HESIgPEDIATRICS,INTRODUCTION,gVERSIONg1,gVERSIONg2
&gVERSIONg3gCOMPLETEgDOCUMENTgWITHg300gQUESTIO
NSgANDg100%gCORRECTgANSWERSg&gEXPLANATION
INTRODUCTION
Agseven-year-
oldgchildghasgjustghadgangappendectomy.gThegnursegisgmonitoringghisgresponsegtogpaing
medicationgpost-
operative.gWhichgtoolgisgmostgappropriategforgassessinggthegchild'sgpain?gA.gFLACCgsc
ale
B.g CRIESgneonatalgscale
C.gFACESgpaingratinggscale
D.gNumericgpaingscaleg---CORRECTgANSWER--ga
Whygisgitgimportantgtogpreparinggchildrengforgintrusivegprocedures?
A.g Thisgwillgincreasegtheirgfear
B.g Thisgisgincreasegtheirgfeelingsgofgcontrol
C.gThisgwillgcleargupganygmisconceptions
D.gYougshouldn'tgpreparegchildrengbecausegthisgwillgincreasegstressg---
CORRECTgANSWER--gb
Agnursegisgcaringgforgangadolescentgclientgwhoghasgaglong-
leggcastgappliedgfollowinggsurgicalgrepairgofgagfracturedgleg.gShegstatesg"myglegghurtsgre
allygbadly"gWhatgisgthegnextgactiongthegnursegshouldgtakegnext?
A.g Obtaingmoreginformationgaboutgthegcharacteristicsgofgthegpain
B.g GiveghergagdosegofgpaingmedicinegpergDr.gOrder
C.gReassureghergthatgthegpaingwillgdiminishgongagfewgdays
D.gDistractghergbygturninggongthegTVg---CORRECTgANSWER--ga
Whatgisgonegofgthegmostgcommongcausesgofginjurygandgdeathgforgag7-
monthgoldginfant?gA.gDoggbites
B.gChildgAbuse
C.gPoisoning
D.gAspirationg---CORRECTgANSWER--gd
Preschoolersgengageginggroupgplaygwithgsimilargorgidenticalgactivitiesgbutgwithoutgrigidgor
ganizationgorgrules.gWhatgisgthisgtypegofgplaygcalled?
A.g Associative
B.g Dramatic
,C.gParallel
D.gSolitaryg---CORRECTgANSWER--ga
Thegnursegisghelpinggparentsgpreparegaghealthygmealgplangforgtheirgtoddler.gWhichgguide
linesgforgpromotinggnutritiongshouldgbegfollowedgwhengplanninggmeals?
A.gToddlersgshouldghavegtheirgfatgrestrictedgtoghelpgpreventgobesitygingschoolgag
egchildren
B.gExtendinggbreastgfeedinggintogtoddlerhoodgisgbelievedgtogbegbeneficialgtogthegchild
C.gServegthreegmealsgagdaygwithoutganygsnacksgingbetween
D.gToddlersgtendgtoghavegtheghighestgdailygirongintakegofganygageggroupg---
CORRECTgANSWER—b
Whatgmeasuregwouldgyougsuggestganginfant'sgparentsgusegtogrelievegteethinggdiscomfort
?
A.gProvidegher/himgwithgagfluidgdietgforg2gdays
B.gOfferghergAspergumgtogchew
C.gAskgthegpediatriciangtogordergagsedativegforgher/hi
m
D.gGivegher/himgagcoldgteethinggringgtogchewg---CORRECTgANSWER--
.gdWhichgeventgshouldgbegreportedgtogagriskgmanagementgcommittee
?
Agpatient'sgheparinglockgbecomesgclottedgbetweengintermittentgmedicationgdoses.
