Peds/maternity Hesi
1. An 8 year-old child is admitted to the Emergency • Palpation
Department because of lower right quadrant pain,
nausea, and vomiting. Which assessment of the ab-
domen should the nurse conduct after all other as-
sessments are complete?• Percussion• Palpation• In-
spection• Auscultation
2. The school nurse is caring for an school age child who a. wheezing
was stung by a wasp on the playground. Which finding
prompt the nurse to call emergency response team at
911?
a. severe itching
b.wheezing
c.hives
d. marked redness
3. The nurse plans to conduct a physical assessment Have the parent
of a toddler. Which protocol is best for the nurse to remove the child's
implement? outer clothing and
remove the diaper
or training pants
when necessary
4. A pediatric home care nurse schedules a visit to home Administer supple-
of a 4-week-old newborn had a low thyroid(t4) and mental thyroid hor-
a high thyroid stimulating hormone (TSH) at birth, mone daily
and was diagnose with congenital hypothyroidism or
cretinism. Which instruction is most important for the
nurse to provide the parents of this child?
5. A new mother calls the nurse stating that she wants reassure the moth-
to start feeding her 6-month-old something besides er that the infant
breast milk, but is concerned that the infant is too is old enought to
young to start eating solid foods. How should the et iron-fortified ce-
nurse respond real
6. The nurse is caring for a 2-day old neonate who the congenital ab-
has not passed meconium and has a swollen ab- sence of parasym-
domen. The healthcare provider reviews the flat plate pathetic ganglion
, Peds/maternity Hesi
Xray of the abdomen and makes a tentative diagno- cells to large intes-
sis of Hirschsprung disease. Which pathophysiology tine produces no
process is consistent with the neonate is clinical pic- peristalsis.
ture?
7. The babysitter of a 7 -year-old who was Type 1 dia- A. Give the child
betes calls the clinic to report that the child is very an 8once (240mL)
irritable, perspiring, and shaking. Which instruction glass of milk
should the nurse provide to the babysitter?
A. Give the child an 8once (240mL) glass of milk
B. Inject the child with 6 units of regular insulin
C. Bring the child to the emergency department
D. Contact the parents and tell them to call the clinic
8. The nurse determines that an infant admitted for sur- a. Document the
gical repair of an inguinal hernia finding
voids a urinary stream from the ventral surface of the
penis. What action should the nurse
take?
a. Document the finding
b. Palpate scrotum for testicular descent
c. Assess for bladder distension
d. Auscultate bowel sounds
9. A school-aged child admitted to the hospital with c. Verify the
nephrotic syndrome receives a prescription from the dosage calculation
healthcare provider for enalapril. Which action should with another nurse
the nurse implement prior to administering the med-
ication?
a. Determine the time the last meal was consumed
b. Examine the color of the sclera
c. Verify the dosage calculation with another nurse
d. Compare bilateral extremity reflex responses
10. Ampicillin 1 gram intravenously every 4 hours is pre- 100
scribed for a 38-week multipara who is positive group
B streptococcus. The drug is available via the pyxis
med station. Medication dispensing unit and is diluted
in 50 ml of normal saline. To administer the medication
1. An 8 year-old child is admitted to the Emergency • Palpation
Department because of lower right quadrant pain,
nausea, and vomiting. Which assessment of the ab-
domen should the nurse conduct after all other as-
sessments are complete?• Percussion• Palpation• In-
spection• Auscultation
2. The school nurse is caring for an school age child who a. wheezing
was stung by a wasp on the playground. Which finding
prompt the nurse to call emergency response team at
911?
a. severe itching
b.wheezing
c.hives
d. marked redness
3. The nurse plans to conduct a physical assessment Have the parent
of a toddler. Which protocol is best for the nurse to remove the child's
implement? outer clothing and
remove the diaper
or training pants
when necessary
4. A pediatric home care nurse schedules a visit to home Administer supple-
of a 4-week-old newborn had a low thyroid(t4) and mental thyroid hor-
a high thyroid stimulating hormone (TSH) at birth, mone daily
and was diagnose with congenital hypothyroidism or
cretinism. Which instruction is most important for the
nurse to provide the parents of this child?
5. A new mother calls the nurse stating that she wants reassure the moth-
to start feeding her 6-month-old something besides er that the infant
breast milk, but is concerned that the infant is too is old enought to
young to start eating solid foods. How should the et iron-fortified ce-
nurse respond real
6. The nurse is caring for a 2-day old neonate who the congenital ab-
has not passed meconium and has a swollen ab- sence of parasym-
domen. The healthcare provider reviews the flat plate pathetic ganglion
, Peds/maternity Hesi
Xray of the abdomen and makes a tentative diagno- cells to large intes-
sis of Hirschsprung disease. Which pathophysiology tine produces no
process is consistent with the neonate is clinical pic- peristalsis.
ture?
7. The babysitter of a 7 -year-old who was Type 1 dia- A. Give the child
betes calls the clinic to report that the child is very an 8once (240mL)
irritable, perspiring, and shaking. Which instruction glass of milk
should the nurse provide to the babysitter?
A. Give the child an 8once (240mL) glass of milk
B. Inject the child with 6 units of regular insulin
C. Bring the child to the emergency department
D. Contact the parents and tell them to call the clinic
8. The nurse determines that an infant admitted for sur- a. Document the
gical repair of an inguinal hernia finding
voids a urinary stream from the ventral surface of the
penis. What action should the nurse
take?
a. Document the finding
b. Palpate scrotum for testicular descent
c. Assess for bladder distension
d. Auscultate bowel sounds
9. A school-aged child admitted to the hospital with c. Verify the
nephrotic syndrome receives a prescription from the dosage calculation
healthcare provider for enalapril. Which action should with another nurse
the nurse implement prior to administering the med-
ication?
a. Determine the time the last meal was consumed
b. Examine the color of the sclera
c. Verify the dosage calculation with another nurse
d. Compare bilateral extremity reflex responses
10. Ampicillin 1 gram intravenously every 4 hours is pre- 100
scribed for a 38-week multipara who is positive group
B streptococcus. The drug is available via the pyxis
med station. Medication dispensing unit and is diluted
in 50 ml of normal saline. To administer the medication
