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Pediatric HESI Practice Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
- Which restraint should be used for a toddler after a cleft palate repair?
- Elbow.
- Clove hitch.
- Mummy.
- Jacket.
Correct Answer: A. Elbow.
- A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir.
- Sweating across the forehead.
- Doesn't suck well.
- Apical heart rate of 60.
- Respiratory rate of 30 breaths per minute.
Which observation by the nurse warrants immediate intervention?
Correct Answer: C. Apical heart rate of 60.
- A 4-year-old girl continues to interrupt her mother during a routine clinic visit. The
- Role conflict is a common problem of children this age. She is just wondering where she
- Children need to retain a sense of initiative without impinging on the rights and privileges
- Negative feelings of doubt and shame are characteristic of 4-year-old children.
mother appears irritated with the child and asks the nurse, "Is this normal behavior for a child this age?" The nurse's response should be based on which information?
fits into society.
of others.
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- At this age children compete and like to produce and carry through with tasks. She is just
- The nurse receives a lab report stating a child with asthma has a theophylline level
- Pass the information on in the report.
- Notify the healthcare provider because the value is high.
- Repeat the lab study because the value is too high.
- Hold the next dose of theophylline.
competing with her mother.Correct Answer: B. Children need to retain a sense of initiative without impinging on the rights and privileges of others.
of 15 mcg/dl. What action will the nurse take?
Correct Answer: A. Pass the information on in the report.
- The nurse is assessing a 2-year-old. What behavior indicates that the child's
- Is able to name four colors.
- Half of child's speech is understandable.
- Can count five blocks.
- Is capable of making a three word sentence.
language development is within normal limits?
Correct Answer: B. Half of child's speech is understandable.
- What preoperative nursing intervention should be included in the plan of care for an
- Monitor for signs of metabolic acidosis.
- Estimate the quantity of diarrhea stools.
- Place in a supine position after feeding.
- Observe for projectile vomiting.
infant with pyloric stenosis?
Correct Answer: D. Observe for projectile vomiting.
- A 2-year-old child with gastro-esophageal reflux has developed a fear of eating.
- Invite other children home to share meals
What instruction should the nurse include in the parents' teaching plan?
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- Accept that he will eat when he is hungry.
- Reward the child with a nap after eating.
- Consistently follow a set mealtime routine.
Correct Answer: D. Consistently follow a set mealtime routine.
- The nurse assigning care for a 5-year-old child with otitis media is concerned about
- An RN should be assigned to take temperatures frequently.
- Tympanic and oral temperatures are equally accurate.
- The PN should take rectal temperatures on this child.
- The pediatrician should decide how to assess the temperature.
the child's increasing temperature over the past 24 hours. Which statement is accurate and should be considered when planning care for the remainder of the shift?
Correct Answer: B. Tympanic and oral temperatures are equally accurate.
- When planning the care for a child who has had a cleft lip repair the nurse knows
that crying should be minimized because it:
- Increases salivation.
- Increases the respiratory rate.
- Stresses the suture line.
- Leads to vomiting.
Correct Answer: C. Stresses the suture line.
- The mother of a 4-year-old child asks the nurse what she can do to help her other
- Inform the parent that the child is too young to visit the hospital.
- Suggest that the child visit a grandmother until the sibling returns home.
- Ask the mother if the child asks when the sibling will be discharged.
- Encourage the mother to have the children visit the hospitalized sibling.
children cope with their sibling's repeated hospitalizations. Which is the best response that the nurse should offer?
Correct Answer: D. Encourage the mother to have the children visit the hospitalized sibling.
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- When taking the health history of a child, the nurse know what which finding is an
- Hyperactive behavioral traits.
- Delay in the eruption of permanent teeth.
- Slow sexual development, but within normal range.
- Cessation of growth in a child that had been normal.
early indication of hypothyroidism in children?
Correct Answer: D. Cessation of growth in a child that had been normal.
- The mother of a preschool aged child asks the nurse if it is all right to administer
- If the child's tongue darkens, discontinue the Pepto Bismol immediately.
- Do not give if the child has chickenpox, the flu, or any other viral illness.
- Avoid the use of Pepto Bismol until the child is at least 16 years old.
- Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache."
- Which growth and development characteristic should the nurse consider when
- A thin stratum corneum that increases topical absorption.
- A lower sensitivity reactions to skin irritants.
- A smaller percentage of muscle mass.
- A greater body surface area that requires larger dosages.
Pepto Bismol to her son when he has a "tummy ache" After reminding the mother to check the label of all OTC drugs for the presence of aspirin, which instruction should the nurse include when replying to this mother's question?
Correct Answer: B. Do not give if the child has chickenpox, the flu, or any other viral illness.
monitoring the effects of a topical medication for an infant?
Correct Answer: A. A thin stratum corneum that increases topical absorption.
- The nurse is preparing a health teaching program for parents of toddlers and
- Tell children they should not taste anything but food.
preschoolers and plans to include information about prevention of accidental poisonings. It is most important for the nurse to include which instruction?