A. Anguncooperativegchildgspitsgoutghisgoralgmedicinegdespitegthegnurse'sgbestgefforts..
B. AgtoddlergpullsgoutghisgIV.
C. Thegnursegadministersgagdoublegdosegofgagmedicationgbasesgongangincorre
ctgphysician'sgorder.g---CORRECTgANSWER--gd
Matchgthegfollowing
1. ProtestgA.gwithdrawalgandgquietness
2. DespairgB.gLackgofgprotestgwhengparentsgleave
3. DetachmentgC.gCrying
A. 1-A,g2-gB,g3-B
B. 1-B,g2-C,g3-A
C. 1-C,g2-A,g3-B
D. Nonegofgthegaboveg---CORRECTgANSWER—c
Ag15-year-
oldgmalegseeksgtreatmentgforgagsexuallygtransmittedginfectiongatgaglocalgclinic.gWithgrega
rdgtoginformedgconsent,gthegnursegshouldgperformgwhichgaction?gA.
Askgthegclientgtogsigngtheginformedgconsentgform.
B.g Tellgthegclientgthatgparentalgconsentgisgneededgforgtreatment.
C.gTellgthegclientgagcourtgordergisgneededgforgtreatment.
D.gCallgthegclient'sgmothergtogobtaingtelephonegconsentgforgtreatment.g---
CORRECTgANSWER--ga
,WhichgVSgwouldgthegnursegbegmostgconcernedgaboutgingagteenagegadmittedgtogthegpedi
atricgunit?gA.gHeartgrateg104
B.g respiratorygrateg24
C.gBloodgPressureg84/62
D.gTemperatureg101gFg---CORRECTgANSWER--gc
Whichgactivitygcangprovidegtheg10-year-
oldgchildgwhogisghospitalizedgwithgagsensegofgindustry?
A.g Allowgthegchildgtogcompletegschoolgwork
B.gAllowgthegchildgtogchoosegwhenghegtakesghis/hergmedicine
C.gAllowgthegchildgtoghelpgwithgbathing
D.gAllowgthegchildgtoghelpgwithghisgdressinggchangeg---CORRECTgANSWER--ga
Thegnursegisgcaringgforgag5gweekgoldginfantgwhogisg"spittinggupgallgthegtime".gThisgisgt
hegmother'sgfirstgchild.gWhatgshouldgbegthegprioritygnursinggintervention?gA.gRecom
mendgthegmothergoffergsmallergandgmoregfrequentgfeedings
B.g Assessgandgweighgthegbaby
C.gOffergassurancegthatgspittinggupgisgnormal
D.gObservegthegmothergwhilegshegfeedsgandgburbsgthegbabyg---CORRECTgANSWER--gb
.gAngeight-year-
oldgisgbeinggseengingthegpediatrician'sgofficegfollowinggagheadginjury.gThegnursegassesse
sgthegchild'sgVS:gtempg98,gHRg52,gRRg12,gBPg88/50.gCapgrefillgisg2gseconds.gWhichgacti
ongwouldgbegappropriategforgthegnursegtoogtake?gA.gAskgthegchildgorgparentgtogdescribeg
howgthegheadginjurygoccurred.
B.g Immediatelygadministerg2grescuegbreaths.
C.gCarefullygexamgthegchild'sgheadgforganygsigngofgfracture.
D.gImmediatelygnotifygtheghealthgcaregprovidergofgthegfindings.g---CORRECTgANSWER-
-gd
Ag3-year-oldgisgadmittedgtogtheghospitalgwithgcroup.gVS-gHRg90,gRRg44,gBPg95/52,gtemp
98.8gF.gThegparentsgaskgifgthesegaregnormal.gWhatgisgthegnurse'sgbestgresponse?
A. "ThegBPgisgelevated,gbutgthegrestgofgthegVSgaregnormal"
B. "ThegTempgisgelevated,gbutgthegrestgofgthegVSgaregnormal"
C. "ThegHRgisgelevated,gbutgthegrestgofgthegVSgaregnormal"
D. "ThegRRgisgelevated,gbutgthegrestgofgthegVSgaregnormal"g---CORRECTgANSWER--gd
Ag1-
monthgoldginfantgisgadmittedgtogtheghospitalgwithgvomitinggandgdiarrhea.gTheginfant'sgHR
gisg170,gRRg44,gBPg85/52,gandgtempg99gF.gWhatgisgthegnurse'sgbestgresponsegtogthegpa
rentsgwhogaskgifgthegVSgaregnormal?
