HESI PEDIATRIC PRACTICE EXAM | QUESTIONS AND ANSWERS |
VERIFIED AND WELL DETAILED ANSWERS GRADED A+ | LATEST
EXAM UPDATE
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? - CORRECT ANSWER - "I understand that I will be in a
body cast and I will show you how you taught me to turn"
To take the v/s of a 4 month old, which ordered will give the most accurate
results? - CORRECT ANSWER - RR - HR - rectal temp
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? - CORRECT ANSWER - Ask the child if they
have had a cold, runny nose, or any ear pain lately
Which restraint should be used for a toddler after a cleft palate repair? -
CORRECT ANSWER - Elbow
What pre-op nsg intervention should be included in the POC for an infant w/
pyloric stenosis? - CORRECT ANSWER - Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
A 6 month old returns from surgery w/ elbow restraints in place. What nsg care
should be included when caring for any restrained child? - CORRECT
ANSWER - Remove the restraints one at a time and provide ROM exercises
,(Removing them 1 at a time is safer than all at once)
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? -
CORRECT ANSWER - Congenital 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)
When assessing a child w/ asthma, the nurse should expect intercostal
retractions during - CORRECT ANSWER - Inspriation
When planning the care for a child who has had a cleft lip repair, the nurse
know that crying should be minimized because it - CORRECT ANSWER -
Stresses the suture line
A full-term infant is admitted to the newborn nursery. After careful assessment,
the nurse suspects that the infant may have an esophageal atresia. Which sx's is
this newborn likely to have exhibited? - CORRECT ANSWER - Choking ,
coughing, and cyanosis
(this answer includes the 3 "C"s of esophageal atresia caused by the overflow of
secretions to the trachea)
Which behavior would the nurse expect a 2 yr old to exhibit? - CORRECT
ANSWER - Display possessiveness of toys
(they are egocentric and unable to share w/ others)
the other of a preschool-aged child asks the nurse if it is all right to administer
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? - CORRECT
ANSWER - Do not give if they have chicken pox, the flue, or any other viral
illness
(ASA can cause Reye's syndrome)
the nurse observes a 4 yr old boy in a daycare. Which behavior should the nurse
consider normal for this child? - CORRECT ANSWER - Demonstrates
aggressiveness by boasting when telling a story
A burned child is brought to the ER. In estimating the % of body burned, the
nurse uses a modified "Rule of Nines." Which part of the body is calculated as a
larger % of total body surface than an adult? - CORRECT ANSWER - Head
and neck
(a child's head and neck are proportionately larger to their body than an adult's)
The nurse receives a lab report stating a child w/ asthma has a theophylline level
of 15mcg/dL. What action will the nurse take? - CORRECT ANSWER - Pass
the info on in the report
(therapeutic level is 10-20)
A 12 month old is admitted w/ a respiratory infection and possible pneumonia.
He is placed in a mist tent w/ O2. Which nsg intervention has the greatest
priority? - CORRECT ANSWER - Have a bulb syringe readily available to
remove secretions
(patent airway has the highest priority. Humidification will liquefy the nasal
secretions - thereby increasing the amt of secretions and making that a priority)
VERIFIED AND WELL DETAILED ANSWERS GRADED A+ | LATEST
EXAM UPDATE
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? - CORRECT ANSWER - "I understand that I will be in a
body cast and I will show you how you taught me to turn"
To take the v/s of a 4 month old, which ordered will give the most accurate
results? - CORRECT ANSWER - RR - HR - rectal temp
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? - CORRECT ANSWER - Ask the child if they
have had a cold, runny nose, or any ear pain lately
Which restraint should be used for a toddler after a cleft palate repair? -
CORRECT ANSWER - Elbow
What pre-op nsg intervention should be included in the POC for an infant w/
pyloric stenosis? - CORRECT ANSWER - Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
A 6 month old returns from surgery w/ elbow restraints in place. What nsg care
should be included when caring for any restrained child? - CORRECT
ANSWER - Remove the restraints one at a time and provide ROM exercises
,(Removing them 1 at a time is safer than all at once)
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? -
CORRECT ANSWER - Congenital 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)
When assessing a child w/ asthma, the nurse should expect intercostal
retractions during - CORRECT ANSWER - Inspriation
When planning the care for a child who has had a cleft lip repair, the nurse
know that crying should be minimized because it - CORRECT ANSWER -
Stresses the suture line
A full-term infant is admitted to the newborn nursery. After careful assessment,
the nurse suspects that the infant may have an esophageal atresia. Which sx's is
this newborn likely to have exhibited? - CORRECT ANSWER - Choking ,
coughing, and cyanosis
(this answer includes the 3 "C"s of esophageal atresia caused by the overflow of
secretions to the trachea)
Which behavior would the nurse expect a 2 yr old to exhibit? - CORRECT
ANSWER - Display possessiveness of toys
(they are egocentric and unable to share w/ others)
the other of a preschool-aged child asks the nurse if it is all right to administer
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? - CORRECT
ANSWER - Do not give if they have chicken pox, the flue, or any other viral
illness
(ASA can cause Reye's syndrome)
the nurse observes a 4 yr old boy in a daycare. Which behavior should the nurse
consider normal for this child? - CORRECT ANSWER - Demonstrates
aggressiveness by boasting when telling a story
A burned child is brought to the ER. In estimating the % of body burned, the
nurse uses a modified "Rule of Nines." Which part of the body is calculated as a
larger % of total body surface than an adult? - CORRECT ANSWER - Head
and neck
(a child's head and neck are proportionately larger to their body than an adult's)
The nurse receives a lab report stating a child w/ asthma has a theophylline level
of 15mcg/dL. What action will the nurse take? - CORRECT ANSWER - Pass
the info on in the report
(therapeutic level is 10-20)
A 12 month old is admitted w/ a respiratory infection and possible pneumonia.
He is placed in a mist tent w/ O2. Which nsg intervention has the greatest
priority? - CORRECT ANSWER - Have a bulb syringe readily available to
remove secretions
(patent airway has the highest priority. Humidification will liquefy the nasal
secretions - thereby increasing the amt of secretions and making that a priority)
