HESI PEDIATRIC EXAM 10 VERSIONS WITH ACTUAL
QUESTIONS AND VERIFIED SOLUTIONS/A+ GRADE
When taking the health history of a child, the nurse know what which finding is an
early indication of hypothyroidism in children? - ANSWER: Cessation of growth in a
child that had been normal
The nurse received a lab report stating a child w/ asthma has theophyline level of 15
mcg/dl. What action will the nurse take? - ANSWER: Hold the next dose of
theophylline
a.i. Therapeutic levels of theophylline is 10-10 mcg/dl, so the child's level is w/in the
therapeutic rage.
Surgery is being delayed for an infant with undescended testes. In collaboration w/
the health care provider and the family, which prescription should the nurse
anticipapte? - ANSWER: trial of human chorionic gonadotrophic hormone
a.i A trial of HCG may aid in testicular descent, but does not replace surgical repair
for true undescended testes. (cryptorchidism: may be found in the inguinal canal due
to exaggerated creamasteric reflex
Which menu selection by a child w/ celiac disease indicates to the nurse that the
child understands necessary dietary considerations? - ANSWER: a. Oven baked
potato chips & cola
a.i. Celiac disease causes an intolerance to the protein gluten found in oats, rye,
wheat, and barley. The child should avoid any produces containing these indredients
to avoid symptoms such as diarrhea.
The mother of a 2-year-old boy consults the nurse about her son's increased temper
tantrums. The mother states, "yesterday he threw a fit in the grocery store, and I did
not know what to do. I was so embarrassed. What can I do if this occurs again?"
Which recommendation is best for the nurse to provide this mother? - ANSWER: a.
Walk away from him and ignore the behavior
a.i. The best approach for a toddler is to ignor the attention-seeking behavior. The
parents should be somewhat nearby, w/in view of the child but should avoid
reinforcing the behavior in any way. Tantrums can sometimes be avoided by talking
to the child before the situation occurs
Which restraint should be used for a toddler after a cleft palate repair? - ANSWER: a.
Elbow
a.i. Elbow restraints prevent children from bending their arms and brining their
hands to the oral surgical site, (A) restrains the hands but the child can bend and
bring their head to their ands. (B) is used during procedures (mummy). (D)-jacket,
restrains the body torso and is not appropriate
The mother of a 4-year-old child asks the nurse what she can do to help her other
children cope with their sibling's hospitalizations. Which is the best response that the
, nurse should offer? - ANSWER: a. Encourage the mother to have the children visit
the hospitalized sibling.
a.i. Needs of a sibling will be better met with facture information and contact w/ the
ill child, so siblings visitation should be encouraged (D). Parents are experts on their
children and should determine when their children are old enough to visit. (A) in the
hospital/ Separation fr. a family & home (B) may intensify fear & anxiety (suggest
that the child visit a grandmother until the sibling returns home. Children may have
difficulty expressing questions (C) ask the mother if the child asks when the sibling
will be discharged, so the support of parents & other caregivers are needed to help
alleviate their fears.
The nurse is giving preoperative instruction 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? - ANSWER: a. I understand that I
will be in a body cast and I will show you how you taught me to turn
a.i. Outcome of learning is best demonstrated when the client not only verbalizes an
understand, but can also provide a return demonstration
During administration of a blood transfusion, a child complains of chills, headache,
and nausea. Which action should the nurse implement? - ANSWER: a. Stop the
infusion immediately and notify the healthcare provider
a.i. The child is exhibiting signs of a reaction to the blood transfusion. The blood
transfusion should be stopped immediately and the healthcare provider notified ©.
After the transfusion is discontinused, IV access should be maintained. (A) w/ fluids
that do not introduce any more cellular products. (B & D) place the child @ risk for
further blood reactions
The clinic nurse is taking the hx for a new 6-month-old client. The mother reports
that she took a great deal of aspirin while pregnant. Which assessment should the
nurse obtain? - ANSWER: a. Type of reaction to loud noises
a.i. Ototoxicity diminishes hear acuity and causes symptoms of tinnitus and vertigo in
older children who can express subjective symptoms, so assessing the infant's
reation to loud noises (A) helps to determine an infant's risk for hearing deficit r/t to
a hx of the mother taking ototoxic drug, such as aspirin, while pregnancy (B,C,D are
not assoc w/ the exposure to aspirin in utero
The mother of a preschool aged child asks the nurse if it is all right to administer
Pepto Bismol 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? - ANSWER: a. Do not give
if the child has chickenpox, the flu, or any other viral illness
a.i. Pepto Bismol contains aspirin and there is the potential of Reye's syndrome (B).
