Pediatrics HESI Practice Exam (evolve) Correct and Verified Answers Graded A

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Pediatrics HESI Practice Exam (evolve) Correct and Verified Answers Graded A

• A 12-year-old male client tells the nurse that he is happy to be taking growth

hormones because now he can grow to be as tall as his friends. What response is best for the nurse to provide?

• "You must remember that this treatment regimen is not always effective."
• "Although being tall is important to you, remember there are far more important

characteristics than height."

• "You will grow with this medicine, and are likely to be taller than anyone in your family."
• "Being taller is important to you and taking your injections will help achieve that goal."

Correct Answer: d. "Being taller is important to you and taking your injections will help achieve that goal."

• A newborn who is breastfeeding is diagnosed with galactosemia. Which action

should the nurse implement?

• Stop the infant breastfeeding.
• Add amino acids to breast milk.
• Give galactokinase with breast milk.
• Substitute a lactose-containing formula.

Correct Answer: a. Stop the infant breastfeeding.

• The nurse is triaging a child with a fever brought to the emergency department by

the parents. Which finding requires the nurse's immediate intervention?

• Prolonged exhalations.
• Thick yellow rhinorrhea.
• Frequent nonproductive cough.

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• Oxygen saturation of 95% by pulse oximeter.

Correct Answer: a. Prolonged exhalations.

• A child with a penetrating eye injury comes to the school clinic. Which action should

the nurse implement?

• Remove the object impaled in the eye and then apply a regular eye patch.
• Place an ice bag over the eye until the healthcare provider is seen
• Irrigate the affected eye copiously with a cool sterile saline solution.
• Apply a Fox shield to the affected eye and any type of patch to the other eye.

Correct Answer: d. Apply a Fox shield to the affected eye and any type of patch to the other eye.

• Which sign of malignant hyperthermia should the nurse assess for during the

perioperative period in a child receiving general anesthesia?

• Apnea.
• Tachypnea.
• Bradycardia.
• Decreased blood pressure.

Correct Answer: b. Tachypnea.

• The nurse is caring for an irritable, lethargic 18-month-old child who swallowed

several over-the-counter (OTC) antihistamine tablets an hour ago. Which intervention should the nurse implement?

• Initiate gastric lavage.
• Administer naloxone.
• Give a dose of ipecac syrup.
• Encourage oral intake of water or milk.

Correct Answer: a. Initiate gastric lavage.

• When conducting a hygiene class for adolescent girls, it is important for the nurse to

include which instruction about preventing toxic shock syndrome?

• Wash your hands before inserting a tampon.

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• Use super absorbent tampons.
• Wear cotton underwear.
• Douche following menstruation.

Correct Answer: a. Wash your hands before inserting a tampon.

• 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 membranes.
• Increased skin turgor.

Correct Answer: a. Tachycardia.

• The community health nurse teaches the parents of school-age children about the

need for fluoride as part of a dental health program. Which statement by the parents indicates that they understand the teaching?

• "Excessive amounts of fluoride will make teeth turn brittle and yellow."
• "Having our children brush with fluoride toothpaste is not effective."
• "Use of fluoride in water is mostly effective during initial tooth formation."
• "Dental caries can be prevented through fluoridation of public water."

Correct Answer: d. "Dental caries can be prevented through fluoridation of public water."

• Which should the nurse assess last when examining a 5-year-old child?
• Heart.
• Lungs.
• Throat.
• Abdomen.

Correct Answer: c. Throat.

• A 4-year-old child who is ventilator-dependent is receiving tube feedings in the

home setting. The family wants to begin oral feeding of the child and asks the home

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health nurse to orally feed the 4-year-old baby food. Rank the steps that should be taken in priority order.

• Acknowledge the request.
• Explore available options.
• Explain the risk of aspiration.
• Contact the healthcare provider (HCP) and discuss suggested new options for

further orders and additional discussion.

Correct Answer:

• Acknowledge the request.
• Explain the risk of aspiration.
• Explore available options.
• Contact the healthcare provider (HCP) and discuss suggested new options for

further orders and additional discussion.

• The nurse is developing a plan of care for a school-aged boy with a chronic

disability. The child frequently complains about being different from his siblings and wants others to do things for him that he is capable of doing for himself. To assist the family in coping with this child's chronic illness, which intervention is most important for the nurse to implement?

• Recommend the use of consistent discipline and reward for acceptable behavior.
• Allow the child to act out since he is chronically ill.
• Suggest that all the children are included in family decision-making.
• Evaluate the proper use of equipment that is provided to improve the child's lifestyle.

Correct Answer: a. Recommend the use of consistent discipline and reward for

acceptable behavior.

• Which research finding provides evidence-based practice for an infant's risk for

sudden infant death syndrome (SIDS)?

• Breastfeeding reduces the risk for and the incidence of SIDS.
• Infants should be positioned supine or supported laterally to sleep.
• The prone position should be used when an infant sleeps after feeding.