HESI PEDIATRIC PRACTICE EXAM
Questions and Answers
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?: "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?: 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?: 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?: Elbow
5. What pre-op nsg intervention should be included in the POC for an
infant w/ pyloric stenosis?: Observe for projectile vomiting
1/
30
,(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?:
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?: 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: 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: 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
2/
30
, an esophageal atresia. Which sx's is this newborn likely to have
exhibited?: Choking , coughing, and cyanosis
(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?:
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?: 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?: Demonstrates aggressiveness by
boasting when telling a story
14. A burned child is brought to the ER. In estimating the % of
3/
30
Questions and Answers
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?: "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?: 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?: 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?: Elbow
5. What pre-op nsg intervention should be included in the POC for an
infant w/ pyloric stenosis?: Observe for projectile vomiting
1/
30
,(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?:
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?: 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: 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: 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
2/
30
, an esophageal atresia. Which sx's is this newborn likely to have
exhibited?: Choking , coughing, and cyanosis
(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?:
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?: 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?: Demonstrates aggressiveness by
boasting when telling a story
14. A burned child is brought to the ER. In estimating the % of
3/
30
