Peds HESI Practice Questions Correct and Verified Answers Graded A

• | P a g e

Peds HESI Practice Questions Correct and Verified Answers Graded A

• "Methylphenidate hydrochloride (Ritalin) is prescribed for a 10-year-old child

diagnosed with attention deficit hyperactivity disorder, and the nurse provides instructions to the mother about administration of the medication. The nurse determines that the mother understands the instructions when the mother states:"

• I will give my child the medication at bedtime so that he will be rested and alert for

school the next day

• I will give my child the medication after meals to obtain the full effects of the medication
• I will give my child the medication at breakfast and lunch to prevent insomnia
• I will give my child the medication with water to prevent kidney damage

Correct Answer: c. I will give my child the medication at breakfast and lunch to prevent insomnia

• Methylphenidate (Ritalin) is prescribed for a child with a diagnosis of attention

deficit hyperactivity disorder (ADHD). The nurse provides instructions to the mother regarding the administration of the medication and tells the mother to administer the

medication:

• before dinner and at bedtime
• before breakfast and before the noontime meal
• in the morning after breakfast and at bedtime
• at the noontime and evening meals

Correct Answer: b. before breakfast and before the noontime meal

• A nurse is reviewing the results of a sweat test performed on a child with cystic

fibrosis (CF). The nurse would expect to note which finding?

• a sweat sodium concentration less than 40 mEq/L

• | P a g e

• a sweat potassium concentration less than 40 mEq/L
• a sweat potassium concentration greater than 40 mEq/L
• a sweat sodium concentration greater than 60 mEq/L

Correct Answer: d. a sweat sodium concentration greater than 60 mEq/L

• Breathing exercises and postural drainage is prescribed for a child with cystic

fibrosis. A nurse implements these procedures by telling the child to:

• perform the postural drainage, then the breathing exercises
• perform the breathing exercises, then the postural drainage
• schedule the procedures so they are 4 hours apart
• perform postural drainage in the morning and breathing exercises in the evening

Correct Answer: a. perform the postural drainage, then the breathing exercises

• A home care nurse is instructing the mother of a child with cystic fibrosis (CF) about

the appropriate dietary measures. The nurse tells the mother that the child needs to

consume a:

• low calorie, low fat diet
• high calorie, high protein diet
• low calorie, low protein diet
• high calorie, restricted fat

Correct Answer: b. high calorie, high protein diet

• A home care nurse is providing instructions to a child with cystic fibrosis about how

to perform the "huff" maneuver; the child asks the nurse about the purpose of this type of breathing. The nurse makes which response to the child?

• "this type of breathing is used to mobilize secretions so that they can be easily coughed

out"

• "this type of breathing prolongs inspiration time"
• "this type of breathing moves air out of the lower lungs"
• "this type of breathing moves air through the lungs"

• | P a g e

Correct Answer: a. "this type of breathing is used to mobilize secretions so that they can be easily coughed out"

• "A newborn infant is diagnosed with hypospadias, and the mother asks the nurse

about the disorder. The nurse bases the response on which of the following?"

• it is a congenital anomaly in which the actual opening of the urethra meatus is below the

normal placement on the glans penis

• it occurs when one or both testes fail to descend through the inguinal canal into the

scrotal sac

• it is a congenital anomaly in which the actual opening of the urethral meatus is dorsal to

the urethral opening

• it is a congential anomaly characterized by the extrusion of the urinary bladder to the

outside of the body Correct Answer: a. it is a congenital anomaly in which the actual opening of the urethra meatus is below the normal placement on the glans penis

• A mother of a toddler who is hospitalized with mild dehydration must leave her child

to go to work. Which behavior would the nurse expect to observe in the toddler immediately after the mother's departure?

• silently curled in bed with a blanket
• loudly crying and kicking both legs
• playing quietly with a favorite toy
• sucking thumb and rocking back and forth

Correct Answer: b. loudly crying and kicking both legs

• A 2-year-old child is admitted to the hospital with juvenile rheumatoid arthritis

(JRA). During the focused assessment, the nurse makes it a priority to note the presence of which of the following?"

• increased irritability and the child's insistence to be carried out
• complaints of joint stiffness
• history of daily temperature elevations
• description of how difficult it is to move around after periods of inactivity

• | P a g e

Correct Answer: a. increased irritability and the child's insistence to be carried out

• "A mother tells the nurse that her child does not want anything to do with toilet

training and yells "NO!" consistently when she tries to toilet train. The child is 2 years old. According to Erikson, the nurse interprets that the child is experiencing which psychosocial crisis?"

• autonomy vs shame and doubt
• initiative vs guilt
• industry vs inferiority
• trust vs mistrust

Correct Answer: a. autonomy vs shame and doubt

• Methylphenidate (Ritalin) is prescribed for a child with attention deficit

hyperactivity disorder (ADHD). The nurse provides instructions to the mother regarding the administration of the medication. Which statement by the mother would indicate a need for further instructions?

• I will administer the medication with the noontime meal
• I will keep the medication tightly capped and away from direct heat
• I should inform the school nurse that my child is taking this medication
• I should avoid giving the medications on Saturdays and Sundays to provide a medication

holiday Correct Answer: d. I should avoid giving the medications on Saturdays and Sundays to provide a medication holiday

• A client with diplopia has been given an eye patch to promote better vision and

prevent injury. The nurse teaches the client to do which of the following as part of correct use of this item?

• wear the patch continuously, alternating eyes each day
• wear the patch continuously, alternating eyes each week
• use the patch only when vision is exceptionally blurry
• put the patch on for an hour, and then take it off for an hour

Correct Answer: a. wear the patch continuously, alternating eyes each day