Pediatric's HESI Comp Book Correct and Verified Answers Graded A

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Pediatric's HESI Comp Book Correct and Verified Answers Graded A

• A 2-month-old infant is scheduled to receive the first DPT immunization. What is the

preferred injection site to administer this immunization?

• Dorsal gluteal
• Vastus lateralis
• Ventral gluteal
• Deltoid

Correct Answer: b. Vastus lateralis

• What is the most important information for the practical nurse (PN) to review with a

12 year old who is receiving long-term and rescue medications for routine management of asthma?

• Drink a large amount of cold fluids after exercising to restore hydration.
• Avoid swimming, which increases the need for oxygen while underwater.
• Before swimming, use albuterol for prevention of exercise-induced bronchospasm.
• Keep a prescription for a premeasured dose of epinephrine available.

Correct Answer: c. Before swimming, use albuterol for prevention of exercise-induced bronchospasm.

• The nurse is assisting with data collection for a 2-week-old infant who has been

diagnosed with pyloric stenosis. The nurse recognizes which is a sign or symptom associated with pyloric stenosis?

• Occasional burping episodes after swallowing air.

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• Vomiting which appears to contain brownish colored bile.
• Mass in the upper right abdominal quadrant, shaped like an olive.
• Emesis which looks and smells as if it had feces backed up into it.

Correct Answer: c. Mass in the upper right abdominal quadrant, shaped like an olive.

• A mother phones the clinic because her 6-year-old child has been taking prescribed

antibiotics for 7 of the previous 10 days and continues to cough. She also reports that the cough is worsening and is nonproductive. What information should the practical nurse (PN) provide to this mother?

• Watch the child a few more days and see if the cough begins to produce sputum.
• Complete the full 10-day course of antibiotics and reevaluate the cough then.
• Give the child plenty of fluids and an over-the-counter cough suppressant.
• Bring the child to the clinic today for an examination related to the cough.

Correct Answer: d. Bring the child to the clinic today for an examination related to the cough.

• To minimize separation anxiety in a hospitalized 2 year old, which nursing

intervention is best for the practical nurse to implement?

• Provide for privacy.
• Encourage parents to room-in.
• Explain procedures and routines.
• Encourage contact with children of the same age.

Correct Answer: b. Encourage parents to room-in.

• The teacher reports that a 7-year-old child frequently daydreams in school,

experiences abrupt interruptions in conversations, and stares into space. Which action should the practical nurse take?

• Observe the child's behavior in the classroom.

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Correct Answer: b. Observe the child's behavior in the classroom.

• The practical nurse (PN) is assessing a child with asthma for retractions during

respirations. When should the PN recognize the absence or presence of intercostal retractions?

• Inspiration
• Coughing
• Apneic episodes
• Expiration

Correct Answer: a. Inspiration

• A child has been treated in the emergency department for a fractured distal radius.

The nurse has reinforced instructions for care of the cast at home. The nurse realizes additional instruction is needed if the caregiver makes which comments? (Select all that apply.)

• "It is normal for the child to not be able to move the fingers very well after the cast is

applied."

• "If my child is itching under the cast, I can use sterile cotton tipped applicators under the

cast to scratch it."

• "If my child's arm is hurting so badly, and pain meds have not worked, I should bring the

child back to the emergency department."

• "If my child's fingers begin to be cold or blue, I should try to wrap up his fingers in some

warm cloths."

• "I will need to make sure the child does not get the cast wet, I can use plastic wrap

around the cast for bathing."

Correct Answer:

• "It is normal for the child to not be able to move the fingers very well after the cast is

applied."

• "If my child is itching under the cast, I can use sterile cotton tipped applicators under the

cast to scratch it."

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• "If my child's fingers begin to be cold or blue, I should try to wrap up his fingers in some

warm cloths."

• The practical nurse (PN) is orienting a new nurse employee as they care for a toddler

who is admitted for cleft palate repair. The nurse realizes the new employee understands the plan of care if the new employee gathers which type of restraint to apply in the postoperative period?

• Wrist
• Mummy
• Elbow
• Jacket

Correct Answer: c. Elbow

• A 2-year-old child developed a fever of 103.4° F (39.7° C) and was rushed to the

emergency department when the child developed febrile seizures. After the child was stabilized, the health care provider diagnosed otitis media in the child. The concerned caregivers ask the nurse how this can be prevented from happening again. The nurse should reinforce which instructions?

• Contact the child's health care provider if the child starts pulling at the ear.
• If the child develops an elevated temperature, bathe the child in cold water.
• Give the child a bottle to take while in the supine position to relieve the pain.
• Use children's chewable baby aspirin if the child's temperature is over 102° F (38.9° C).

Correct Answer: a. Contact the child's health care provider if the child starts pulling at the ear.

• The nurse is caring for an adolescent male who has just been diagnosed with

cancer and will be receiving chemotherapy. The client asks if he will lose his hair with the chemotherapy. Which is the most appropriate response from the nurse?

• "Yes, but other side effects are a great deal more life threatening."