(a) is a common effect of peptobismol and does not warrant discontinuation. Pepto
Bismol can be used by children (C). Pepto Bismol does not cause rebound
hyperacidity (D) complication of antacids containing calcium
QUESTIONS AND VERIFIED SOLUTIONS/A+ GRADE
When taking the health history of a child, the nurse know what which finding is an
early indication of hypothyroidism in children? - ANSWER: Cessation of growth in a
child that had been normal
The nurse received a lab report stating a child w/ asthma has theophyline level of 15
mcg/dl. What action will the nurse take? - ANSWER: Hold the next dose of
theophylline
a.i. Therapeutic levels of theophylline is 10-10 mcg/dl, so the child's level is w/in the
therapeutic rage.
Surgery is being delayed for an infant with undescended testes. In collaboration w/
the health care provider and the family, which prescription should the nurse
anticipapte? - ANSWER: trial of human chorionic gonadotrophic hormone
a.i A trial of HCG may aid in testicular descent, but does not replace surgical repair
for true undescended testes. (cryptorchidism: may be found in the inguinal canal due
to exaggerated creamasteric reflex
Which menu selection by a child w/ celiac disease indicates to the nurse that the
child understands necessary dietary considerations? - ANSWER: a. Oven baked
potato chips & cola
a.i. Celiac disease causes an intolerance to the protein gluten found in oats, rye,
wheat, and barley. The child should avoid any produces containing these indredients
to avoid symptoms such as diarrhea.
The mother of a 2-year-old boy consults the nurse about her son's increased temper
tantrums. The mother states, "yesterday he threw a fit in the grocery store, and I did
not know what to do. I was so embarrassed. What can I do if this occurs again?"
Which recommendation is best for the nurse to provide this mother? - ANSWER: a.
Walk away from him and ignore the behavior
a.i. The best approach for a toddler is to ignor the attention-seeking behavior. The
parents should be somewhat nearby, w/in view of the child but should avoid
reinforcing the behavior in any way. Tantrums can sometimes be avoided by talking
to the child before the situation occurs
Which restraint should be used for a toddler after a cleft palate repair? - ANSWER: a.
Elbow
a.i. Elbow restraints prevent children from bending their arms and brining their
hands to the oral surgical site, (A) restrains the hands but the child can bend and
bring their head to their ands. (B) is used during procedures (mummy). (D)-jacket,
restrains the body torso and is not appropriate
The mother of a 4-year-old child asks the nurse what she can do to help her other
children cope with their sibling's hospitalizations. Which is the best response that the
, nurse should offer? - ANSWER: a. Encourage the mother to have the children visit
the hospitalized sibling.
a.i. Needs of a sibling will be better met with facture information and contact w/ the
ill child, so siblings visitation should be encouraged (D). Parents are experts on their
children and should determine when their children are old enough to visit. (A) in the
hospital/ Separation fr. a family & home (B) may intensify fear & anxiety (suggest
that the child visit a grandmother until the sibling returns home. Children may have
difficulty expressing questions (C) ask the mother if the child asks when the sibling
will be discharged, so the support of parents & other caregivers are needed to help
alleviate their fears.
The nurse is giving preoperative instruction 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? - ANSWER: a. I understand that I
will be in a body cast and I will show you how you taught me to turn
a.i. Outcome of learning is best demonstrated when the client not only verbalizes an
understand, but can also provide a return demonstration
During administration of a blood transfusion, a child complains of chills, headache,
and nausea. Which action should the nurse implement? - ANSWER: a. Stop the
infusion immediately and notify the healthcare provider
a.i. The child is exhibiting signs of a reaction to the blood transfusion. The blood
transfusion should be stopped immediately and the healthcare provider notified ©.
After the transfusion is discontinused, IV access should be maintained. (A) w/ fluids
that do not introduce any more cellular products. (B & D) place the child @ risk for
further blood reactions
The clinic nurse is taking the hx for a new 6-month-old client. The mother reports
that she took a great deal of aspirin while pregnant. Which assessment should the
nurse obtain? - ANSWER: a. Type of reaction to loud noises
a.i. Ototoxicity diminishes hear acuity and causes symptoms of tinnitus and vertigo in
older children who can express subjective symptoms, so assessing the infant's
reation to loud noises (A) helps to determine an infant's risk for hearing deficit r/t to
a hx of the mother taking ototoxic drug, such as aspirin, while pregnancy (B,C,D are
not assoc w/ the exposure to aspirin in utero
The mother of a preschool aged child asks the nurse if it is all right to administer
Pepto Bismol 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? - ANSWER: a. Do not give
if the child has chickenpox, the flu, or any other viral illness
a.i. Pepto Bismol contains aspirin and there is the potential of Reye's syndrome (B).
(a) is a common effect of peptobismol and does not warrant discontinuation. Pepto
Bismol can be used by children (C). Pepto Bismol does not cause rebound
hyperacidity (D) complication of antacids containing calcium
