PEDIATRICS - HESI PRACTICE EXAM {ALREADY GRADED A+ } NEWEST VERSION

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PEDIATRICS - HESI PRACTICE EXAM {ALREADY

GRADED A+ } NEWEST VERSION

Nursing & Pediatric Study Guide

• A full-term infant is admitted to the newborn nursery. After careful assessment, the

nurse suspects that the infant may have an esophageal atresia. Which symptoms is this newborn likely to have exhibited?

• choking, coughing, and cyanosis
• Projectile vomiting and cyanosis
• Apneic spells and grunting
• Scaphoid abdomen and anorexia

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:

• causes confusion
• increases salivation
• causes hyperventilation
• 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

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Correct Answer: A

Rationale: Intercostal retractions result from respiratory effort to draw air into restricted airways.

• A 2-year old child with Down syndrome is brought to the clinic for his regular

physical examination. The nurse knows which problem is frequently associated with Down syndrome?

• congenital heart disease
• Fragile X chromosome
• Trisomy 13
• Pyloric stenosis

Correct Answer: A

• A six-month-old returns from surgery with elbow restraints in place. What nursing

care should be included when caring for any restrained child?

• keep restraints on at all times
• remove restraints one at a time and provide range of motion exercises
• remove all restraints every 2 hours
• assess pulse every 4 hours

Correct Answer: B

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

infant with pyloric stenosis?

• monitor for diarrhea
• feed slowly
• keep in prone position
• observe for projectile vomiting

Correct Answer: D

• Which restraint should be used for a toddler after a cleft palate repair?
• wrist restraints

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• jacket restraint
• elbow restraints
• mummy restraint

Correct Answer: C

• 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.What action should the nurse take next?

• Send the child home immediately.
• Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
• Prescribe antibiotics.
• Irrigate the ear.

Correct Answer: B

• To take the vital signs of a 4-month old child, which order will give the most accurate

results?

• Respiratory rate, heart rate, then rectal temperature
• Heart rate, rectal temperature, respiratory rate
• Rectal temperature, heart rate, respiratory rate
• Heart rate, respiratory rate, rectal temperature

Correct Answer: A

• The nurse is giving preoperative instructions to a 14-year old female client who is

scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place?

• "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

expect"

• "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"

Correct Answer: D

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Rationale: Outcome of learning is best demonstrated when the client not only verbalizes an understanding but can also provide a return demonstration.

• Which behavior would the nurse expect a two-year-old child to exhibit?
• Build a house with blocks
• Ride a tricycle
• display possessiveness of toys
• Look at a picture book for 15 minutes

Correct Answer: C

Rationale: 2-year-olds are egocentric; they are unable to share with other children.

• The mother of a preschool-aged client asks the nurse if it is all right to administer

Pepto Bismol 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?

• If the child's tongue darkens, discontinue immediately.
• do not give if the child has chickenpox, the flu, or any other viral illness.
• Avoid use until child is 16.
• It may cause rebound hyperacidity.

Correct Answer: B

Rationale: Pepto Bismol contains aspirin and there is the potential of Reye's syndrome.

• The nurse observes a 4-year old boy in a daycare setting. Which behavior should

the nurse consider normal for this client?

• Has a temper tantrum when told he must share.
• Plays by himself most of the day.
• demonstrates aggressiveness by boasting when telling a story
• Begins to cry when separated from parents.

Correct Answer: C