PEDIATRIC HESI PRACTICE EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS

PEDIATRIC HESI PRACTICE EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS
TheA2nurseA2isA2assessingA2anA2infantA2withA2diarrheaA2andA2lethargy.A2WhichA2findingA2s
houldA2theA2nurseA2identifyA2thatA2isA2consistentA2withA2earlyA2dehydration?
A.A2Tachycardia.
B.A2Bradycardia.
C.A2DryA2mucousA2membranes.
D.A2IncreasedA2skinA2turgor.A2-A2Ans--A.A2Tachycardia.

WhileA2assessingA2theA2apicalA2pulseA2ofA2aA213-year-
old,A2theA2nurseA2determinesA2thatA2theA2rateA2isA288A2beats/
minute,A2andA2theA2rhythmA2isA2irregular.A2TheA2heartA2rateA2isA2phasicA2withA2respirations
,A2increasingA2duringA2inspirationA2andA2decreasingA2withA2expiration.A2WhatA2actionA2sho
uldA2theA2nurseA2take?
A.A2ContinueA2theA2cardiacA2examination.
B.A2InquireA2aboutA2dailyA2caffeineA2intake.
C.A2Re-assessA2theA2apicalA2pulseA2inA215A2minutes.
D.A2ScheduleA2aA2consultationA2withA2aA2cardiologist.A2-A2Ans--
A.A2ContinueA2theA2cardiacA2examination.

AnA28-year-
oldA2boyA2whoA2isA2recentlyA2diagnosedA2withA2diabetesA2mellitusA2isA2admittedA2toA2theA2i
ntensiveA2careA2unitA2withA2diabeticA2ketoacidosisA2(DKA).A2WhichA2nursingA2actionA2hasA
2theA2highestA2priority?
A.A2PlaceA2onA2cardiacA2monitor.
B.A2InitiateA2anA2intravenousA2infusion.
C.A2CollectA2specimenA2forA2serumA2electrolytes.
D.A2ObtainA2fingerstickA2glucose.A2-A2Ans--B.A2InitiateA2anA2intravenousA2infusion.

AA2motherA2tellsA2theA2nurseA2thatA2herA2childrenA2areA2askingA2questionsA2aboutA2divorce
,A2butA2oneA2maleA2childA2tellsA2herA2thatA2heA2isA2sorryA2thatA2heA2causedA2theA2divorceA2
ofA2theA2parents.A2WhichA2ageA2groupA2isA2mostA2likelyA2toA2experienceA2feelingsA2ofA2pun
ishmentA2orA2responsibityA2forA2theA2divorceA2ofA2parents?
A.A21A2year.
B.A24A2years.
C.A28A2years.
D.A213A2years.A2-A2Ans--B.A24A2years.

AA214-year-
oldA2returnsA2toA2theA2pediatricA2unitA2afterA2correctiveA2surgeryA2forA2scoliosis.A2InA2theA2i
mmediateA2postoperativeA2period,A2theA2nurseA2shouldA2includeA2whichA2action(s)A2inA2thi
sA2client'sA2planA2ofA2care?A2(SelectA2allA2thatA2apply.)

,SelectA2allA2thatA2apply
A.A2RecordA2intakeA2andA2outputA2everyA28A2hours.
B.A2ElevateA2theA2headA2ofA2theA2bedA230A2degrees.
C.A2AssessA2bowelA2soundsA2everyA24A2hours.
D.A2InitiateA2aA2logrollingA2scheduleA2everyA22A2hours.
E.A2AmbulateA2forA25A2minutesA212A2hoursA2postoperative.
F.A2GiveA2morphineA2sulfateA22A2mgA2IVA2everyA24A2hoursA2PRN.
RationaleA2-A2Ans--A.A2RecordA2intakeA2andA2outputA2everyA28A2hours.
C.A2AssessA2bowelA2soundsA2everyA24A2hours.
D.A2InitiateA2aA2logrollingA2scheduleA2everyA22A2hours.
F.A2GiveA2morphineA2sulfateA22A2mgA2IVA2everyA24A2hoursA2PRN.
Rationale

AA2newbornA2whoA2isA2breastfeedingA2isA2diagnosedA2withA2galactosemia.A2WhatA2actionA
2shouldA2theA2nurseA2implement?
A.A2StopA2theA2infantA2breastfeeding.
B.A2AddA2aminoA2acidsA2toA2breastA2milk.
C.A2GiveA2galactokinaseA2withA2breastA2milk.
D.A2SubstituteA2aA2lactose-containingA2formula.A2-A2Ans--
A.A2StopA2theA2infantA2breastfeeding.

TheA2parentsA2ofA2aA2childA2withA2Asperger'sA2disorderA2asksA2theA2nurseA2toA2explainA2th
eA2differencesA2betweenA2Asperger'sA2andA2autism.A2WhichA2informationA2shouldA2theA2n
urseA2shareA2withA2theA2parentsA2aboutA2Asperger'sA2disorderA2thatA2isA2notA2characteristi
cA2inA2autism?
A.A2ObsessionA2withA2movingA2objects.
B.A2RepetitiveA2patternsA2ofA2behavior.
C.A2Age-appropriateA2languageA2development.
D.A2StereotypicA2movementsA2andA2speechA2patterns.A2-A2Ans--C.A2Age-
appropriateA2languageA2development.

