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PEDIATRICS - HESI PRACTICE EXAM {ALREADY
GRADED A+ } NEWEST VERSION
- A full-term infant is admitted to the newborn nursery. After careful assessment, the
- choking, coughing, and cyanosis
- projectile vomiting and cyanosis
- apneic spells and grunting
- scaphoid abdomen and anorexia
nurse suspects that the infant may have an esophageal atresia. Which symptoms is this newborn likely to have exhibited?
Correct Answer: A
- 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
- leads to vomiting
- stresses the suture line
Correct Answer: D
- When assessing a child with asthma, the nurse should expect intercostal
retractions during:
- inspiration
- coughing
- apneic episodes
- expiration
Correct Answer: A
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- A 2-year old child with Down syndrome is brought to the clinic for his regular
- congenital heart disease
- fragile x-chromosome
- trisomy 13
- pyloric stenosis
physical examination. The nurse knows which problem is frequently associated with Down syndrome?
Correct Answer: A
- A six-month-old returns from surgery with elbow restraints in place. What nursing
- keep restraints on at all times.
- remove restraints one at a time and provide range of motion exercises
- Remove all restraints simultaneously and provide lay activities
- renew the healthcare provider's prescription for restraints every 72 hours.
care should be included when caring for any restrained child?
Correct Answer: B
- 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
- Which restraint should be used for a toddler after a cleft palate repair?
- clove hitch
- Mummy
- elbow
- jacket
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Correct Answer: C
- During routine screening at a school clinic, an otoscope examination of a child's ear
- No action required, as this is an expected finding for a school-aged child
- Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
- Send a note home advising the parents to have the child evaluated by a healthcare
- Call the parents and have them take the child home from school for the rest of the day.
reveals a tympanic membrane that is pearly gray, slightly bulging, and not movable.What action should the nurse take next?
provider as soon as possible.
Correct Answer: B
- To take the vital signs of a 4-month old child, which order will give the most accurate
- Respiratory rate, heart rate, then rectal temperature
- Heart rate, rectal temperature, then respiratory rate.
- Rectal temperature, heart rate, then respiratory rate
- Rectal temperature, respiratory rate, then heart rate
results?
Correct Answer: A
- The nurse is giving preoperative instructions to a 14-year old female client who is
- I will read all the literature you gave me before surgery.
- I have had surgery before when I broke my wrist in a bike accident, so I know what to
- All the things people have told me will help me take care of my back.
- I understand that I will be in a body cast and I will show you how you taught me to turn.
scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place?
expect.
Correct Answer: D
- Which behavior would the nurse expect a two-year-old child to exhibit?
- build a house with blocks
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- ride a tricycle
- display possessiveness of toys
- look at a picture book for 15 minutes
Correct Answer: C
- The mother of a preschool-aged client asks the nurse if it is all right to administer
- if the child's tongue darkness, discontinue the Pepto Bismal immediately
- do not give if the child has chickenpox, the flu, or any other viral illness.
- avoid the use of Pepto Bismal until the child is at least 16 years old.
- Pepto Bismal may cause a rebound hyperactivity, worsening the "tummy-ache."
Pepto Bismal 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
- The nurse observes a 4-year old boy in a daycare setting. Which behavior should
- Has a temper tantrum when told he must share his toys.
- plays by himself most of the day
- demonstrates aggressiveness by boasting when telling a story
- Begins to cry and is fearful when separated from his parents.
the nurse consider normal for this client?
Correct Answer: C
- A burned child is brought to the emergency room. In estimating the percentage of
- head and neck
- arms and chest
- legs and abdomen
- back and abdomen
the body burned, the nurse uses a modified "Rule of Nines." Which part of a child's body is calculated as a larger percentage of total body surface than an adult?