A. "ThegBPgisgelevated,gbutgthegothergVSgaregnormal."
B. "ThegHRgisgelevated,gbutgthegothergVSgaregnormal"
C. "ThegRRgisgelevated,gbutgthegothergVSgaregnormal"
, D. "Thegtempgisgelevated,gbutgthegothergVSgaregnormal"g---CORRECTgANSWER--gb
Thegschoolgnursegisgprovidinggangeducationalgforgparentsgofghighgschoolgstudents.gWhic
hgactiongshouldgthegnursegparentsgtogperformgingrelationgtogmoralgdevelopmentgofgtheirgt
eenagers.
A. Threatengagseveregconsequencegifgthegchildgbreaksgthegrules.
B. Takegtheirgchildgongagtripgtogtheglocalgjailgtogshowgwhatghappensgwhengadultsgbreakgt
heglaw.
C. Requiregthegchildgtogsignganghonorgpledgegnevergtogbreakghousegrulesgorgtheglaw.
D. Role-modelgethicalgandgmoralgbehaviorgingtheirgeverydayglives.g---
CORRECTgANSWER—d
Duringgadministrationgofgagbloodgtransfusion,gagchildgcomplainsgofgchills,gheadache,gan
d
nausea.gWhichgactiongshouldgthegnursegimplement?g---CORRECTgANSWER--
Stop the
infusion gimmediatelygandgnotifygtheghealthcaregprovider.
Anginfantgisgborngwithgagventriculargseptalgdefectg(VSD)gandgsurgerygisgplannedgtogcorre
ctgthegdefect.gThegnursegrecognizesgthatgsurgicalgcorrectiongisgdesignedgtogachievegwhi
chgoutcome?g---CORRECTgANSWER--
gPreventgthegreturngofgoxygenatedgbloodgtogtheglungs.
Ang18-month-
oldgisgadmittedgtogtheghospitalgwithgpossiblegHirschsprung'sgdisease.gWhengobtaininggag
nursingghistory,gthegnursegasksgaboutgbowelghabits.gWhatgdescriptiongofgthegdisease?g--
-CORRECTgANSWER--gRibbon-likegandgbrown.
Agburnedgchildgisgbroughtgtogthegemergencygroom.gIngestimatinggthegpercentagegofgtheg
bodygburned,gthegnursegusesgagmodifiedg"RulegofgNines."gWhichgpartgofgagchild'sgbodygis
calculatedgasgaglargergpercentagegofgtotalgbodygsurfacegthangangadult's?g---
CORRECT gHeadgandgneck.
ANSWER--
Thegnursegisgpreparinggaghealthgteachinggprogramgforgparentsgofgtoddlersgandgprescho
olersgandgplansgtogincludeginformationgaboutgpreventiongofgaccidentalgpoisonings.gItgisg
mostgimportantgforgthegnursegtogincludegwhichginstruction?g---CORRECTgANSWER--
gStoregallgtoxicgagentsgandgmedicinesginglockedgcabinets.
Agchildgfallsgongthegplaygroundgandgisgbroughtgtogthegschoolgnursegwithgagsmallglaceratio
ngongthegforearm.gWhichgactiongshouldgthegnursegimplementgfirst?g---CORRECT
ANSWER--gWashgthegwoundggentlygwithgmildgsoapgandgwater.
