NUR HESI Pediatric Practice Exam ||
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3. A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The
mother reports that her child bottle feeds for 5 minutes only and then falls asleep. The
nurse auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and
finds the newborn is acyanotic with a respiratory rate of 64 breaths per minute. What
instruction should the nurse provide the mother to ensure the infant is receiving
adequate intake? (Select all that apply.) -CORRECT ANSWER A. Monitor the the
infant's weight and number of wet diapers per day. - child should at least have 6 wet
diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.- child is always
fatigue, need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 hours.- child is always
fatigue, this will ensure adequate feeding.
E. Use a softer nipple or increase the size of the nipple opening.- this will save energy
33. A 15-year-old girl tells the school nurse that all of her friends have started their
periods and she feels abnormal because she has not. Which response is best for the
nurse provide? -CORRECT ANSWER Explain that menarche varies and occurs
between the ages of 12 and 18 years.
81. Which finding in a 19-year-old female client should trigger further assessment by the
nurse? -CORRECT ANSWER Menstruation has not occurred- menarche usually occur
between the ages of 12 and 18 years old
34. 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? -CORRECT ANSWER Administer PRN prescription of nifedipine (Procardia)
sublingually.
-CA channel blocker
-always assess physiological needs
56. A 3-year-old client with sickle cell anemia is admitted to the Emergency Department
with abdominal pain. The nurse palpates an enlarged liver, an x-ray reveals an enlarged
spleen, and a CBC reveals anemia. These findings indicate which type of crisis? -
CORRECT ANSWER Sequestration.- pooling of blood causes and pain and anemia d/t
blockage of blood in the spleen
1. Aplastic anemia- anemia d/t drugs
2. Hyperhemolytic anemia- anemia d/t the breakdown of RBC
, 3.Vaso-occlusive anemia- sickle cells are clogging up small capillaries- and pain but not
enlarged spleen and liver
49. A preschool-age child who is hospitalized for hypospadias repair is most strongly
influenced by which behavior? -CORRECT ANSWER pre school age children are
conceded about lost of body mutilation or body integrity.
nurse should explain- they did not cause the illness, procedure is not punishment,
restoring body image with a band-aid.
26. The 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? -CORRECT
ANSWER Start an IV infusion of normal saline- patient is experiencing fluid vole deficit
40. A 6-month-old boy and his mother are at the healthcare provider's office for a well-
baby check-up and routine immunizations. The healthcare provider recommends to the
mother that the child receive an influenza vaccine. What medications should the nurse
plan to administer today? -CORRECT ANSWER 6 month shots: DTAP; HEP -B (1st
dose: birth, 2nd dose: 1-2 months, 3rd dose 6-9 months); PCV; IPV; INFLUENZA~
adminster at a different site
38. A 3-year-old boy is brought to the emergency room because he swallowed an entire
bottle of children's vitamin pills. Which intervention should the nurse implement first? -
CORRECT ANSWER Determine the child's pulse and respiration~ always ABC
assess: respiratory, cardiac, and neuro
27. The parents of a 3-week-old infant report that the child eats well but vomits after
each feeding. What information is most important for the nurse to obtain? -CORRECT
ANSWER Description of vomiting episodes in past 24 hours.- assessment of what
cause vomiting episodes leaning towards treatment
4. The nurse is planning care for school-aged children at a community care center.
Which activity is best for the children? -CORRECT ANSWER Playing follow-the-leader.
Erikson: industry vs inferiority
achieve independence and productivity
60. 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? -CORRECT ANSWER
Walk away from him and ignore the behavior
-temper tantrums are normal, just ignore the behavior.
Newest update
3. A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The
mother reports that her child bottle feeds for 5 minutes only and then falls asleep. The
nurse auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and
finds the newborn is acyanotic with a respiratory rate of 64 breaths per minute. What
instruction should the nurse provide the mother to ensure the infant is receiving
adequate intake? (Select all that apply.) -CORRECT ANSWER A. Monitor the the
infant's weight and number of wet diapers per day. - child should at least have 6 wet
diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.- child is always
fatigue, need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 hours.- child is always
fatigue, this will ensure adequate feeding.
E. Use a softer nipple or increase the size of the nipple opening.- this will save energy
33. A 15-year-old girl tells the school nurse that all of her friends have started their
periods and she feels abnormal because she has not. Which response is best for the
nurse provide? -CORRECT ANSWER Explain that menarche varies and occurs
between the ages of 12 and 18 years.
81. Which finding in a 19-year-old female client should trigger further assessment by the
nurse? -CORRECT ANSWER Menstruation has not occurred- menarche usually occur
between the ages of 12 and 18 years old
34. 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? -CORRECT ANSWER Administer PRN prescription of nifedipine (Procardia)
sublingually.
-CA channel blocker
-always assess physiological needs
56. A 3-year-old client with sickle cell anemia is admitted to the Emergency Department
with abdominal pain. The nurse palpates an enlarged liver, an x-ray reveals an enlarged
spleen, and a CBC reveals anemia. These findings indicate which type of crisis? -
CORRECT ANSWER Sequestration.- pooling of blood causes and pain and anemia d/t
blockage of blood in the spleen
1. Aplastic anemia- anemia d/t drugs
2. Hyperhemolytic anemia- anemia d/t the breakdown of RBC
, 3.Vaso-occlusive anemia- sickle cells are clogging up small capillaries- and pain but not
enlarged spleen and liver
49. A preschool-age child who is hospitalized for hypospadias repair is most strongly
influenced by which behavior? -CORRECT ANSWER pre school age children are
conceded about lost of body mutilation or body integrity.
nurse should explain- they did not cause the illness, procedure is not punishment,
restoring body image with a band-aid.
26. The 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? -CORRECT
ANSWER Start an IV infusion of normal saline- patient is experiencing fluid vole deficit
40. A 6-month-old boy and his mother are at the healthcare provider's office for a well-
baby check-up and routine immunizations. The healthcare provider recommends to the
mother that the child receive an influenza vaccine. What medications should the nurse
plan to administer today? -CORRECT ANSWER 6 month shots: DTAP; HEP -B (1st
dose: birth, 2nd dose: 1-2 months, 3rd dose 6-9 months); PCV; IPV; INFLUENZA~
adminster at a different site
38. A 3-year-old boy is brought to the emergency room because he swallowed an entire
bottle of children's vitamin pills. Which intervention should the nurse implement first? -
CORRECT ANSWER Determine the child's pulse and respiration~ always ABC
assess: respiratory, cardiac, and neuro
27. The parents of a 3-week-old infant report that the child eats well but vomits after
each feeding. What information is most important for the nurse to obtain? -CORRECT
ANSWER Description of vomiting episodes in past 24 hours.- assessment of what
cause vomiting episodes leaning towards treatment
4. The nurse is planning care for school-aged children at a community care center.
Which activity is best for the children? -CORRECT ANSWER Playing follow-the-leader.
Erikson: industry vs inferiority
achieve independence and productivity
60. 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? -CORRECT ANSWER
Walk away from him and ignore the behavior
-temper tantrums are normal, just ignore the behavior.
