HESI RN Case Study: PEDIATRICS - HESI PRACTICE COMPREHENSIVE
TEST BANK FINAL EXAM 2026/2027 AND HIGH YIELD PRACTICE
QUESTIONS COMPLETE ACCURATE EXAM APPROVED QUESTIONS AND
CORRECT VERIFIED SOLUTIONS (100% CORRECT VERIFIED ANSWERS)
CURRENTLY UPDATED VERSION 2026 EDITION |GUARANTEED PASS
A 2 year old child recently diagnosed with hemophilia A is discharged
home. What information should the nurse include in a teaching plan
about home care?
A. Minimize interactive play with other children to lessen chances for
injury
B. give low-dose children's chewable aspirin in orange flavor for joint
discomfort
C. use a firm and dry toothbrush to clean teeth at least twice per day
D. apply pressure and ice for bleeding while elevating and resting the
extremity.
D. apply pressure and ice for bleeding while elevating and resting the
extremity.
Hemophilia, a blood disorder, causes joint bleeding which is treated with
rest, ice, compression, and elevation (RICE)
A nurse provides the parents with information on health maintenance for
their child with sickle cell disease. Which information reflected by the
parents indicates understanding of the child's care?
A. daily iron supplements should be given
B. plenty of fluids should be consumed daily
C. immunizations should be delayed for a few years
D. protective equipment should be worn for contact sports.
B. plenty of fluids should be consumed daily
Adequate fluid intake decreases the viscosity of the blood which affects
the incidence of vasocclusive crisis. (A and D) are not commonly
indicated for a child with sickle cell disease. A routine immunization
schedule is recommended for a child with SCD because of their
increased susceptibility to infection that predisposes to sickling
phenomena.
,The nurse reviews the latest laboratory results for a child who received
chemotherapy last week and identifies a reduced neutrophil count. Which
nursing diagnosis has the highest priority for this child?
A. risk for infection
B. risk for hemorrhage
C. altered skin integrity
D. disturbance in body image
A. risk for infection
Chemotherapy suppresses phagocytotic neutrophils and places the child
at risk for infection which is the priority nursing diagnosis. (B, C and D)
may be related to the care of a child receiving CT are not related to
neutropenia.
During administration of a blood transfusion, a child complains of chills,
headache and nausea. Which action should the nurse implement?
A. start another IV of dextrose solution and stay with the child
B. continue the tranfusion and monitor the child's vital signs
C. stop the infusion immediately and notify the healthcare provider
D. slow the transfusion and assess for cessation of symptoms
C. stop the infusion immediately and notify the healthcare provider
The child is exhibiting signs of a reaction to the blood transfusion. The
blood transfusion should be stopped immediately and the healthcare
provider notified. After the transfusion is discontinued, IV access should
be maintained with fluids that do not introduce and more cellular
products. (B and D place the child at risk for further blood reactions
,The nurse is teaching the parents of a 5 year old with cystic fibrosis about
respiratory treatments. Which statement indicates to the nurse that the
parents understand?
A. perform postural drainage before starting aerosol therapy
B. Give respiratory treatments when the child is coughing a lot
C. Administer aerosol therapy followed by postural drainage before
meals
D. ensure respiratory therapy is done daily during any respiratory
infection
C. Administer aerosol therapy followed by postural drainage before
meals
Postural drainage for a child with cystic fibrosis is most effective when
performed after nebulization and before meals, or at least 1 hour after
eating to prevent N/V. Postural drainage uses gravity to promote mucous
removal after nebulization treatments which open the airways. Pulmonary
toileting or respiratory treatments should be given 3 to 4 times daily, not
episodically.
The nurse is assessing the neurovascular status of a child in Russell's
traction. Which finding should the nurse report to the healthcare
provider?
A. pale bluish coloration of the toes
B. skin is warm and dry to the touch
C. toes are wiggled upon command
D. capillary refill less than 3 seconds
A. pale bluish coloration of the toes
Russell's skin traction is used for fractures of the femur in young children
and adolescents, whose growth plates remain open and is applied to the
lower leg using moleskin and elastic wrap bandages, which can
compress the peroneal nerve and arteries that supply the foot.
Assessment of adequate circulation, movement, and sensation of the
toes and skin distal to the application is made to identify compromised
blood flow so cyanosis should be reported immediately.
