLUTION!!
100% Correct 84
Incorrect 00
Status: passed!!
Questions & answers
1 of 84
Term
During routine screening at a school clinic, an otoscope examination of
a child's ear reveals a tympanic membrane that is pearly gray, slightly
bulging, and not movable. What action should the nurse take next?
A. No action required, as this is an expected finding for a school-aged
child
B.Ask the child if he/she has had a cold, runny nose, or any ear
pain lately.
C. Send a note home advising the parents to have the child
evaluated by a healthcare provider as soon as possible.
,d. Call the parents and have them take the child home from school for
the rest of the day.
Give this one a try later!
C. stop the infusion immediately and notify the healthcare provider
The child is exhibiting signs of a reaction to the blood transfusion. The blood
transfusion should be stopped immediately and the healthcare provider notified.
After the transfusion is discontinued, IV access should be maintained with fluids that do
not introduce and more cellular products. (B and D place the child at risk for
further blood reactions
B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
More information is needed to interpret these findings. The tympanic
membrane is normally pearly gray, not bulging, and moves when the client
blows against resistance or a small puff of air is blown into the ear canal. Since
this child's findings are not completely normal, further assessment of history
and related signs and symptoms is indicated for accurate interpretation of the
findings. (A), (C), and (D) are inappropriate actions based on the data obtained
from the otoscope examination.
B. administer PRN prescription of nifedipine (Procardia) sublingually.
Sublingual Procardia lowers BP very quickly, and this should be done first. (A) may also
be done, but oral diuretics do not work as rapidly as the sublingual
antihypertensive. When notifying the healthcare provider, the first thing he/she will want
to know is if the PRN antihypertensive has been administered. (D) does not
consider the seriousness of this finding. The nurse should stay with the client until
the BP is reduced.
, C. Wash the hair and skin frequently with soap and hot water
Washing the hair and skin with soap and hot water removes oil and debris from the
skin and helps prevent and treat acne. Oily skin is especially bothersome during
adolescence when hormones cause enlargement of sebaceous glands and
increased glandular secretions which predispose the teenager to acne. (A) is
contraindicated. Cosmetics ("medicated" or not) should be used sparingly to avoid
further blocking of sebaceous gland ducts. (D) may be indicated at a later time, if
healthcare recommendations are not successful.
Don't know?
2 of 84
Term
A female teenager is taking oral tetracycline HCL (Achromycin V)
for acne vulgaris. What is the most important instruction for the nurse
to include in this client's teaching plan?
A. Use sunscreen when lying by the pool.
B.cleanse the skin at least 4 times a day.
C. take the medication with a glass of milk
D.menstrual periods may become irregular
Give this one a try later!
D. Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
Prevention of abdominal palpation minimizes the risk of rupturing the encapsulated
tumor and subsequent metastasis. (A) is unnecessary and this action could
traumatize the tumor in the same manner as palpation. (B and C) are incorrect
since the abdomen is not discolored and cold compresses are not indicated.
, A. Use sunscreen when lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin V)
therapy. Severe sunburn can occur with minimal sun exposure and clients
should be instructed to avoid sunlight and to use sunscreen. (B and D) are not
related to tetracyline HCL (Achromycin V) therapy. (C) should be avoided
because dairy products interfere with the absorption of tetracyclines.
B.assessing fontanels
All of these interventions evaluate fluid status in infants. But, now old is this child?
Posterior fontanel closes at 2 months and anterior fontanels close by 18 months of
age. Remember normal growth and development
A. apical heart rate of 60.
A heart rate of 60 is much lower than normal for a 6-month old and warrants
immediate intervention. the normal heart rate for a 6-month old is 80-150 bpm when
awake, and a rate of 70 while sleeping is considered within normal limits. (B and C)
are expected symptoms of heart failure in an infant. (D) normal limits for an infant.
Don't know?
