2022 Hesi Pediatrics (PEDS) Pediatrics Practice
Exam-Answered
The nurse is giving preoperative instructions to a 14-year old female client who is
scheduled for surgery to correct a spinal curvature. Which statement by the client best
demonstrates that learning has taken place?
- D. I understand that I will be in a body cast and I will show you how you taught me to
turn.
To take the vital signs of a 4-month old child, which order will give the most accurate
results?
- A. Respiratory rate, heart rate, then rectal temperature
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?
- B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
Which restraint should be used for a toddler after a cleft palate repair?
- C. elbow restraints
What preoperative nursing intervention should be included in the plan of care for an
infant with pyloric stenosis?
- D. observe for projectile vomiting.
A six-month-old returns from surgery with elbow restraints in place. What nursing care
should be included when caring for any restrained child?
- B. remove restraints one at a time and provide range of motion exercises
A 2-year old child with Down syndrome is brought to the clinic for his regular physical
examination. The nurse knows which problem is frequently associated with Down
syndrome?
- A. congenital heart disease
When assessing a child with asthma, the nurse should expect intercostal retractions
during
, - A. inspiration
When planning the care for a child who has had a cleft lip repair, the nurse knows that
crying should be minimized because it
- D. 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 symptoms is this
newborn likely to have exhibited?
- A. choking, coughing, and cyanosis
Which behavior would the nurse expect a two-year-old child to exhibit?
- C. display possessiveness of toys
the mother of a preschool-aged client asks the nurse if it is all right to administer Pepto
Bismal to her son when he 'has a tummy ache." After reminding the mother to check the
label of all OTC drugs for the presence of aspirin, which instruction should the nurse
include when replying to this mother's question?
- B. do not give if the child has chickenpox, the flu, or any other viral illness.
The nurse observes a 4-year old boy in a daycare setting. Which behavior should the
nurse consider normal for this client?
- C. demonstrates aggressiveness by boasting when telling a story
A burned child is brought to the emergency room. In estimating the percentage of the
body burned, the nurse uses a modified "Rule of Nines." Which part of a child's body is
calculated as a larger percentage of total body surface than an adult?
- A. head and neck
The nurse receives a lab report stating a child with asthma has a theophylline level of 15
mcg/dl. What action will the nurse take?
- A. pass the information on in the report
A 12-month old boy is admitted with a respiratory infection and possible pneumonia.
He is placed in a mist tent with oxygen. Which nursing intervention has the greatest
priority for this infant?
- C. have a bulb syringe readily available to remove secretions
Exam-Answered
The nurse is giving preoperative instructions to a 14-year old female client who is
scheduled for surgery to correct a spinal curvature. Which statement by the client best
demonstrates that learning has taken place?
- D. I understand that I will be in a body cast and I will show you how you taught me to
turn.
To take the vital signs of a 4-month old child, which order will give the most accurate
results?
- A. Respiratory rate, heart rate, then rectal temperature
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?
- B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
Which restraint should be used for a toddler after a cleft palate repair?
- C. elbow restraints
What preoperative nursing intervention should be included in the plan of care for an
infant with pyloric stenosis?
- D. observe for projectile vomiting.
A six-month-old returns from surgery with elbow restraints in place. What nursing care
should be included when caring for any restrained child?
- B. remove restraints one at a time and provide range of motion exercises
A 2-year old child with Down syndrome is brought to the clinic for his regular physical
examination. The nurse knows which problem is frequently associated with Down
syndrome?
- A. congenital heart disease
When assessing a child with asthma, the nurse should expect intercostal retractions
during
, - A. inspiration
When planning the care for a child who has had a cleft lip repair, the nurse knows that
crying should be minimized because it
- D. 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 symptoms is this
newborn likely to have exhibited?
- A. choking, coughing, and cyanosis
Which behavior would the nurse expect a two-year-old child to exhibit?
- C. display possessiveness of toys
the mother of a preschool-aged client asks the nurse if it is all right to administer Pepto
Bismal to her son when he 'has a tummy ache." After reminding the mother to check the
label of all OTC drugs for the presence of aspirin, which instruction should the nurse
include when replying to this mother's question?
- B. do not give if the child has chickenpox, the flu, or any other viral illness.
The nurse observes a 4-year old boy in a daycare setting. Which behavior should the
nurse consider normal for this client?
- C. demonstrates aggressiveness by boasting when telling a story
A burned child is brought to the emergency room. In estimating the percentage of the
body burned, the nurse uses a modified "Rule of Nines." Which part of a child's body is
calculated as a larger percentage of total body surface than an adult?
- A. head and neck
The nurse receives a lab report stating a child with asthma has a theophylline level of 15
mcg/dl. What action will the nurse take?
- A. pass the information on in the report
A 12-month old boy is admitted with a respiratory infection and possible pneumonia.
He is placed in a mist tent with oxygen. Which nursing intervention has the greatest
priority for this infant?
- C. have a bulb syringe readily available to remove secretions
