PEDIATRIC HESI Correct and Verified Answers {ALREADY GRADED A+ } NEWEST VERSION

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PEDIATRIC HESI Correct and Verified Answers

{ALREADY GRADED A+ } NEWEST VERSION

• The Nurse is caring for a preschool-aged child with congenital heart defect who is

admitted with intermittent low-grade fever, fatigue, and weight loss. Further physical assessment findings include a new murmur, splinter hemorrhages under the nails, and painless red lesions on the palms of the hands. Which diagnostic procedure should the nurse prepare the parents to expect the healthcare provider to prescribe?

• Echocardiogram
• Electrocardiogram
• Chest radiography
• Computerized tomography (CT) scan

Correct Answer: A. Echocardiogram

• The nurse is assessing a 9-year-old boy who has been admitted to the hospital with

possible acute poststreptococcal glomerulonephritis (APSGN). In obtaining his history, what information is most significant?

• A sore throat
• A history of hypertension
• Diuresis during the night
• Back pain for a few days

Correct Answer: A. A sore throat

• The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-old

infant, and notes that the FOC has increased 5 inches since birth and the child's head appears large in relation to body size. Which action is most important for the nurse to take next?

• Plot the measurement on the infant's growth chart

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• Observe the infant for sunset eyes
• Measure the infants head-to-heel length
• Palpate the anterior fontanel for tension and bulging

Correct Answer: D. Palpate the anterior fontanel for tension and bulging

• A infant recently admitted with vomiting and diarrhea now weighs 10kg. Her weight

at previous visit was 11kg. What is the percentage of baby weight loss for this infant?

• 4%
• 9%

C. 10%

• 5%

Correct Answer: B. 9%

• A male high school student with type 1 diabetes test his blood glucose level before

playing a game of soccer, and he obtains a reading of 180 mg/dl (10 mmol/L). Based on this reading, which action should the nurse take?

• Tell him to eat a sandwich and fruit before beginning the game
• Check his urine for ketones
• Give him permission to go ahead and play soccer
• Call the healthcare provider

Correct Answer: A. Tell him to eat a sandwich and fruit before beginning the game

• A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic

fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?

• Sore throat
• Chickenpox
• Mumps
• Influenza

Correct Answer: A. Sore throat

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• A mother brings her 2-month-old son to the clinic for a well-baby exam. During the

assessment the nurse finds that the right testicle in not descended into the scrotum, but the left is palpable. Which action should the nurse take?

• Prepare to obtain a catheterized urine specimen for culture
• Address possible concerns about the child's future fertility
• Ask if the right testis has been seen in the scrotum before
• Schedule an IV pyelogram to validate presence of testicle

Correct Answer: C. Ask if the right testis has been seen in the scrotum before

• The nurse is assessing a 6-month-old infant. Which response required further

evaluation by the nurse?

• Has double birth weight
• Turns head to locate sound
• Plays "peek-a-boo"
• Demonstrates startle reflex

Correct Answer: D. Demonstrates startle reflex

• A 4-year-old girl returns to the pediatrician's office for a postoperative visit following

hospitalization for minor surgery. When observing the child in the waiting area, which behavior should the nurse consider normal for this age child?

• Ignores other children in the play area
• Draws pictures of self with facial features
• "Talks" to an imaginary friend
• Sits quietly in her mother's lap

Correct Answer: C. "Talks" to an imaginary friend

• A preschool-age child in experiencing respiratory distress is brought to the

emergency department by the parents. The child is anxious, has a temperature of 102.8 F (39.3C), and is drooling from the mouth while leaning forward when sitting.Which action should the nurse prepare the child next?

• Obtain bedside trays for intubation or tracheotomy by the healthcare provider

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• Begin prescribed intravenous antibiotic administration
• Provide a nebulizer treatment with bronchodilators
• Schedule the child for a stat magnetic resonance imaging (MRI) of the neck

Correct Answer: A. Obtain bedside trays for intubation or tracheotomy by the

healthcare provider

• A 6-year-old male with a body mass index (BMI) in the 95th percentile for gender

and age arrives at the clinic after a referral from the school nurse. His laboratory findings include a hemoglobin A1C od 5.5, blood pressure in the 50th percentile for age, height in the 75th percentile, and an LDL, cholesterol of 90 mg/dl. Which lifestyle modification should the nurse discuss with the parents?

• Recommend increasing daily fruits and vegetables and daily exercise
• Return in one month for another evaluation of serum lipids and blood pressure
• Instruct the parents to weight the child weekly and measure his BP daily
• See a healthcare provider to further assess for diabetes and hypertension

Correct Answer: A. Recommend increasing daily fruits and vegetables and daily

exercise

• When administering indomethacin to a premature infant who has patent ductus

arteriosus, the nurse should anticipate which outcome?

• Decreased urinary output
• Decreased cardiac murmur
• Increased number of RBC
• Increased respiratory effort

Correct Answer: B. Decreased cardiac murmur

• A 2-year-old boy who had hypospadias repair yesterday goes to the hospital

playroom with his mother. Which activity should the nurse recommend?

• Peddling a tricycle in the hall
• Riding a rocking horse
• Using a large-piece puzzle