Ag4-year-
oldggirlgcontinuesgtoginterruptghergmothergduringgagroutinegclinicgvisit.gThegmothergappe
arsgirritatedgwithgthegchildgandgasksgthegnurse,g"Isgthisgnormalgbehaviorgforgagchildgthisga
ge?"gThegnurse'sgresponsegshouldgbegbasedgongwhichginformation?g--
&gVERSIONg3gCOMPLETEgDOCUMENTgWITHg300gQUESTIO
NSgANDg100%gCORRECTgANSWERSg&gEXPLANATION
INTRODUCTION
Agseven-year-
oldgchildghasgjustghadgangappendectomy.gThegnursegisgmonitoringghisgresponsegtogpaing
medicationgpost-
operative.gWhichgtoolgisgmostgappropriategforgassessinggthegchild'sgpain?gA.gFLACCgsc
ale
B.g CRIESgneonatalgscale
C.gFACESgpaingratinggscale
D.gNumericgpaingscaleg---CORRECTgANSWER--ga
Whygisgitgimportantgtogpreparinggchildrengforgintrusivegprocedures?
A.g Thisgwillgincreasegtheirgfear
B.g Thisgisgincreasegtheirgfeelingsgofgcontrol
C.gThisgwillgcleargupganygmisconceptions
D.gYougshouldn'tgpreparegchildrengbecausegthisgwillgincreasegstressg---
CORRECTgANSWER--gb
Agnursegisgcaringgforgangadolescentgclientgwhoghasgaglong-
leggcastgappliedgfollowinggsurgicalgrepairgofgagfracturedgleg.gShegstatesg"myglegghurtsgre
allygbadly"gWhatgisgthegnextgactiongthegnursegshouldgtakegnext?
A.g Obtaingmoreginformationgaboutgthegcharacteristicsgofgthegpain
B.g GiveghergagdosegofgpaingmedicinegpergDr.gOrder
C.gReassureghergthatgthegpaingwillgdiminishgongagfewgdays
D.gDistractghergbygturninggongthegTVg---CORRECTgANSWER--ga
Whatgisgonegofgthegmostgcommongcausesgofginjurygandgdeathgforgag7-
monthgoldginfant?gA.gDoggbites
B.gChildgAbuse
C.gPoisoning
D.gAspirationg---CORRECTgANSWER--gd
Preschoolersgengageginggroupgplaygwithgsimilargorgidenticalgactivitiesgbutgwithoutgrigidgor
ganizationgorgrules.gWhatgisgthisgtypegofgplaygcalled?
A.g Associative
B.g Dramatic
,C.gParallel
D.gSolitaryg---CORRECTgANSWER--ga
Thegnursegisghelpinggparentsgpreparegaghealthygmealgplangforgtheirgtoddler.gWhichgguide
linesgforgpromotinggnutritiongshouldgbegfollowedgwhengplanninggmeals?
A.gToddlersgshouldghavegtheirgfatgrestrictedgtoghelpgpreventgobesitygingschoolgag
egchildren
B.gExtendinggbreastgfeedinggintogtoddlerhoodgisgbelievedgtogbegbeneficialgtogthegchild
C.gServegthreegmealsgagdaygwithoutganygsnacksgingbetween
D.gToddlersgtendgtoghavegtheghighestgdailygirongintakegofganygageggroupg---
CORRECTgANSWER—b
Whatgmeasuregwouldgyougsuggestganginfant'sgparentsgusegtogrelievegteethinggdiscomfort
?
A.gProvidegher/himgwithgagfluidgdietgforg2gdays
B.gOfferghergAspergumgtogchew
C.gAskgthegpediatriciangtogordergagsedativegforgher/hi
m
D.gGivegher/himgagcoldgteethinggringgtogchewg---CORRECTgANSWER--
.gdWhichgeventgshouldgbegreportedgtogagriskgmanagementgcommittee
?
Agpatient'sgheparinglockgbecomesgclottedgbetweengintermittentgmedicationgdoses.
