Hesi Pediatric Practice Exam
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
(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?: 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)
8. When assessing a child w/ asthma, the nurse should expect
intercostal retractions 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 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 body
burned, the nurse uses a modified "Rule of Nines." Which part of the body
is calcu- lated as a larger % of total body surface than an adult?: Head and
neck
(a child's head and neck are proportionately larger to their body than
an adult's)
15.The nurse receives a lab report stating a child w/ asthma has a theo-
phylline level of 15mcg/dL. What action will the nurse take?: Pass the info
on in the report
(therapeutic level is 10-20)
16.A 12 month old is admitted w/ a respiratory infection and possible
pneu- monia. He is placed in a mist tent w/ O2. Which nsg intervention has
the greatest priority?: Have a bulb syringe readily available to remove
secretions
(patent airway has the highest priority. Humidification will liquefy the
nasal secre- tions - thereby increasing the amt of secretions and
making that a priority)
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
(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?: 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)
8. When assessing a child w/ asthma, the nurse should expect
intercostal retractions 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 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 body
burned, the nurse uses a modified "Rule of Nines." Which part of the body
is calcu- lated as a larger % of total body surface than an adult?: Head and
neck
(a child's head and neck are proportionately larger to their body than
an adult's)
15.The nurse receives a lab report stating a child w/ asthma has a theo-
phylline level of 15mcg/dL. What action will the nurse take?: Pass the info
on in the report
(therapeutic level is 10-20)
16.A 12 month old is admitted w/ a respiratory infection and possible
pneu- monia. He is placed in a mist tent w/ O2. Which nsg intervention has
the greatest priority?: Have a bulb syringe readily available to remove
secretions
(patent airway has the highest priority. Humidification will liquefy the
nasal secre- tions - thereby increasing the amt of secretions and
making that a priority)
