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2026 Hesi RN Pediatrics Exam 55 answers Questions
and Answers (2026) (Verified Answers)||Newest
Exam!!!
The nurse is preparing a child with an intussusception for
a prescribed barium enema. What is the main purpose of
conducting this procedure prior to surgical intervention?
A.Evacuate the bowel of impacted feces.
B.Reduce the invaginated bowel segment.
C.Locate the presence of diverticula.
D.Identify the area of esophageal atresia. - Answer-ANS:
B
Intussusception, an invagination or telescoping of one
portion of the intestine into another, causes intestinal
obstruction in children (usually occurs between 3 months
and 5 years of age). Nonsurgical treatment is attempted
with hydrostatic pressure created by barium instillation,
which often reduces the area of bowel intussusception (B),
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thereby negating the need for surgical intervention. A
barium enema is likely to cause (A). A barium enema
could be used to detect (C), but this is not the reason for
its use with intussusception. (D) is not a use for a barium
enema.
The nurse is teaching an adolescent girl with scoliosis
about a Milwaukee brace that her health care provider has
prescribed. Which instruction should the nurse provide to
this client?
A.Remove the brace 1 hour each day for bathing only.
B.Remove the brace only for back range-of-motion
exercises.
C.Wear the brace against the bare skin to ensure a good
fit.
D.Wearing the brace will cure the spinal curvature. -
Answer-ANS: A
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The Milwaukee brace is designed to slow the progression
in spinal curvature while the adolescent is growing. The
brace should be worn 23 hours a day and removed a total
of 1 hour a day for hygiene (A). There are no specific
exercises for increasing the range of motion in the back
that should be performed (B). A T shirt should be worn
next to the body and the brace put on over the T shirt to
protect the skin (C). The brace will not cure the spinal
curvature (D) but should slow the progression of the
scoliosis.
The nurse should teach the parents of a child with a
cyanotic heart defect to perform which action when a
hypercyanotic spell occurs?
A.Place the child's head flat, with the knees on pillows
above the level of the heart.
B.Have the child lie on the right side, with the head
elevated on one pillow.
C.Allow the child to assume a knee-chest position, with
the head and chest slightly elevated.
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D.Encourage the child to sit up at a 45-degree angle, drink
cold water, and take deep breaths. - Answer-ANS: C
Assuming a knee-chest position with the head and chest
slightly elevated (C) will help restore hemodynamic
equilibrium. (A and B) are incorrect positions and may
hinder the child's condition. (D) may cause chest pain or a
vasovagal response, with resulting hypotension.
During routine screening at a school clinic, an otoscope
examination of a child's ear reveals a tympanic membrane
that is pearly gray, slightly bulging, and not movable.
Based on these findings, what action should the nurse
take?
A.No action is required, because this is an expected
finding for a school-aged child.
B.Ask if the child has had a cold, runny nose, or any ear
pain lately.
C.Send a note home advising parents to have the child
evaluated by a health care provider.
2026 Hesi RN Pediatrics Exam 55 answers Questions
and Answers (2026) (Verified Answers)||Newest
Exam!!!
The nurse is preparing a child with an intussusception for
a prescribed barium enema. What is the main purpose of
conducting this procedure prior to surgical intervention?
A.Evacuate the bowel of impacted feces.
B.Reduce the invaginated bowel segment.
C.Locate the presence of diverticula.
D.Identify the area of esophageal atresia. - Answer-ANS:
B
Intussusception, an invagination or telescoping of one
portion of the intestine into another, causes intestinal
obstruction in children (usually occurs between 3 months
and 5 years of age). Nonsurgical treatment is attempted
with hydrostatic pressure created by barium instillation,
which often reduces the area of bowel intussusception (B),
,2|Page
thereby negating the need for surgical intervention. A
barium enema is likely to cause (A). A barium enema
could be used to detect (C), but this is not the reason for
its use with intussusception. (D) is not a use for a barium
enema.
The nurse is teaching an adolescent girl with scoliosis
about a Milwaukee brace that her health care provider has
prescribed. Which instruction should the nurse provide to
this client?
A.Remove the brace 1 hour each day for bathing only.
B.Remove the brace only for back range-of-motion
exercises.
C.Wear the brace against the bare skin to ensure a good
fit.
D.Wearing the brace will cure the spinal curvature. -
Answer-ANS: A
,3|Page
The Milwaukee brace is designed to slow the progression
in spinal curvature while the adolescent is growing. The
brace should be worn 23 hours a day and removed a total
of 1 hour a day for hygiene (A). There are no specific
exercises for increasing the range of motion in the back
that should be performed (B). A T shirt should be worn
next to the body and the brace put on over the T shirt to
protect the skin (C). The brace will not cure the spinal
curvature (D) but should slow the progression of the
scoliosis.
The nurse should teach the parents of a child with a
cyanotic heart defect to perform which action when a
hypercyanotic spell occurs?
A.Place the child's head flat, with the knees on pillows
above the level of the heart.
B.Have the child lie on the right side, with the head
elevated on one pillow.
C.Allow the child to assume a knee-chest position, with
the head and chest slightly elevated.
, 4|Page
D.Encourage the child to sit up at a 45-degree angle, drink
cold water, and take deep breaths. - Answer-ANS: C
Assuming a knee-chest position with the head and chest
slightly elevated (C) will help restore hemodynamic
equilibrium. (A and B) are incorrect positions and may
hinder the child's condition. (D) may cause chest pain or a
vasovagal response, with resulting hypotension.
During routine screening at a school clinic, an otoscope
examination of a child's ear reveals a tympanic membrane
that is pearly gray, slightly bulging, and not movable.
Based on these findings, what action should the nurse
take?
A.No action is required, because this is an expected
finding for a school-aged child.
B.Ask if the child has had a cold, runny nose, or any ear
pain lately.
C.Send a note home advising parents to have the child
evaluated by a health care provider.