A. Anguncooperativegchildgspitsgoutghisgoralgmedicinegdespitegthegnurse'sgbestgefforts..
B. AgtoddlergpullsgoutghisgIV.
C. Thegnursegadministersgagdoublegdosegofgagmedicationgbasesgongangincorre
ctgphysician'sgorder.g---CORRECTgANSWER--gd
Matchgthegfollowing
1. ProtestgA.gwithdrawalgandgquietness
2. DespairgB.gLackgofgprotestgwhengparentsgleave
3. DetachmentgC.gCrying
A. 1-A,g2-gB,g3-B
B. 1-B,g2-C,g3-A
C. 1-C,g2-A,g3-B
D. Nonegofgthegaboveg---CORRECTgANSWER—c
Ag15-year-
oldgmalegseeksgtreatmentgforgagsexuallygtransmittedginfectiongatgaglocalgclinic.gWithgrega
rdgtoginformedgconsent,gthegnursegshouldgperformgwhichgaction?gA.
Askgthegclientgtogsigngtheginformedgconsentgform.
B.g Tellgthegclientgthatgparentalgconsentgisgneededgforgtreatment.
C.gTellgthegclientgagcourtgordergisgneededgforgtreatment.
D.gCallgthegclient'sgmothergtogobtaingtelephonegconsentgforgtreatment.g---
CORRECTgANSWER--ga
,WhichgVSgwouldgthegnursegbegmostgconcernedgaboutgingagteenagegadmittedgtogthegpedi
atricgunit?gA.gHeartgrateg104
B.g respiratorygrateg24
C.gBloodgPressureg84/62
D.gTemperatureg101gFg---CORRECTgANSWER--gc
Whichgactivitygcangprovidegtheg10-year-
oldgchildgwhogisghospitalizedgwithgagsensegofgindustry?
A.g Allowgthegchildgtogcompletegschoolgwork
B.gAllowgthegchildgtogchoosegwhenghegtakesghis/hergmedicine
C.gAllowgthegchildgtoghelpgwithgbathing
D.gAllowgthegchildgtoghelpgwithghisgdressinggchangeg---CORRECTgANSWER--ga
Thegnursegisgcaringgforgag5gweekgoldginfantgwhogisg"spittinggupgallgthegtime".gThisgisgt
hegmother'sgfirstgchild.gWhatgshouldgbegthegprioritygnursinggintervention?gA.gRecom
mendgthegmothergoffergsmallergandgmoregfrequentgfeedings
B.g Assessgandgweighgthegbaby
C.gOffergassurancegthatgspittinggupgisgnormal
D.gObservegthegmothergwhilegshegfeedsgandgburbsgthegbabyg---CORRECTgANSWER--gb
.gAngeight-year-
oldgisgbeinggseengingthegpediatrician'sgofficegfollowinggagheadginjury.gThegnursegassesse
sgthegchild'sgVS:gtempg98,gHRg52,gRRg12,gBPg88/50.gCapgrefillgisg2gseconds.gWhichgacti
ongwouldgbegappropriategforgthegnursegtoogtake?gA.gAskgthegchildgorgparentgtogdescribeg
howgthegheadginjurygoccurred.
B.g Immediatelygadministerg2grescuegbreaths.
C.gCarefullygexamgthegchild'sgheadgforganygsigngofgfracture.
D.gImmediatelygnotifygtheghealthgcaregprovidergofgthegfindings.g---CORRECTgANSWER-
-gd
Ag3-year-oldgisgadmittedgtogtheghospitalgwithgcroup.gVS-gHRg90,gRRg44,gBPg95/52,gtemp
98.8gF.gThegparentsgaskgifgthesegaregnormal.gWhatgisgthegnurse'sgbestgresponse?
A. "ThegBPgisgelevated,gbutgthegrestgofgthegVSgaregnormal"
B. "ThegTempgisgelevated,gbutgthegrestgofgthegVSgaregnormal"
C. "ThegHRgisgelevated,gbutgthegrestgofgthegVSgaregnormal"
D. "ThegRRgisgelevated,gbutgthegrestgofgthegVSgaregnormal"g---CORRECTgANSWER--gd
Ag1-
monthgoldginfantgisgadmittedgtogtheghospitalgwithgvomitinggandgdiarrhea.gTheginfant'sgHR
gisg170,gRRg44,gBPg85/52,gandgtempg99gF.gWhatgisgthegnurse'sgbestgresponsegtogthegpa
rentsgwhogaskgifgthegVSgaregnormal?
