2024 PEDIATRIC NURSING HESI
REMEDIATION EXAM WITH
ANSWERS
What is the recommended serving size of vegetables for a toddler?
a. 1 tablespoon.
b. 1 teaspoon.
c. 1/2 teaspoon.
d. 1/2 tablespoon. - CORRECT-ANSWERSa
What is the purpose of a Whitaker perfusion test in a child with a
genitourinary disorder?
a. Evaluate for upper urinary tract obstruction.
b. Check for ureteral dilatation.
c. Detect pathogens in the kidneys.
d. Visualize a cross-section of the ureter. - CORRECT-ANSWERSa
A child recently underwent cardiac surgery and is admitted with a suspected
diagnosis of infective endocarditis. Which presentation should the nurse
expect when assessing this client?
a. Bradycardia, lethargy, speech disturbances.
b. High fever, irregular movement of joints, involuntary facial grimaces.
c. Tachycardia, chest pain, swollen and painful joints.
d. Low-grade fever, anorexia, splinter hemorrhages under the nails. -
CORRECT-ANSWERSd
,Which medication is recommended for a 7-year-old client who demonstrates
status epilepticus in the hospital setting?
a. Phenobarbital.
b. Lorazepam.
c. Naloxone.
d. Fosphenytoin. - CORRECT-ANSWERSb
Children under 2 years old who are diagnosed with a urinary tract infection
(UTI) are at risk for which complication?
a. Progressive renal injury.
b. Vesicoureteral reflux.
c. High relapse rate.
d. Persistent bedwetting. - CORRECT-ANSWERSa
The nurse is assessing a 4-year-old child who presents with hematuria and
an abdominal mass. The parents report no other observable changes, and
the child denies any complaints. Assessment reveals a firm, non-tender mass
in the right upper quadrant of the abdomen. Based on this information,
which condition should the nurse suspect?
a. Wilms tumor.
b. Ruptured appendix.
c. Meckel's diverticulum.
d. Splenomegaly. - CORRECT-ANSWERSa
A child diagnosed with Wilms tumor is being treated with dactinomycin. What
class of drug is this medication?
a. Mitotic inhibitor.
b. Antitumor antibiotic.
c. Corticosteroid.
d. Alkylating agent. - CORRECT-ANSWERSb
,A child is brought to the emergency department after ingesting a large
amount of household drain cleaner. Which is the nurse's first priority when
caring for this client?
a. Perform nasogastric suctioning.
b. Assess and maintain an open airway.
c. Give small amounts of water to ingest.
d. Obtain chest and abdomen radiographs. - CORRECT-ANSWERSb
The nurse is assessing a child who is undergoing treatment for leukemia. The
nurse should monitor for what late side effect of the treatment?
a. Anemia.
b. GI disturbances.
c. Secondary malignancy.
d. Cardiac irregularities. - CORRECT-ANSWERSc
A child with severe burns begins to exhibit decreased level of consciousness
and lethargy four days after being admitted to the burn unit. The nurse's
assessment reveals a low-grade fever, but the client's other vital signs are
stable. The nurse should be alert for which potential complication?
a. Respiratory failure.
b. Dehydration.
c. Sepsis.
d. Hypovolemia. - CORRECT-ANSWERSc
A two-month-old infant is brought to the clinic with a temperature of 101° F
(38.3° C), flaring of nostrils, respiratory rate of 36 breaths per minute,
expiratory wheezing and intercostal retractions. The healthcare provider
prescribes a test for respiratory syncytial virus (RSV). The nurse should be
prepared to take what samples to test for the RSV antigen?
a. Clean catch urine.
b. Venous blood sampling.
, c. Nasopharygneal secretions.
d. Rectal and stool swabs. - CORRECT-ANSWERSc
The nurse is providing emergency care for an unconscious child who
presents with a head injury sustained in a fall. Which is the highest nursing
priority?
a. Establish an airway.
b. Assess neurological status.
c. Stabilize the spine.
d. Obtain vital signs. - CORRECT-ANSWERSa
he vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and
Respirations 24. The child's pedal pulses are present with a volume of +1,
and no edema is observed. What action should the nurse implement first?
a. Insert an indwelling urinary catheter.
b. Start an IV infusion of normal saline.
c. Send a specimen to the lab for urinalysis.
d. Document the child's vital signs and pulses. - CORRECT-ANSWERSb
The nurse is assessing a 2-year-old child. What behavior indicates that the
child's language development is within normal limits?
a. Is able to name four colors.
b. Can count five blocks.
c. Is capable of making a three word sentence.
d. Half of child's speech is understandable. - CORRECT-ANSWERSc
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse
that a female adolescent client with acute glomerulonephritis has a blood
pressure of 210/110. The 4 a.m. blood pressure reading was 170/88. The
client reports to the UAP that she is upset because her boyfriend did not visit
last night. What action should the nurse take first?
