Pediatric HESI {ALREADY GRADED A+ } NEWEST VERSION

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Pediatric HESI {ALREADY GRADED A+ } NEWEST

VERSION

• The nurse is planning for a 5-month-old with GERD whose weight has decreased by 3

ounces since the last clinic visit one month ago. To increase caloric intake and decrease vomiting, what instructions should the nurse provide this mother?

• Give small amounts of baby food with each feeding
• Thicken formula with cereal for each feeding
• Dilute the child's formula with equal parts of water
• Offer 10?xtrose in water between most feedings

Correct Answer: b. Thicken formula with cereal for each feeding

• The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both

parents and 12-year-old sibling are at the child's bedside. Which instruction best supports family?

• While waiting for the healthcare provider, only one visitor may stay with the child
• All of you should leave while the HCP sutures the kids forehead
• It is best if the sibling goes to the waiting room until the suturing is completed
• Please decide who will stay when the HCP begins suturing

Correct Answer: d. Please decide who will stay when the HCP begins suturing

• 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?

• Measure the infant head-to-toe
• Palpate the anterior fontanel for tension and bulging
• Observe the infant for sunken eyes

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• Plot the measurement on the infants growth chart

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

• During a well-baby check, the nurse hides a block under the baby's blanket, and the

baby looks for the block. Which normal growth and development milestone is the baby developing?

• Separation anxiety
• Associative play
• Object prehension
• Object permanence

Correct Answer: d. Object permanence

• The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac

disease). Choosing which food indicates that the teaching has been effective?

• Creamed corn
• Pancakes
• Rye crackers
• Cooked oatmeal

Correct Answer: a. Creamed corn

• A 7-year-old is admitted to the hospital with persistent vomiting, and a nasogastric

tube attached to low intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare provider?

• Gastric output of 100 mL in the last 8 hours
• Shift intake of 640 mL iV fluids plus 30 mL PO ice chips
• Serum potassium of 3.0 mg/dL
• Serum pH of 7.45

Correct Answer: c. Serum potassium of 3.0 mg/dL

• A child admitted with DKAA is demonstrating Kussmaul respirations. The nurse

determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration?

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• Metabolic alkalosis
• Respiratory acidosis
• Respiratory alkalosis
• Metabolic acidosis

Correct Answer: d. Metabolic acidosis

• An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which

action should the nurse implement first?

• Administer morphine sulfate
• Start IV fluids
• Place the infant knee to chest
• Provide 100% oxygen via face mask

Correct Answer: c. Place the infant knee to chest

• Following a motor vehicle collision, a 3-year old girl has a spica cast applied. Which

toy is best for the nurse for this 3 year old child?

• Duck that squeaks
• Fashion doll and clothes
• Set of cloth and hand puppets
• Hand held video game

Correct Answer: c. Set of cloth and hand puppets

• The nurse is caring for a 3-year-old child who is 2 hours post-op from a cardiac

catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction?

• Blood pressure trend is downward and pulse is rapid and irregular.
• Right foot is cool to the touch and appears pale and blanched.
• Pulse distal to the femoral artery is weaker on the left foot than right foot.
• The pressure dressing at right femoral area is moist and oozing blood.

Correct Answer: b. Right foot is cool to the touch and appears pale and blanched.

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• While teaching a parenting class to new parents the nurse describes the needs of

infants and toddlers regarding discipline and limit setting. What is most important reason for implementing such parenting behaviors?

• Children need help in developing social skills
• This age child fears loss of self control
• They provide the child with a sense of security
• Children must learn to deal with authority

Correct Answer: c. They provide the child with a sense of security

• The parents of a newborn infant with hypospadias are concerned about when the

surgical correction should occur. What information should the nurse provide?

• Repair should be done by one month to prevent bladder infection.
• To form a proper urethra repair, it should be done after sexual maturity.
• Repairs typically should be done before the child is potty trained.
• Delaying the repair until school age reduces castration fears.

Correct Answer: c. Repairs typically should be done before the child is potty trained.

• Which drink choice on a hot day indicates to the nurse that a teenager with sickle

cell anemia understands dietary consideration related to the disease?

• Milkshake
• Iced tea
• Diet cola
• Lemonade

Correct Answer: d. Lemonade

• The nurse is assessing an infant with diarrhea and lethargy. Which finding should

the nurse identify that is consistent with early dehydration?

• Tachycardia
• Bradycardia
• Dry mucous membrane