Pediatric HESI Practice Questions And Correct Detailed Answers (Verified Answers) Already Graded A+.

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Pediatric HESI Practice Questions And Correct Detailed Answers (Verified Answers) Already Graded A+.

• The nurse is examining a male child experiencing an exacerbation of juvenile

rheumatoid arthritis (JRA) and notes that his mobility is greatly reduced. What is the most likely cause of the child's impaired mobility? A. Pathologic fractures B. Poor alignment of joints C. Dyspnea on exertion D. Joint inflammation Correct Answer: D

• A 4-year-old child has cystic fibrosis. Which stage of Erikson's theory of

psychosocial development is the nurse addressing when teaching inhalation

therapy? A. Autonomy B. Industry C. Trust D. Initiative Correct Answer: D

• A burned child is brought to the emergency department, and the nurse uses a

modified rule of nines to estimate the percentage of the body burned. When calculating the percentage of burn, which parts of the child's body is proportionally larger than an adult's? A. Head and neck B. Arms and chest C. Legs and abdomen D.

Back and abdomen Correct Answer: A

• When inserting a nasogastric tube into the stomach of a 3-month-old infant, which

nursing intervention is most important to implement? A. Use a blanket as a mummy restraint. B. Monitor the infant's heart rate. C. Lubricate the catheter with saline. D.

Explain the procedure to the parents.Correct Answer: B

• A child breaks out with varicella infection (chickenpox) while hospitalized for a

minor surgical procedure. Which intervention should the nurse implement first? A.Place a mask on the child before transporting the child outside the room. B.Immunize exposed family members with the varicella vaccine. C. Place the child in strict isolation to prevent an outbreak on the unit. D. Determine which staff have

had varicella before making assignments.Correct Answer: C

• A newborn female whose mother is HIV-positive is scheduled for the first follow-up

assessment with the nurse. If the child is HIV-positive, which initial symptom is she most likely to exhibit? A. Shortness of breath B. Joint pain C. Persistent cold D.

Organomegaly Correct Answer: C

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• 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. D. Call the parents and have them take the child home from school for the rest of the

day.Correct Answer: B

• 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. D. Encourage the child to sit up at a 45-degree angle, drink cold water, and take deep breaths.Correct

Answer: C

• 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.Correct

Answer: A

• 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.Correct Answer: B

• A 7-month-old infant with a rotavirus causing severe diarrhea is admitted for

treatment. Which intervention should the nurse implement first? A. Obtain a scale to weigh the infant's diapers. B. Instruct the mother to offer Pedialyte regularly. C.Insert an intravenous (IV) line and begin IV fluids. D. Obtain a stool specimen for

analysis.Correct Answer: C

• The nurse admits a child to the intensive care unit with a diagnosis of acquired

aplastic anemia. What is the most common cause of this type of anemia? A.Bacterial infections B. A diet deficient in iron C. Heart-lung congenital defects D.

Exposure to certain drugs Correct Answer: D

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• A 7-month-old male infant diagnosed with spastic cerebral palsy is seen by the

nurse in the clinic. Which statement by the parent warrants immediate intervention by the nurse? A. "My son often chokes while I am feeding him." B. "Is it normal for my child's legs to cross each other?" C. "He gets stiff when I pull him up to a sitting position." D. "My 4-year-old son is jealous of his little brother." Correct Answer: A

• When caring for a child with congenital heart disease and polycythemia, which

nursing intervention has the highest priority? A. Administering oxygen therapy continuously B. Restricting fluids as ordered C. Maintaining adequate hydration D.

Maintaining digoxin (Lanoxin) levels Correct Answer: C

• An 18-month-old child returns to the unit following a cardiac catheterization with a

cannulated femoral artery site. Which intervention should the nurse implement? A.Teach the parents how to ambulate the child in the room safely. B. Show the parents how to hold the child with the extremity extended. C. Restrain the child's lower extremities for a minimum of 4 hours. D. Place the child in a prone position to apply

pressure to the site.Correct Answer: B

• The nurse assigns an unlicensed assistive personnel (UAP) to provide morning care

to a newly admitted child with bacterial meningitis. What is the most important instruction for the nurse to review with the UAP? A. Use designated isolation precautions. B. Keep the lighting in the room dim. C. Allow the parents to assist with

care. D. Report any pain that the child experiences.Correct Answer: A

• A child is admitted to the hospital for confirmation of a diagnosis of acute

lymphoblastic leukemia. During the initial nursing assessment, which symptoms will this child most likely exhibit? A. Bone pain, pallor B. Weakness, tremors C.

Nystagmus, anorexia D. Fever, abdominal distention Correct Answer: A

• Following the administration of immunizations to a 6-month-old girl, the nurse

provides the family with home care instructions. Which statement by the mother indicates that further teaching is needed? A. "I will give her a baby aspirin every 4 hours as needed for fever." B. "I will call the clinic if her cry becomes high-pitched or unusual." C. "I know I can expect her to be irritable over the next 2 days." D. "I will

exercise her legs regularly to decrease the soreness." Correct Answer: A

• Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a solution that

contains 250 mg/5 mL. How many milliliters should the nurse administer in one

dose? A. 10 B. 15 C. 20 D. 25 Correct Answer: B

• An infant is receiving digoxin (Lanoxin) for congestive heart failure. The apical heart

rate is assessed at 80 beats/min. What intervention should the nurse implement? A.

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Call for a portable chest radiograph. B. Obtain a therapeutic drug level. C. Reassess the heart rate in 30 minutes. D. Administer digoxin immune Fab (Digibind)

stat.Correct Answer: B

• The nurse notes that a 16-year-old male client is refusing visits from his classmates.

Further assessment reveals that he is concerned about his edematous facial features. Based on these assessment findings, the nurse should plan interventions related to which nursing diagnosis? A. Social isolation B. Altered health

maintenance C. Knowledge deficit D. Ineffective coping Correct Answer: A

• The nurse is preparing a teaching plan for the mother of a child who has been

diagnosed with celiac disease. Choosing which lunch will be within the therapeutic management of a child with celiac disease? A. Turkey salad, milk, and oatmeal cookies B. Baked chicken, coleslaw, soda, and frozen fruit dessert C. Tuna salad sandwich on whole wheat bread, milk, and ice cream D. Turkey sandwich on rye

bread, orange juice, and fresh fruit Correct Answer: B

• The nurse is preparing a health teaching program for parents of toddlers and

preschoolers and plans to include information about the prevention of accidental poisonings. It is most important for the nurse to include which instruction? A. Tell children that they should not taste anything but food. B. Store all toxic agents and medicines in locked cabinets. C. Provide special play areas in the house and restrict play in other areas. D. Punish children if they open cabinets that contain household

chemicals.Correct Answer: B

• The nurse is planning postoperative care for a child who has had a cleft lip repair.

What is the most important reason to minimize this child's crying during the recovery period? A. Tear formation increases salivation. B. This behavior increases respirations. C. Excessive hysteria can lead to vomiting. D. Crying stresses the

suture line.Correct Answer: D

• Which preoperative nursing intervention should be included in the plan of care for

an infant with pyloric stenosis? A. Monitor for signs of metabolic acidosis. B.Estimate the quantity of diarrhea stools. C. Place in a supine position after feeding.

D. Observe for projectile vomiting.Correct Answer: D

• The nurse is taking the family history of a 2-year-old child with atopic dermatitis

(eczema). Which statement by the mother is most important in formulating a plan of care for this child? A. "Our first child was born with a cleft lip." B. "We are very careful not to get sunburns in our family." C. "My first child sometimes got a diaper