Pediatrics HESI Practice Exam (evolve)
Study online at https://quizlet.com/_dulred
c. Throat.
Which should the nurse assess last
when examining a 5-year-old child?
Examination of the mouth, throat, and
perineum is considered to be more inva-
a. Heart.
sive than other parts of a physical exam-
b. Lungs.
ination. Invasive procedures should be
c. Throat.
left for the end of the examination for a
d. Abdomen.
preschooler.
The community health nurse teaches the
parents of school-age children about the
need for fluoride as part of a dental
health program. Which statement by the
parents indicates that they understand
the teaching? d. "Dental caries can be prevented
through fluoridation of public water."
a. "Excessive amounts of fluoride will
make teeth turn brittle and yellow." Dental caries can be prevented through
b. "Having our children brush with fluo- fluoridation of public water.
ride toothpaste is not effective."
c. "Use of fluoride in water is mostly ef-
fective during initial tooth formation."
d. "Dental caries can be prevented
through fluoridation of public water."
The nurse is assessing an infant with
a. Tachycardia.
diarrhea and lethargy. Which finding
should the nurse identify that is consis-
In early dehydration (during the first 2
tent with early dehydration?
days), fluid loss occurs first from the ex-
tracellular and intravascular fluid spaces.
a. Tachycardia.
Blood pressure falls and heart rate in-
b. Bradycardia.
creases in response to a diminished
c. Dry mucous membranes.
blood volume.
d. Increased skin turgor.
When conducting a hygiene class for
adolescent girls, it is important for the
a. Wash your hands before inserting a
nurse to include which instruction about
tampon.
preventing toxic shock syndrome?
a. Wash your hands before inserting a
, Pediatrics HESI Practice Exam (evolve)
Study online at https://quizlet.com/_dulred
tampon.
b. Use super absorbent tampons. The single most effective means of pre-
c. Wear cotton underwear. venting infection is handwashing.
d. Douche following menstruation.
The nurse is caring for an irritable, lethar-
gic 18-month-old child who swallowed
several over-the-counter (OTC) antihist- a. Initiate gastric lavage.
amine tablets an hour ago. Which inter-
vention should the nurse implement? Gastric lavage should be implemented
within 2 hours of ingestion to ensure gas-
a. Initiate gastric lavage. tric removal of a noncorrosive substance,
b. Administer naloxone. such as an OTC antihistamine.
c. Give a dose of ipecac syrup.
d. Encourage oral intake of water or milk.
b. Tachypnea.
Which sign of malignant hyperthermia Malignant hyperthermia, a potentially fa-
should the nurse assess for during the tal autosomal genetic myopathy, can
perioperative period in a child receiving cause a change in vital signs that de-
general anesthesia? mands immediate attention in the peri-
operative period when these individuals
a. Apnea. are exposed to anesthetic agents. Early
b. Tachypnea. symptoms of the disorder include tachy-
c. Bradycardia. cardia and tachyarrhythmia, tachypnea,
d. Decreased blood pressure. hypercarbia, and metabolic and respira-
tory acidosis. An elevated temperature is
a late sign of the disorder.
d. Apply a Fox shield to the affected eye
A child with a penetrating eye injury
and any type of patch to the other eye.
comes to the school clinic. Which action
should the nurse implement?
The treatment for a penetrating eye in-
jury is not to remove or manipulate the
a. Remove the object impaled in the eye
impaled object, but to apply a Fox shield
and then apply a regular eye patch.
over the eye, if available (not a regular
b. Place an ice bag over the eye until the
eye patch). Place an eye patch over the
healthcare provider is seen
unaffected eye to prevent bilateral eye
c. .Irrigate the affected eye copiously with
movement. The child should be trans-
a cool sterile saline solution.
ported to the emergency department im-
, Pediatrics HESI Practice Exam (evolve)
Study online at https://quizlet.com/_dulred
d. Apply a Fox shield to the affected eye mediately. If a Fox shield is not available,
and any type of patch to the other eye. tape a paper cup over the eye and object.
The nurse is triaging a child with a fever
a. Prolonged exhalations.
brought to the emergency department by
the parents. Which finding requires the
Prolonged exhalation indicates breath-
nurse's immediate intervention?
ing difficulty and requires immediate in-
tervention. According to the American
a. Prolonged exhalations.
Heart Association's Pediatric Advance
b. Thick yellow rhinorrhea.
Life Support (PALS) algorithm, a pro-
c. Frequent nonproductive cough.
longed expiration in a pediatric client is
d. Oxygen saturation of 95% by pulse
indicative of lower airway obstruction.
oximeter.
a. Stop the infant breastfeeding.
A newborn who is breastfeeding is diag-
Galactosemia is a rare genetic disorder
nosed with galactosemia. Which action
that involves an inborn error of carbo-
should the nurse implement?
hydrate metabolism in which a hepatic
enzyme, galactokinase, involved in the
a. Stop the infant breastfeeding.
conversion of galactose to glucose is
b. Add amino acids to breast milk.
absent. Treatment consists of eliminat-
c. Give galactokinase with breast milk.
ing all lactose-containing foods, includ-
d. Substitute a lactose-containing formu-
ing breast milk, so the infant should stop
la.
breastfeeding. Soy protein formula is the
feeding of choice during infancy.
A 12-year-old male client tells the nurse
that he is happy to be taking growth hor-
mones because now he can grow to be
as tall as his friends. What response is
best for the nurse to provide?
d. "Being taller is important to you and
a. "You must remember that this treat-
taking your injections will help achieve
ment regimen is not always effective."
that goal."
b. "Although being tall is important to
you, remember there are far more impor-
tant characteristics than height."
c. You will grow with this medicine, and
are likely to be taller than anyone in your
family."
