PEDIATRIC HESI RN NURSING CARE OF CHILDREN
NEWEST 2024 ACTUAL EXAM 100 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
when does birth length double? - ANSWER: by four years
when does the child sit unsupported? - ANSWER: 8 months
when does the child achieve 50% of adult height? - ANSWER: 2 years
when does a child throw a ball overhand? - ANSWER: 18 months
when does a child speak two to three word sentences? - ANSWER: 2 years
when does a child use scissors? - ANSWER: 4 years
when does a child ties his or her shoes? - ANSWER: 5 years
list two contraindications to live virus immunizations - ANSWER:
immunocompromised child or a child in a household with an immunocompromised
individual
list three classic signs and symptoms measles - ANSWER: photophobia, confluent
rash that begins on the face and spreads downward, and Koplik spots on the buccal
mucosa
list the signs and symptoms of iron deficiency - ANSWER: anemia; pale conjunctiva;
pale skin color; atrophy of papillae on tongue; brittle, ridged, or spoon shaped nails;
and thyroid edema.
identify food sources of vitamin A - ANSWER: liver, sweet potatoes, carrots, spinach,
peaches, and apricots
what disease occurs with vitamin C deficiency - ANSWER: scurvy
what measurements reflect present nutritional status - ANSWER: weight, skin-fold
thickness, and arm circumference
list the signs and symptoms of dehydration in an infant. - ANSWER: poor skin turgor,
absence of tears dry mucous membranes, weight loss, depressed fontanel, and
decrease urinary output
, list the laboratory findings that can be expected in a dehydrated child. - ANSWER:
loss of bicarbonate/decreased serum pH, loss of sodium, loss of potassium, elevated
Hct, and elevated BUN.
how should burns in children be assessed - ANSWER: by using the Lund-Browder
chart, which takes into account the changing proportions of the child's body
how can the nurse best evaluate the adequacy of fluid replacement in children? -
ANSWER: by monitoring urine output
how should a parent be instructed on how to child proof a house? - ANSWER: by
being taught to lock all cabinets, to safely store all toxic household items in locked
cabinets, and to examine the house from the child's point of view.
what intervention should the nurse perform first in caring for a child who has
ingested a poison? - ANSWER: assessment of the child's respiratory, cardiac, and
neurologic status
what early signs should the nurse assess for if lead poisoning is suspected? -
ANSWER: anemia, acute cramping, abdominal pain, vomiting constipation, anorexia,
headache, lethargy, hyperactivity, aggression, impulsiveness, decreased interest in
play, irritability, short attention span.
describe the purpose of bronchodilators - ANSWER: to reverse bronchospasm
what are the physical assessment findings for a child with asthma - ANSWER:
expiratory wheezing, rales, tight cough, and signs of altered blood gases.
what nutritional support should be provided for a child with cystic fibrosis - ANSWER:
pancreatic enzyme replacement, fat soluble vitamins, and a moderate to low
carbohydrate, high protein, moderate to high fat diet.
why is genetic counseling important for the family of a child with cystic fibrosis -
ANSWER: because the disease is autosomal recessive in its genetic pattern
list seven signs of respiratory distress in a pediatric client - ANSWER: restlessness,
tachycardia, tachypnea, diaphoresis, flaring nostrils, retractions, and grunting.
describe the care of a child in a mist tent - ANSWER: monitor child's temperature,
keep tent edges tucked in, keep clothing dry, assess respiratory status, look at child
inside tent.
what position does a child with epiglottitis assume - ANSWER: upright sitting, with
chin out and tongue protruding (tripod position)
why are IV fluids important for a child with an increased respiratory rate - ANSWER:
the child is at risk for dehydration and acid base imbalance.
NEWEST 2024 ACTUAL EXAM 100 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
when does birth length double? - ANSWER: by four years
when does the child sit unsupported? - ANSWER: 8 months
when does the child achieve 50% of adult height? - ANSWER: 2 years
when does a child throw a ball overhand? - ANSWER: 18 months
when does a child speak two to three word sentences? - ANSWER: 2 years
when does a child use scissors? - ANSWER: 4 years
when does a child ties his or her shoes? - ANSWER: 5 years
list two contraindications to live virus immunizations - ANSWER:
immunocompromised child or a child in a household with an immunocompromised
individual
list three classic signs and symptoms measles - ANSWER: photophobia, confluent
rash that begins on the face and spreads downward, and Koplik spots on the buccal
mucosa
list the signs and symptoms of iron deficiency - ANSWER: anemia; pale conjunctiva;
pale skin color; atrophy of papillae on tongue; brittle, ridged, or spoon shaped nails;
and thyroid edema.
identify food sources of vitamin A - ANSWER: liver, sweet potatoes, carrots, spinach,
peaches, and apricots
what disease occurs with vitamin C deficiency - ANSWER: scurvy
what measurements reflect present nutritional status - ANSWER: weight, skin-fold
thickness, and arm circumference
list the signs and symptoms of dehydration in an infant. - ANSWER: poor skin turgor,
absence of tears dry mucous membranes, weight loss, depressed fontanel, and
decrease urinary output
, list the laboratory findings that can be expected in a dehydrated child. - ANSWER:
loss of bicarbonate/decreased serum pH, loss of sodium, loss of potassium, elevated
Hct, and elevated BUN.
how should burns in children be assessed - ANSWER: by using the Lund-Browder
chart, which takes into account the changing proportions of the child's body
how can the nurse best evaluate the adequacy of fluid replacement in children? -
ANSWER: by monitoring urine output
how should a parent be instructed on how to child proof a house? - ANSWER: by
being taught to lock all cabinets, to safely store all toxic household items in locked
cabinets, and to examine the house from the child's point of view.
what intervention should the nurse perform first in caring for a child who has
ingested a poison? - ANSWER: assessment of the child's respiratory, cardiac, and
neurologic status
what early signs should the nurse assess for if lead poisoning is suspected? -
ANSWER: anemia, acute cramping, abdominal pain, vomiting constipation, anorexia,
headache, lethargy, hyperactivity, aggression, impulsiveness, decreased interest in
play, irritability, short attention span.
describe the purpose of bronchodilators - ANSWER: to reverse bronchospasm
what are the physical assessment findings for a child with asthma - ANSWER:
expiratory wheezing, rales, tight cough, and signs of altered blood gases.
what nutritional support should be provided for a child with cystic fibrosis - ANSWER:
pancreatic enzyme replacement, fat soluble vitamins, and a moderate to low
carbohydrate, high protein, moderate to high fat diet.
why is genetic counseling important for the family of a child with cystic fibrosis -
ANSWER: because the disease is autosomal recessive in its genetic pattern
list seven signs of respiratory distress in a pediatric client - ANSWER: restlessness,
tachycardia, tachypnea, diaphoresis, flaring nostrils, retractions, and grunting.
describe the care of a child in a mist tent - ANSWER: monitor child's temperature,
keep tent edges tucked in, keep clothing dry, assess respiratory status, look at child
inside tent.
what position does a child with epiglottitis assume - ANSWER: upright sitting, with
chin out and tongue protruding (tripod position)
why are IV fluids important for a child with an increased respiratory rate - ANSWER:
the child is at risk for dehydration and acid base imbalance.