REMEDIATION EXAM WITH
ANSWERS
What is the recommended serving size of vegetables for a toddler?
a. 1 tablespoon.
b. 1 teaspoon.
c. 1/2 teaspoon.
d. 1/2 tablespoon. - CORRECT-ANSWERSa
What is the purpose of a Whitaker perfusion test in a child with a
genitourinary disorder?
a. Evaluate for upper urinary tract obstruction.
b. Check for ureteral dilatation.
c. Detect pathogens in the kidneys.
d. Visualize a cross-section of the ureter. - CORRECT-ANSWERSa
A child recently underwent cardiac surgery and is admitted with a suspected
diagnosis of infective endocarditis. Which presentation should the nurse
expect when assessing this client?
a. Bradycardia, lethargy, speech disturbances.
b. High fever, irregular movement of joints, involuntary facial grimaces.
c. Tachycardia, chest pain, swollen and painful joints.
d. Low-grade fever, anorexia, splinter hemorrhages under the nails. -
CORRECT-ANSWERSd
,Which medication is recommended for a 7-year-old client who demonstrates
status epilepticus in the hospital setting?
a. Phenobarbital.
b. Lorazepam.
c. Naloxone.
d. Fosphenytoin. - CORRECT-ANSWERSb
Children under 2 years old who are diagnosed with a urinary tract infection
(UTI) are at risk for which complication?
a. Progressive renal injury.
b. Vesicoureteral reflux.
c. High relapse rate.
d. Persistent bedwetting. - CORRECT-ANSWERSa
The nurse is assessing a 4-year-old child who presents with hematuria and
an abdominal mass. The parents report no other observable changes, and
the child denies any complaints. Assessment reveals a firm, non-tender mass
in the right upper quadrant of the abdomen. Based on this information,
which condition should the nurse suspect?
a. Wilms tumor.
b. Ruptured appendix.
c. Meckel's diverticulum.
d. Splenomegaly. - CORRECT-ANSWERSa
A child diagnosed with Wilms tumor is being treated with dactinomycin. What
class of drug is this medication?
a. Mitotic inhibitor.
b. Antitumor antibiotic.
c. Corticosteroid.
d. Alkylating agent. - CORRECT-ANSWERSb
,A child is brought to the emergency department after ingesting a large
amount of household drain cleaner. Which is the nurse's first priority when
caring for this client?
a. Perform nasogastric suctioning.
b. Assess and maintain an open airway.
c. Give small amounts of water to ingest.
d. Obtain chest and abdomen radiographs. - CORRECT-ANSWERSb
The nurse is assessing a child who is undergoing treatment for leukemia. The
nurse should monitor for what late side effect of the treatment?
a. Anemia.
b. GI disturbances.
c. Secondary malignancy.
d. Cardiac irregularities. - CORRECT-ANSWERSc
A child with severe burns begins to exhibit decreased level of consciousness
and lethargy four days after being admitted to the burn unit. The nurse's
assessment reveals a low-grade fever, but the client's other vital signs are
stable. The nurse should be alert for which potential complication?
a. Respiratory failure.
b. Dehydration.
c. Sepsis.
d. Hypovolemia. - CORRECT-ANSWERSc
A two-month-old infant is brought to the clinic with a temperature of 101° F
(38.3° C), flaring of nostrils, respiratory rate of 36 breaths per minute,
expiratory wheezing and intercostal retractions. The healthcare provider
prescribes a test for respiratory syncytial virus (RSV). The nurse should be
prepared to take what samples to test for the RSV antigen?
a. Clean catch urine.
b. Venous blood sampling.
, c. Nasopharygneal secretions.
d. Rectal and stool swabs. - CORRECT-ANSWERSc
The nurse is providing emergency care for an unconscious child who
presents with a head injury sustained in a fall. Which is the highest nursing
priority?
a. Establish an airway.
b. Assess neurological status.
c. Stabilize the spine.
d. Obtain vital signs. - CORRECT-ANSWERSa
he vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and
Respirations 24. The child's pedal pulses are present with a volume of +1,
and no edema is observed. What action should the nurse implement first?
a. Insert an indwelling urinary catheter.
b. Start an IV infusion of normal saline.
c. Send a specimen to the lab for urinalysis.
d. Document the child's vital signs and pulses. - CORRECT-ANSWERSb
The nurse is assessing a 2-year-old child. What behavior indicates that the
child's language development is within normal limits?
a. Is able to name four colors.
b. Can count five blocks.
c. Is capable of making a three word sentence.
d. Half of child's speech is understandable. - CORRECT-ANSWERSc
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse
that a female adolescent client with acute glomerulonephritis has a blood
pressure of 210/110. The 4 a.m. blood pressure reading was 170/88. The
client reports to the UAP that she is upset because her boyfriend did not visit
last night. What action should the nurse take first?
