COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
A 12 year old is admitted to the hospital with possible encephalitis, and a lumbar
puncture is scheduled. Which information should the RN provide this child
concerning the procedure?
A. Explain that fluids can’t be taken for 8 hours before the procedure and for
4 hours after the procedure.
B. Tell the child to expect loud clicking noises during the procedure that
may be slightly annoying.
C. Describe the side lying, knees to chest position that must be
assumed during the procedure.
D. Reassure the child that there will be no restrictions on activity after the
procedure is completed.
Lying still on one side with the knees to the chest (C) is the position required to
conduct a lumbar puncture (LP). Encephalitis is diagnosed with LP and analysis
of CSF cultures. Keeping the client NPO is not required prior to an LP, and fluids
are encouraged, not restricted (A) following an LP to replace the CSF that was
removed. (B) Happens when the MRI is done. Activity is restricted (D) following
an LP because the child must lie flat to avoid having a spinal headache.
A 10 year old girl is diagnosed with inflammatory bowel disease (IBD). Her mother
is concerned that she will experience developmental delays as the result of this
disorder. How should the RN respond?
A. She will only experience developmental delays if weight loss can’t be
COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
,COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
controlled.
B. Scheduling a private tutor can help to prevent developmental delays.
C. She is at high risk for a number of different problems, including
developmental delays. D. Growth failure is a concern, but developmental
delays are not likely to occur.
Growth failure (D) is a unique and important problem associated with IBD in the
pediatric population. Weight loss (A) is seen with IBD, but is not associated with
developmental delays. (B and C) ae not associated with IBD as the age of onset
typically occurs in late childhood or early adolescent.
A hospitalized child stiffens and starts to seize as the RN enters the room. What
actions should the RN take? (Select All That Apply)
A. Instruct the parents to leave the room.
B. Pad side rails with available pillows and blankets.
C. Notify the emergency response team.
D. Monitor duration and progress of the
seizure. E. Turn client to the side if
possible.
(B, D, and E) are correct. Prevention of injury is the top priority when the client
seizes, and passing rails (B) helps prevent injuries during a seizure. (D) Provides
valuable information about the seizure, which can help with diagnoses and
treatment. Maintaining an open airway is essential, and turning the client to the
COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
,COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
side (E) helps prevent aspiration. The parents should be allowed to stay with the
child (A). Calling the emergency response team (C) is not indicated.
How should the RN respond to the concerned parents of a 15 month old who is
not yet able to self-feed with a spoon?
A. Tell parents to guide the child’s hand when using
a spoon. B. Suggest using foods that can be eaten
with fingers.
C. Discuss possible causes for delay with self-feeding.
D. Encourage longer mealtimes to practice eating with a spoon.
By 18 months of age, most toddlers have achieved the developmental milestone of
bringing a spoon to their mouth without turning it over. Finger food (B) are
appropriate for a 15 month old child’s motor skills and allow independence, a
psychosocial developmental task of the toddler. Guiding the child’s hand (A) does
not help to improve this motor skill and usually frustrates the toddler who wants to
do things for themselves. (C) Might be recommended if the child’s
developmentally delayed. Longer mealtimes only lengthen the time the child sits
at the table (D) and do not contribute to development of this motor skill.
Which client requires immediate intervention by the RN?
A. A child with cystic fibrosis who is constipated.
B. A toddler with chicken pox who is scratching,
COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
, COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
C. A child with acute renal failure and hyperkalemia.
D. An adolescent with a migraine and photophobia.
A 7 year old male is referred to the school clinic because he fainted on the
playground. His height is 3 feet, 7 inches (107.5 cm), he weighs 55 pounds (25
kilograms), and his body mass index (BMI) is 20.9. Which assessment finding
is most important for the RN to address?
A. He consumed2 bottles of water in 30 minutes prior to fainting.
B. Since age 3 he has experienced exercise induced asthma.
C. Reports drinking 3-4 high calorie, carbonated beverages daily.
D. The child’s father has a history of fainting when exercising.
The RN of a 6 year old girl is concerned about her child’s obesity. The child’s
weight plots at the 75th percentile, and height at the 25th percentile. The child’s body
mass index (BMI) is at the 85th percentile for age and gender. Which interventions
should the RN implement? (Select All That Apply)
A. Explain that the child is likely to grow into her
weight. B. Determine the child’s usual physical
activity pattern.
C. Obtain the child’s 3- day diet history based on the mothers input.
D. Inquire as to whether or not the school has a physical education program.
E. Tell the mother that girls hit their growth spurt before boys so eating more is
COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
A 12 year old is admitted to the hospital with possible encephalitis, and a lumbar
puncture is scheduled. Which information should the RN provide this child
concerning the procedure?
