HESI PEDIATRIC EXAM 2021
(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE
EXAM AND OTHER HESI EXAMS)
1) A child with iron deficiency anemia is ordered ferrous sulfate (Ferralyn),
an oral iron supplement. When teaching the child and parent how to
administer this preparation, the mother asks why she needs to mix the
supplement with citrus juice. Which response by the nurse is best?
a. "The vitamin C in the citrus juice helps with iron absorption."
b. "Having food and juice in the stomach helps with iron absorption."
c. "The citrus juice counteracts the unpleasant taste of the iron."
d. "There isn't a specific reason for it."
Correct Answer: A. "The vitamin C in the citrus juice helps with iron
absorption."
2) When assessing a child for impetigo, the nurse expects which assessment
findings?
a. Small, brown, benign lesions
b. Honey-colored, crusted lesions
c. Linear, threadlike burrows
d. Circular lesions that clear centrally
Correct Answer: B. Honey-colored, crusted lesions
3) A female adolescent client refuses to allow male nurses to care for her
while she's hospitalized. Which of these health care rights is this adolescent
exerting?
a. Right to competent care
b. Right to have an advance directive on file
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, c. Right to confidentiality of her medical record
d. Right to privacy
Correct Answer: D. Right to privacy
4) A LPN/LVN is reviewing a teaching plan with parents of an infant
undergoing repair for a cleft lip. Which instructions are the most appropriate
for the nurse to give? Select all that apply.
a. Offer a pacifier as needed.
b. Lay the infant on his back or side to sleep.
c. Sit the infant up for each feeding.
d. Loosen the arm restraints every 4 hours.
e. Clean the suture line after each feeding by dabbing it with saline solution.
f. Give the infant extra care and support.
Correct Answer:
b. Lay the infant on his back or side to sleep.
c. Sit the infant up for each feeding.
e. Clean the suture line after each feeding by dabbing it with saline solution.
f. Give the infant extra care and support.
5) A LPN/LVN notes that an infant develops arm movement before fine-
motor finger skills and interprets this as an example of which pattern of
development?
a. Cephalocaudal
b. Proximodistal
c. Differentiation
d. Mass-to-specific
Correct Answer: B. Proximodistal
6) A teenage mother brings her 1-year-old child to the pediatrician's office
for a well-baby checkup. She says that her infant can't sit alone or roll over.
An appropriate response by the nurse would be:
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