PEDIATRICS HESI PRACTICE EXAM NEWEST ACTUAL EXAM TEST BANK
PEDIATRICS HESI PRACTICE EXAM NEWEST ACTUAL EXAM TEST
BANK COMPLETE 250 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH RATIONALES |ALREADY
GRADED A+||BRAND NEW VERSION!!
A six-month-old returns from surgery with elbow restraints in place. What nursing
care should be included when caring for any restrained child?
A. keep restraints on at all times.
B. remove restraints one at a time and provide range of motion exercises
C. Remove all restraints simultaneously and provide lay activities
D. renew the healthcare provider's prescription for restraints every 72 hours. -
Correct Answer-B. remove restraints one at a time and provide range of motion
exercises
Removing restraints one at a time is safer than removing all of them at once.
The child needs to exercise and should not be kept in restraints at all times. The
renewal of the healthcare provider's prescription varies with hospitals and it
does not really answer the question.
A 2-year old child with Down syndrome is brought to the clinic for his regular
physical examination. The nurse knows which problem is frequently associated
with Down syndrome?
A. congenital heart disease
B. fragile x-chromosome
C. trisomy 13
D. pyloric stenosis - Correct Answer-A. congenital heart disease
1|Page
, PEDIATRICS HESI PRACTICE EXAM NEWEST ACTUAL EXAM TEST BANK
Congenital heart disease is the most common associated defect in children with
Down syndrome. Trisomy 13 my have seemed possible since Down syndrome is
a trisomal chromosomal abnormality o chromosome 21. Fragile x-chromosome
is a sex-linked abnormality also causing mental retardation. Pyloric stenosis is
not associated with Down syndrome.
When assessing a child with asthma, the nurse should expect intercostal
retractions during
A. inspiration
B. coughing
C. apneic episodes
D. expiration - Correct Answer-A. inspiration
Intercostal retractions result from respiratory effort to draw air into restricted
airways.
When planning the care for a child who has had a cleft lip repair, the nurse knows
that crying should be minimized because it
A. increases salivation
B. increases the respiratory rate
C. leads to vomiting
D. stresses the suture line - Correct Answer-D. stresses the suture line
2|Page
, PEDIATRICS HESI PRACTICE EXAM NEWEST ACTUAL EXAM TEST BANK
Prevention of stress on the lip suture line is essential for optimum healing and
the cosmetic appearance of a cleft lip repair. Although crying also causes
increased salivation, increased respiratory rate and may lead to vomiting, these
conditions do not create a problem for the child with a cleft lip repair.
A full-term infant is admitted to the newborn nursery. After careful assessment,
the nurse suspects that the infant may have an esophageal atresia. Which
symptoms is this newborn likely to have exhibited?
A. choking, coughing, and cyanosis
B. projectile vomiting and cyanosis
C. apneic spells and grunting
D. scaphoid abdomen and anorexia - Correct Answer-A. choking, coughing, and
cyanosis
(A) includes the "3 C's" of esophageal atresia caused by the overflow of
secretions into the trachea. (B) is characteristic of pyloric stenosis in the infant.
(C) could be due to prematurity or sepsis, and grunting is a sign of respiratory
distress. (D) is characteristic of a diaphragmatic hernia.
Which behavior would the nurse expect a two-year-old child to exhibit?
A. build a house with blocks
B. ride a tricycle
C. display possessiveness of toys
D. look at a picture book for 15 minutes - Correct Answer-C. display
possessiveness of toys
3|Page
, PEDIATRICS HESI PRACTICE EXAM NEWEST ACTUAL EXAM TEST BANK
Two-year old children are egocentric and unable to share with other children.
(A, B, and D) are behaviors of a preschooler.
the mother of a preschool-aged client asks the nurse if it is all right to administer
Pepto Bismal 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?
A. if the child's tongue darkness, discontinue the Pepto Bismal immediately
B. do not give if the child has chickenpox, the flu, or any other viral illness.
C. avoid the use of Pepto Bismal until the child is at least 16 years old.
D. Pepto Bismal may cause a rebound hyperactivity, worsening the "tummy-ache."
- Correct Answer-B. do not give if the child has chickenpox, the flu, or any other
viral illness.
Pepto Bismal contains aspirin and there is the potential of Reye's syndrome. A
dark tongue is a common effect of Pepto Bismal and does not warrant
discontinuation. Pepto Bismal can be used by children. Pepto Bismal does not
cause rebound hyperactivity, which is a complication of antacids containing
calcium.
The nurse observes a 4-year old boy in a daycare setting. Which behavior should
the nurse consider normal for this client?