A. Explain that fluids can’t be taken for 8 hours before the procedure and for
4 hours after the procedure.
B. Tell the child to expect loud clicking noises during the procedure that
may be slightly annoying.
C. Describe the side lying, knees to chest position that must be
assumed during the procedure.
D. Reassure the child that there will be no restrictions on activity after the
procedure is completed.
Lying still on one side with the knees to the chest (C) is the position required to
conduct a lumbar puncture (LP). Encephalitis is diagnosed with LP and analysis
of CSF cultures. Keeping the client NPO is not required prior to an LP, and fluids
are encouraged, not restricted (A) following an LP to replace the CSF that was
removed. (B) Happens when the MRI is done. Activity is restricted (D) following
an LP because the child must lie flat to avoid having a spinal headache.
A 10 year old girl is diagnosed with inflammatory bowel disease (IBD). Her mother
is concerned that she will experience developmental delays as the result of this
disorder. How should the RN respond?
A. She will only experience developmental delays if weight loss can’t be
COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
,COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
controlled.
B. Scheduling a private tutor can help to prevent developmental delays.
C. She is at high risk for a number of different problems, including
developmental delays. D. Growth failure is a concern, but developmental
delays are not likely to occur.
Growth failure (D) is a unique and important problem associated with IBD in the
pediatric population. Weight loss (A) is seen with IBD, but is not associated with
developmental delays. (B and C) ae not associated with IBD as the age of onset
typically occurs in late childhood or early adolescent.
A hospitalized child stiffens and starts to seize as the RN enters the room. What
actions should the RN take? (Select All That Apply)
A. Instruct the parents to leave the room.
B. Pad side rails with available pillows and blankets.
C. Notify the emergency response team.
D. Monitor duration and progress of the
seizure. E. Turn client to the side if
possible.
(B, D, and E) are correct. Prevention of injury is the top priority when the client
seizes, and passing rails (B) helps prevent injuries during a seizure. (D) Provides
valuable information about the seizure, which can help with diagnoses and
treatment. Maintaining an open airway is essential, and turning the client to the
COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
,COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
side (E) helps prevent aspiration. The parents should be allowed to stay with the
child (A). Calling the emergency response team (C) is not indicated.
How should the RN respond to the concerned parents of a 15 month old who is
not yet able to self-feed with a spoon?
A. Tell parents to guide the child’s hand when using
a spoon. B. Suggest using foods that can be eaten
with fingers.
C. Discuss possible causes for delay with self-feeding.
D. Encourage longer mealtimes to practice eating with a spoon.
By 18 months of age, most toddlers have achieved the developmental milestone of
bringing a spoon to their mouth without turning it over. Finger food (B) are
appropriate for a 15 month old child’s motor skills and allow independence, a
psychosocial developmental task of the toddler. Guiding the child’s hand (A) does
not help to improve this motor skill and usually frustrates the toddler who wants to
do things for themselves. (C) Might be recommended if the child’s
developmentally delayed. Longer mealtimes only lengthen the time the child sits
at the table (D) and do not contribute to development of this motor skill.
Which client requires immediate intervention by the RN?
A. A child with cystic fibrosis who is constipated.
B. A toddler with chicken pox who is scratching,
COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
, COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
C. A child with acute renal failure and hyperkalemia.
D. An adolescent with a migraine and photophobia.
A 7 year old male is referred to the school clinic because he fainted on the
playground. His height is 3 feet, 7 inches (107.5 cm), he weighs 55 pounds (25
kilograms), and his body mass index (BMI) is 20.9. Which assessment finding
is most important for the RN to address?
A. He consumed2 bottles of water in 30 minutes prior to fainting.
B. Since age 3 he has experienced exercise induced asthma.
C. Reports drinking 3-4 high calorie, carbonated beverages daily.
D. The child’s father has a history of fainting when exercising.
The RN of a 6 year old girl is concerned about her child’s obesity. The child’s
weight plots at the 75th percentile, and height at the 25th percentile. The child’s body
mass index (BMI) is at the 85th percentile for age and gender. Which interventions
should the RN implement? (Select All That Apply)
A. Explain that the child is likely to grow into her
weight. B. Determine the child’s usual physical
activity pattern.
C. Obtain the child’s 3- day diet history based on the mothers input.
D. Inquire as to whether or not the school has a physical education program.
E. Tell the mother that girls hit their growth spurt before boys so eating more is
COLLEGE OF NAVEDA NURS 248 PED HESI EXAM
QUESTIONS AND ANSWERS BEST ASSURED
SATISFACTION NEW UPDATE 2021/2022 RATED A+
