Hesi Pediatric Practice Exam || Latest
Exam Update
The nurse is giving pre-op instructions to a 14 yr old female scheduled for surgery to
correct a spinal curvature. Which stmt best demonstrates that leaning has taken place?
-CORRECT ANSWER "I understand that I will be in a body cast and I will show you how
you taught me to turn"
To take the v/s of a 4 month old, which ordered will give the most accurate results? -
CORRECT ANSWER RR - HR - rectal temp
During routine screening at a school clinic, an otoscope exam reveals a tympanic mb
that is pearly gray, slightly bulging, and not movable. What action should the nurse take
next? -CORRECT ANSWER Ask the child if they have had a cold, runny nose, or any
ear pain lately
Which restraint should be used for a toddler after a cleft palate repair? -CORRECT
ANSWER Elbow
What pre-op nsg intervention should be included in the POC for an infant w/ pyloric
stenosis? -CORRECT ANSWER Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
A 6 month old returns from surgery w/ elbow restraints in place. What nsg care should
be included when caring for any restrained child? -CORRECT ANSWER Remove the
restraints one at a time and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
A 2 yr old w/ Down syndrome is brought to the clinic for his regular physical exam. The
nurse knows which problem is requently associated w/ Downs? -CORRECT ANSWER
Congenital heart disease
(CHD is the most common associated defect w/ Downs. - also, remember Professor
Moore said that heart and ear problems go hand in hand)
When assessing a child w/ asthma, the nurse should expect intercostal retractions
during -CORRECT ANSWER Inspriation
When planning the care for a child who has had a cleft lip repair, the nurse know that
crying should be minimized because it -CORRECT ANSWER Stresses the suture line
, 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 sx's is this
newborn likely to have exhibited? -CORRECT ANSWER Choking , coughing, and
cyanosis
(this CORRECT ANSWER includes the 3 "C"s of esophageal atresia caused by the
overflow of secretions to the trachea)
Which behavior would the nurse expect a 2 yr old to exhibit? -CORRECT ANSWER
Display possessiveness of toys
(they are egocentric and unable to share w/ others)
the other 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 her to check the label of
all OTC meds for the presence of ASA, which instruction should the nurse include when
replying to the mom's question? -CORRECT ANSWER Do not give if they have chicken
pox, the flue, or any other viral illness
(ASA can cause Reye's syndrome)
the nurse observes a 4 yr old boy in a daycare. Which behavior should the nurse
consider normal for this child? -CORRECT ANSWER Demonstrates aggressiveness by
boasting when telling a story
A burned child is brought to the ER. In estimating the % of body burned, the nurse uses
a modified "Rule of Nines." Which part of the body is calculated as a larger % of total
body surface than an adult? -CORRECT ANSWER Head and neck
(a child's head and neck are proportionately larger to their body than an adult's)
The nurse receives a lab report stating a child w/ asthma has a theophylline level of
15mcg/dL. What action will the nurse take? -CORRECT ANSWER Pass the info on in
the report
(therapeutic level is 10-20)
A 12 month old is admitted w/ a respiratory infection and possible pneumonia. He is
placed in a mist tent w/ O2. Which nsg intervention has the greatest priority? -
CORRECT ANSWER Have a bulb syringe readily available to remove secretions
(patent airway has the highest priority. Humidification will liquefy the nasal secretions -
thereby increasing the amt of secretions and making that a priority)
Exam Update
The nurse is giving pre-op instructions to a 14 yr old female scheduled for surgery to
correct a spinal curvature. Which stmt best demonstrates that leaning has taken place?
-CORRECT ANSWER "I understand that I will be in a body cast and I will show you how
you taught me to turn"
To take the v/s of a 4 month old, which ordered will give the most accurate results? -
CORRECT ANSWER RR - HR - rectal temp
During routine screening at a school clinic, an otoscope exam reveals a tympanic mb
that is pearly gray, slightly bulging, and not movable. What action should the nurse take
next? -CORRECT ANSWER Ask the child if they have had a cold, runny nose, or any
ear pain lately
Which restraint should be used for a toddler after a cleft palate repair? -CORRECT
ANSWER Elbow
What pre-op nsg intervention should be included in the POC for an infant w/ pyloric
stenosis? -CORRECT ANSWER Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
A 6 month old returns from surgery w/ elbow restraints in place. What nsg care should
be included when caring for any restrained child? -CORRECT ANSWER Remove the
restraints one at a time and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
A 2 yr old w/ Down syndrome is brought to the clinic for his regular physical exam. The
nurse knows which problem is requently associated w/ Downs? -CORRECT ANSWER
Congenital heart disease
(CHD is the most common associated defect w/ Downs. - also, remember Professor
Moore said that heart and ear problems go hand in hand)
When assessing a child w/ asthma, the nurse should expect intercostal retractions
during -CORRECT ANSWER Inspriation
When planning the care for a child who has had a cleft lip repair, the nurse know that
crying should be minimized because it -CORRECT ANSWER Stresses the suture line
, 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 sx's is this
newborn likely to have exhibited? -CORRECT ANSWER Choking , coughing, and
cyanosis
(this CORRECT ANSWER includes the 3 "C"s of esophageal atresia caused by the
overflow of secretions to the trachea)
Which behavior would the nurse expect a 2 yr old to exhibit? -CORRECT ANSWER
Display possessiveness of toys
(they are egocentric and unable to share w/ others)
the other 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 her to check the label of
all OTC meds for the presence of ASA, which instruction should the nurse include when
replying to the mom's question? -CORRECT ANSWER Do not give if they have chicken
pox, the flue, or any other viral illness
(ASA can cause Reye's syndrome)
the nurse observes a 4 yr old boy in a daycare. Which behavior should the nurse
consider normal for this child? -CORRECT ANSWER Demonstrates aggressiveness by
boasting when telling a story
A burned child is brought to the ER. In estimating the % of body burned, the nurse uses
a modified "Rule of Nines." Which part of the body is calculated as a larger % of total
body surface than an adult? -CORRECT ANSWER Head and neck
(a child's head and neck are proportionately larger to their body than an adult's)
The nurse receives a lab report stating a child w/ asthma has a theophylline level of
15mcg/dL. What action will the nurse take? -CORRECT ANSWER Pass the info on in
the report
(therapeutic level is 10-20)
A 12 month old is admitted w/ a respiratory infection and possible pneumonia. He is
placed in a mist tent w/ O2. Which nsg intervention has the greatest priority? -
CORRECT ANSWER Have a bulb syringe readily available to remove secretions
(patent airway has the highest priority. Humidification will liquefy the nasal secretions -
thereby increasing the amt of secretions and making that a priority)