TheA2nurseA2noticesA2thatA2theA2hemA2ofA2aA2skirtA2onA2aA2pre-
adolescentA2girlA2isA2unevenA2whenA2sheA2comesA2toA2theA2clinic.A2WhatA2procedureA2sho
uldA2theA2nurseA2followA2toA2examineA2theA2girlA2forA2scoliosis?
A2(ArrangeA2theA2examinationA2processA2fromA2firstA2onA2topA2toA2lastA2onA2theA2bottom.)
1.A2AskA2theA2girlA2toA2removeA2herA2shirtA2butA2leaveA2onA2herA2braA2orA2swimsuitA2top.
2.A2InstructA2theA2girlA2toA2bendA2atA2theA2waistA2soA2backA2isA2parallelA2toA2theA2floor.
3.A2LookA2forA2asymmetryA2inA2theA2hipA2area.
4.A2ExamineA2forA2scapularA2prominence.A2-A2Ans--
1.A2AskA2theA2girlA2toA2removeA2herA2shirtA2butA2leaveA2onA2herA2braA2orA2swimsuitA2top.
2.A2LookA2forA2asymmetryA2inA2theA2hipA2area.
3.A2InstructA2theA2girlA2toA2bendA2atA2theA2waistA2soA2backA2isA2parallelA2toA2theA2floor.
4.A2ExamineA2forA2scapularA2prominence.

AA23-year-
oldA2boyA2isA2broughtA2toA2theA2emergencyA2roomA2becauseA2ofA2aA2possibleA2diazepamA2

, (Valium)A2overdose.A2HeA2isA2lethargicA2andA2confused,A2andA2hisA2vitalA2signsA2are:A2pul
seA2rateA2100A2beats/minute,A2respiratoryA2rateA220A2breaths/
minute,A2andA2bloodA2pressureA270/30.A2WhichA2nursingA2interventionA2hasA2theA2highest
A2priority?
A.A2InsertA2anA2orogastricA2tubeA2forA2gastricA2lavage.
B.A2PrepareA2aA2set-upA2forA2anA2endotrachealA2intubation.
C.A2DrawA2bloodA2forA2statA2chemistriesA2andA2bloodA2gases.
D.A2InsertA2aA2FoleyA2catheterA2toA2monitorA2renalA2functioning.A2-A2Ans--
B.A2PrepareA2aA2set-upA2forA2anA2endotrachealA2intubation.

AA2seven-
monthA2oldA2infantA2isA2admittedA2withA2nonorganicA2failureA2toA2thriveA2(NFTT).A2ToA2aidA
2theA2child'sA2growthA2andA2development,A2whichA2interventionA2isA2mostA2importantA2forA2
theA2nurseA2toA2implement?
A.A2EncourageA2theA2parentsA2toA2participateA2inA2aA2plannedA2programA2ofA2playA2withA2t
heA2infant.
B.A2ReferA2theA2parentsA2forA2psychologicalA2counselingA2toA2identifyA2parentalA2detachm
ent.
C.A2DemonstrateA2feedingA2strategiesA2andA2infantA2cuesA2thatA2indicateA2hungerA2andA2s
atiation.
D.A2ProvideA2instructionsA2aboutA2formulaA2preparationA2andA2feedingA2schedules.A2-
A2Ans--
C.A2DemonstrateA2feedingA2strategiesA2andA2infantA2cuesA2thatA2indicateA2hungerA2andA2s
atiation.

TheA2nurseA2isA2caringA2forA2aA2prematureA2infantA2whoA2needsA2anA2IVA2accessA2restarte
d.A2WhatA2actionA2shouldA2theA2nurseA2takeA2whenA2usingA2adhesiveA2tape?
A.A2RemoveA2adhesivesA2withA2water,A2mineralA2oil,A2orA2petrolatum.
B.A2AvoidA2usingA2tapeA2andA2adhesivesA2untilA2skinA2isA2moreA2mature.
C.A2UseA2scissorsA2carefullyA2toA2removeA2tapeA2insteadA2ofA2pullingA2tapeA2off.
D.A2EmployA2solventsA2toA2removeA2adhesivesA2insteadA2ofA2pullingA2onA2skin.A2-A2Ans--
A.A2RemoveA2adhesivesA2withA2water,A2mineralA2oil,A2orA2petrolatum.

TheA2nurseA2isA2collectingA2aA2bloodA2sampleA2fromA2aA2newbornA2forA2aA2screeningA2test
A2forA2phenylketonuriaA2(PKU).A2WhenA2shouldA2theA2nurseA2obtainA2theA2bloodA2sample?
A.A2AtA2birthA2fromA2cordA2blood.
B.A2FourteenA2daysA2afterA2birth.
C.A2BeforeA2oralA2feedingsA2areA2initiated.
D.A2AfterA2ingestionA2ofA2aA2sourceA2ofA2protein.A2-A2Ans--
D.A2AfterA2ingestionA2ofA2aA2sourceA2ofA2protein.

AA2motherA2bringsA2herA26-month-oldA2infantA2toA2theA2clinicA2forA2aA2well-
babyA2routineA2exam.A2WhichA2vaccine(s)A2shouldA2theA2nurseA2verifyA2theA2infantA2hasA2r
eceived?A2(SelectA2allA2thatA2apply.)
SelectA2allA2thatA2apply
A.A2MeningococcalA2polysaccharideA2vaccineA2(MPSV4).