A. "ThegBPgisgelevated,gbutgthegothergVSgaregnormal."
B. "ThegHRgisgelevated,gbutgthegothergVSgaregnormal"
C. "ThegRRgisgelevated,gbutgthegothergVSgaregnormal"
, D. "Thegtempgisgelevated,gbutgthegothergVSgaregnormal"g---CORRECTgANSWER--gb
Thegschoolgnursegisgprovidinggangeducationalgforgparentsgofghighgschoolgstudents.gWhic
hgactiongshouldgthegnursegparentsgtogperformgingrelationgtogmoralgdevelopmentgofgtheirgt
eenagers.
A. Threatengagseveregconsequencegifgthegchildgbreaksgthegrules.
B. Takegtheirgchildgongagtripgtogtheglocalgjailgtogshowgwhatghappensgwhengadultsgbreakgt
heglaw.
C. Requiregthegchildgtogsignganghonorgpledgegnevergtogbreakghousegrulesgorgtheglaw.
D. Role-modelgethicalgandgmoralgbehaviorgingtheirgeverydayglives.g---
CORRECTgANSWER—d
Duringgadministrationgofgagbloodgtransfusion,gagchildgcomplainsgofgchills,gheadache,gan
d
nausea.gWhichgactiongshouldgthegnursegimplement?g---CORRECTgANSWER--
Stop the
infusion gimmediatelygandgnotifygtheghealthcaregprovider.
Anginfantgisgborngwithgagventriculargseptalgdefectg(VSD)gandgsurgerygisgplannedgtogcorre
ctgthegdefect.gThegnursegrecognizesgthatgsurgicalgcorrectiongisgdesignedgtogachievegwhi
chgoutcome?g---CORRECTgANSWER--
gPreventgthegreturngofgoxygenatedgbloodgtogtheglungs.
Ang18-month-
oldgisgadmittedgtogtheghospitalgwithgpossiblegHirschsprung'sgdisease.gWhengobtaininggag
nursingghistory,gthegnursegasksgaboutgbowelghabits.gWhatgdescriptiongofgthegdisease?g--
-CORRECTgANSWER--gRibbon-likegandgbrown.
Agburnedgchildgisgbroughtgtogthegemergencygroom.gIngestimatinggthegpercentagegofgtheg
bodygburned,gthegnursegusesgagmodifiedg"RulegofgNines."gWhichgpartgofgagchild'sgbodygis
calculatedgasgaglargergpercentagegofgtotalgbodygsurfacegthangangadult's?g---
CORRECT gHeadgandgneck.
ANSWER--
Thegnursegisgpreparinggaghealthgteachinggprogramgforgparentsgofgtoddlersgandgprescho
olersgandgplansgtogincludeginformationgaboutgpreventiongofgaccidentalgpoisonings.gItgisg
mostgimportantgforgthegnursegtogincludegwhichginstruction?g---CORRECTgANSWER--
gStoregallgtoxicgagentsgandgmedicinesginglockedgcabinets.
Agchildgfallsgongthegplaygroundgandgisgbroughtgtogthegschoolgnursegwithgagsmallglaceratio
ngongthegforearm.gWhichgactiongshouldgthegnursegimplementgfirst?g---CORRECT
ANSWER--gWashgthegwoundggentlygwithgmildgsoapgandgwater.
Ag4-year-
oldggirlgcontinuesgtoginterruptghergmothergduringgagroutinegclinicgvisit.gThegmothergappe
arsgirritatedgwithgthegchildgandgasksgthegnurse,g"Isgthisgnormalgbehaviorgforgagchildgthisga
ge?"gThegnurse'sgresponsegshouldgbegbasedgongwhichginformation?g--
