HESI Comprehensive NCLEX-RN Practice (Pediatrics) Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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HESI Comprehensive NCLEX-RN Practice (Pediatrics) Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a solution

that contains 250 mg/5 mL. How many milliliters should the nurse administer in one dose?

• 10
• 15
• 20
• 25

Correct Answer: B

• A child breaks out with varicella infection (chickenpox) while hospitalized for a

minor surgical procedure. Which intervention should the nurse implement first?

• Place a mask on the child before transporting the child outside the room.
• Immunize exposed family members with the varicella vaccine.
• Place the child in strict isolation to prevent an outbreak on the unit.
• Determine which staff have had varicella before making assignments.

Correct Answer: C

• A child with a permanent tracheostomy is confined to a wheelchair and is going

to school for the first time tomorrow. During the school day, which intervention should be implemented for this child?

• Cover the tracheostomy site with clothing so that other children will not notice.
• Apply suction for 30 seconds when inserting a catheter into the stoma.
• Discourage the child from coughing deeply to remove mucous secretions.
• Place suctioning supplies on the back of the wheelchair when transporting.

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Correct Answer: D

• When inserting a nasogastric tube into the stomach of a 3-month-old infant,

which nursing intervention is most important to implement?

• Use a blanket as a mummy restraint.
• Monitor the infant's heart rate.
• Lubricate the catheter with saline.
• Explain the procedure to the parents.

Correct Answer: B

• The nurse is assessing a male adolescent client's knowledge of contraception.

The teen states, "I have all the info I need." What is the best response by the nurse?

• "Tell me what you know about birth control."
• "Do you know how to apply a condom?"
• "Teen pregnancy should not be taken lightly."
• "You need to visit with your guidance counselor."

Correct Answer: A

• Prophylactic antibiotics are prescribed for a child who has mitral valve damage.

The nurse should advise the parents to give the antibiotics prior to which occurrence?

• Adjustment of orthodontic appliances or braces
• Loss of deciduous teeth (baby teeth)
• Urinary catheterization
• Insect bites

Correct Answer: C

• Which nursing diagnosis has the highest priority when planning care for an

infant with eczema?

• High risk for altered parenting related to feelings of inadequacy
• Altered comfort (pruritus) related to vesicular skin eruptions

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• Altered health maintenance related to knowledge deficit of treatment
• Risk for impaired skin integrity related to eczema

Correct Answer: B

• A newborn female whose mother is HIV-positive is scheduled for the first

follow-up assessment with the nurse. If the child is HIV-positive, which initial symptom is she most likely to exhibit?

• Shortness of breath
• Joint pain
• Persistent cold
• Organomegaly

Correct Answer: C

• Which nursing interventions are therapeutic when caring for a hospitalized

toddler? (Select all that apply.)

• Require parents to leave the room when performing invasive procedures.
• Allow the toddler to choose a colored Band-Aid after an injection.
• Give brief but simple explanations to the child before procedures.
• Insert a urinary catheter if bed-wetting occurs during hospitalization.
• Do not allow any toys to be brought in from the child's home.

Correct Answer: B, C

• A 7-month-old male infant diagnosed with spastic cerebral palsy is seen by the

nurse in the clinic. Which statement by the parent warrants immediate intervention by the nurse?

• "My son often chokes while I am feeding him."
• "Is it normal for my child's legs to cross each other?"
• "He gets stiff when I pull him up to a sitting position."
• "My 4-year-old son is jealous of his little brother."

Correct Answer: A

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• Which interventions should the nurse include in the teaching plan for the

mother of a 6-year-old who is experiencing encopresis secondary to a fecal impaction? (Select all that apply.)

• Provide a low-fiber diet.
• Administer mineral oil daily.
• Decrease the daily fluids.
• Eliminate dairy products.
• Initiate consistent toileting routine.

Correct Answer: B, D, E

• The nurse is planning postoperative care for a child who has had a cleft lip

repair. What is the most important reason to minimize this child's crying during the recovery period?

• Tear formation increases salivation.
• This behavior increases respirations.
• Excessive hysteria can lead to vomiting.
• Crying stresses the suture line.

Correct Answer: D

• A 6-month-old male infant is admitted to the post-anesthesia care unit with

elbow restraints in place. He has an endotracheal tube and is ventilator- dependent but will be extubated soon following recovery from anesthesia.Which nursing intervention should be included in this child's plan of care?

• Keep restraints on at all times to prevent unplanned extubation.
• Remove restraints one at a time and provide range-of-motion exercises.
• Remove all restraints simultaneously and provide play activities.
• Document the reason for application of the restraints every 72 hours.

Correct Answer: B

• In making the initial assessment of a 2-hour-old infant, which finding should

lead the nurse to suspect a congenital heart defect?