Study online at https://quizlet.com/_dulred
c. Throat.
Which should the nurse assess last
when examining a 5-year-old child?
Examination of the mouth, throat, and
perineum is considered to be more inva-
a. Heart.
sive than other parts of a physical exam-
b. Lungs.
ination. Invasive procedures should be
c. Throat.
left for the end of the examination for a
d. Abdomen.
preschooler.
The community health nurse teaches the
parents of school-age children about the
need for fluoride as part of a dental
health program. Which statement by the
parents indicates that they understand
the teaching? d. "Dental caries can be prevented
through fluoridation of public water."
a. "Excessive amounts of fluoride will
make teeth turn brittle and yellow." Dental caries can be prevented through
b. "Having our children brush with fluo- fluoridation of public water.
ride toothpaste is not effective."
c. "Use of fluoride in water is mostly ef-
fective during initial tooth formation."
d. "Dental caries can be prevented
through fluoridation of public water."
The nurse is assessing an infant with
a. Tachycardia.
diarrhea and lethargy. Which finding
should the nurse identify that is consis-
In early dehydration (during the first 2
tent with early dehydration?
days), fluid loss occurs first from the ex-
tracellular and intravascular fluid spaces.
a. Tachycardia.
Blood pressure falls and heart rate in-
b. Bradycardia.
creases in response to a diminished
c. Dry mucous membranes.
blood volume.
d. Increased skin turgor.
When conducting a hygiene class for
adolescent girls, it is important for the
a. Wash your hands before inserting a
nurse to include which instruction about
tampon.
preventing toxic shock syndrome?
a. Wash your hands before inserting a
, Pediatrics HESI Practice Exam (evolve)
Study online at https://quizlet.com/_dulred
tampon.
b. Use super absorbent tampons. The single most effective means of pre-
c. Wear cotton underwear. venting infection is handwashing.
d. Douche following menstruation.
The nurse is caring for an irritable, lethar-
gic 18-month-old child who swallowed
several over-the-counter (OTC) antihist- a. Initiate gastric lavage.
amine tablets an hour ago. Which inter-
vention should the nurse implement? Gastric lavage should be implemented
within 2 hours of ingestion to ensure gas-
a. Initiate gastric lavage. tric removal of a noncorrosive substance,
b. Administer naloxone. such as an OTC antihistamine.
c. Give a dose of ipecac syrup.
d. Encourage oral intake of water or milk.
b. Tachypnea.
Which sign of malignant hyperthermia Malignant hyperthermia, a potentially fa-
should the nurse assess for during the tal autosomal genetic myopathy, can
perioperative period in a child receiving cause a change in vital signs that de-
general anesthesia? mands immediate attention in the peri-
operative period when these individuals
a. Apnea. are exposed to anesthetic agents. Early
b. Tachypnea. symptoms of the disorder include tachy-
c. Bradycardia. cardia and tachyarrhythmia, tachypnea,
d. Decreased blood pressure. hypercarbia, and metabolic and respira-
tory acidosis. An elevated temperature is
a late sign of the disorder.
d. Apply a Fox shield to the affected eye
A child with a penetrating eye injury
and any type of patch to the other eye.
comes to the school clinic. Which action
should the nurse implement?
The treatment for a penetrating eye in-
jury is not to remove or manipulate the
a. Remove the object impaled in the eye
impaled object, but to apply a Fox shield
and then apply a regular eye patch.
over the eye, if available (not a regular
b. Place an ice bag over the eye until the
eye patch). Place an eye patch over the
healthcare provider is seen
unaffected eye to prevent bilateral eye
c. .Irrigate the affected eye copiously with
movement. The child should be trans-
a cool sterile saline solution.
ported to the emergency department im-
, Pediatrics HESI Practice Exam (evolve)
Study online at https://quizlet.com/_dulred
d. Apply a Fox shield to the affected eye mediately. If a Fox shield is not available,
and any type of patch to the other eye. tape a paper cup over the eye and object.
The nurse is triaging a child with a fever
a. Prolonged exhalations.
brought to the emergency department by
the parents. Which finding requires the
Prolonged exhalation indicates breath-
nurse's immediate intervention?
ing difficulty and requires immediate in-
tervention. According to the American
a. Prolonged exhalations.
Heart Association's Pediatric Advance
b. Thick yellow rhinorrhea.
Life Support (PALS) algorithm, a pro-
c. Frequent nonproductive cough.
longed expiration in a pediatric client is
d. Oxygen saturation of 95% by pulse
indicative of lower airway obstruction.
oximeter.
a. Stop the infant breastfeeding.
A newborn who is breastfeeding is diag-
Galactosemia is a rare genetic disorder
nosed with galactosemia. Which action
that involves an inborn error of carbo-
should the nurse implement?
hydrate metabolism in which a hepatic
enzyme, galactokinase, involved in the
a. Stop the infant breastfeeding.
conversion of galactose to glucose is
b. Add amino acids to breast milk.
absent. Treatment consists of eliminat-
c. Give galactokinase with breast milk.
ing all lactose-containing foods, includ-
d. Substitute a lactose-containing formu-
ing breast milk, so the infant should stop
la.
breastfeeding. Soy protein formula is the
feeding of choice during infancy.
A 12-year-old male client tells the nurse
that he is happy to be taking growth hor-
mones because now he can grow to be
as tall as his friends. What response is
best for the nurse to provide?
d. "Being taller is important to you and
a. "You must remember that this treat-
taking your injections will help achieve
ment regimen is not always effective."
that goal."
b. "Although being tall is important to
you, remember there are far more impor-
tant characteristics than height."
c. You will grow with this medicine, and
are likely to be taller than anyone in your
family."