A. Has a temper tantrum when told he must share his toys.
B. plays by himself most of the day
C. demonstrates aggressiveness by boasting when telling a story
D. Begins to cry and is fearful when separated from his parents. - Correct Answer-
C. demonstrates aggressiveness by boasting when telling a story
4|Page
PEDIATRICS HESI PRACTICE EXAM NEWEST ACTUAL EXAM TEST
BANK COMPLETE 250 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH RATIONALES |ALREADY
GRADED A+||BRAND NEW VERSION!!
A six-month-old returns from surgery with elbow restraints in place. What nursing
care should be included when caring for any restrained child?
A. keep restraints on at all times.
B. remove restraints one at a time and provide range of motion exercises
C. Remove all restraints simultaneously and provide lay activities
D. renew the healthcare provider's prescription for restraints every 72 hours. -
Correct Answer-B. remove restraints one at a time and provide range of motion
exercises
Removing restraints one at a time is safer than removing all of them at once.
The child needs to exercise and should not be kept in restraints at all times. The
renewal of the healthcare provider's prescription varies with hospitals and it
does not really answer the question.
A 2-year old child with Down syndrome is brought to the clinic for his regular
physical examination. The nurse knows which problem is frequently associated
with Down syndrome?
A. congenital heart disease
B. fragile x-chromosome
C. trisomy 13
D. pyloric stenosis - Correct Answer-A. congenital heart disease
1|Page
, PEDIATRICS HESI PRACTICE EXAM NEWEST ACTUAL EXAM TEST BANK
Congenital heart disease is the most common associated defect in children with
Down syndrome. Trisomy 13 my have seemed possible since Down syndrome is
a trisomal chromosomal abnormality o chromosome 21. Fragile x-chromosome
is a sex-linked abnormality also causing mental retardation. Pyloric stenosis is
not associated with Down syndrome.
When assessing a child with asthma, the nurse should expect intercostal
retractions during
A. inspiration
B. coughing
C. apneic episodes
D. expiration - Correct Answer-A. inspiration
Intercostal retractions result from respiratory effort to draw air into restricted
airways.
When planning the care for a child who has had a cleft lip repair, the nurse knows
that crying should be minimized because it
A. increases salivation
B. increases the respiratory rate
C. leads to vomiting
D. stresses the suture line - Correct Answer-D. stresses the suture line
2|Page
, PEDIATRICS HESI PRACTICE EXAM NEWEST ACTUAL EXAM TEST BANK
Prevention of stress on the lip suture line is essential for optimum healing and
the cosmetic appearance of a cleft lip repair. Although crying also causes
increased salivation, increased respiratory rate and may lead to vomiting, these
conditions do not create a problem for the child with a cleft lip repair.
A full-term infant is admitted to the newborn nursery. After careful assessment,
the nurse suspects that the infant may have an esophageal atresia. Which
symptoms is this newborn likely to have exhibited?
A. choking, coughing, and cyanosis
B. projectile vomiting and cyanosis
C. apneic spells and grunting
D. scaphoid abdomen and anorexia - Correct Answer-A. choking, coughing, and
cyanosis
(A) includes the "3 C's" of esophageal atresia caused by the overflow of
secretions into the trachea. (B) is characteristic of pyloric stenosis in the infant.
(C) could be due to prematurity or sepsis, and grunting is a sign of respiratory
distress. (D) is characteristic of a diaphragmatic hernia.
Which behavior would the nurse expect a two-year-old child to exhibit?
A. build a house with blocks
B. ride a tricycle
C. display possessiveness of toys
D. look at a picture book for 15 minutes - Correct Answer-C. display
possessiveness of toys
3|Page
, PEDIATRICS HESI PRACTICE EXAM NEWEST ACTUAL EXAM TEST BANK
Two-year old children are egocentric and unable to share with other children.
(A, B, and D) are behaviors of a preschooler.
the mother of a preschool-aged client asks the nurse if it is all right to administer
Pepto Bismal 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?
A. if the child's tongue darkness, discontinue the Pepto Bismal immediately
B. do not give if the child has chickenpox, the flu, or any other viral illness.
C. avoid the use of Pepto Bismal until the child is at least 16 years old.
D. Pepto Bismal may cause a rebound hyperactivity, worsening the "tummy-ache."
- Correct Answer-B. do not give if the child has chickenpox, the flu, or any other
viral illness.
Pepto Bismal contains aspirin and there is the potential of Reye's syndrome. A
dark tongue is a common effect of Pepto Bismal and does not warrant
discontinuation. Pepto Bismal can be used by children. Pepto Bismal does not
cause rebound hyperactivity, which is a complication of antacids containing
calcium.
The nurse observes a 4-year old boy in a daycare setting. Which behavior should
the nurse consider normal for this client?
A. Has a temper tantrum when told he must share his toys.
B. plays by himself most of the day
C. demonstrates aggressiveness by boasting when telling a story
D. Begins to cry and is fearful when separated from his parents. - Correct Answer-
C. demonstrates aggressiveness by boasting when telling a story
4|Page