, A child is rescued from a burning house and brought to the emergency
room with partial-thickness burns on the face and chest. Which action
should the nurse implement first?
A. insert an indwelling urinary catheter
B. administer IV pain medication
C. collect blood specimen for laboratory studies
D. assess the child's respiratory status.
D. assess the child's respiratory status
Assessing the airway and the respiratory status is the highest priority
since burns to the face and chest place the child at risk for smoke
inhalation injury and compromised airway
The mother of a 4 year old child asks the nurse what she can do to help
her other children cope with their sibling's repeated hospitalizations.
Which is the best response that the nurse should offer?
A. inform the parent that the child is too young to visit the hospital
B. suggest that the child visit a grandmother until the sibling returns
home.
C. ask the mother if the child asks when the sibling will be discharged
D. encourage the mother to have the children visit the hospitalized
sibling.
D. encourage the mother to have the children visit the hospitalized
sibling.
Needs of a sibling will be better met with factual information and contact
with the ill child, so sibling visitation should be encouraged. Parents are
experts on their children and should determine when their children are
old enough to visit in the hospital. Separation from family and home may
intensify fear and anxiety. Children may have difficulty expressing
questions so the support of parents and other caregivers are needed to
help alleviate their fears.
TEST BANK FINAL EXAM 2026/2027 AND HIGH YIELD PRACTICE
QUESTIONS COMPLETE ACCURATE EXAM APPROVED QUESTIONS AND
CORRECT VERIFIED SOLUTIONS (100% CORRECT VERIFIED ANSWERS)
CURRENTLY UPDATED VERSION 2026 EDITION |GUARANTEED PASS
A 2 year old child recently diagnosed with hemophilia A is discharged
home. What information should the nurse include in a teaching plan
about home care?
A. Minimize interactive play with other children to lessen chances for
injury
B. give low-dose children's chewable aspirin in orange flavor for joint
discomfort
C. use a firm and dry toothbrush to clean teeth at least twice per day
D. apply pressure and ice for bleeding while elevating and resting the
extremity.
D. apply pressure and ice for bleeding while elevating and resting the
extremity.
Hemophilia, a blood disorder, causes joint bleeding which is treated with
rest, ice, compression, and elevation (RICE)
A nurse provides the parents with information on health maintenance for
their child with sickle cell disease. Which information reflected by the
parents indicates understanding of the child's care?
A. daily iron supplements should be given
B. plenty of fluids should be consumed daily
C. immunizations should be delayed for a few years
D. protective equipment should be worn for contact sports.
B. plenty of fluids should be consumed daily
Adequate fluid intake decreases the viscosity of the blood which affects
the incidence of vasocclusive crisis. (A and D) are not commonly
indicated for a child with sickle cell disease. A routine immunization
schedule is recommended for a child with SCD because of their
increased susceptibility to infection that predisposes to sickling
phenomena.
,The nurse reviews the latest laboratory results for a child who received
chemotherapy last week and identifies a reduced neutrophil count. Which
nursing diagnosis has the highest priority for this child?
A. risk for infection
B. risk for hemorrhage
C. altered skin integrity
D. disturbance in body image
A. risk for infection
Chemotherapy suppresses phagocytotic neutrophils and places the child
at risk for infection which is the priority nursing diagnosis. (B, C and D)
may be related to the care of a child receiving CT are not related to
neutropenia.
During administration of a blood transfusion, a child complains of chills,
headache and nausea. Which action should the nurse implement?
A. start another IV of dextrose solution and stay with the child
B. continue the tranfusion and monitor the child's vital signs
C. stop the infusion immediately and notify the healthcare provider
D. slow the transfusion and assess for cessation of symptoms
C. stop the infusion immediately and notify the healthcare provider
The child is exhibiting signs of a reaction to the blood transfusion. The
blood transfusion should be stopped immediately and the healthcare
provider notified. After the transfusion is discontinued, IV access should
be maintained with fluids that do not introduce and more cellular
products. (B and D place the child at risk for further blood reactions
,The nurse is teaching the parents of a 5 year old with cystic fibrosis about
respiratory treatments. Which statement indicates to the nurse that the
parents understand?
A. perform postural drainage before starting aerosol therapy
B. Give respiratory treatments when the child is coughing a lot
C. Administer aerosol therapy followed by postural drainage before
meals
D. ensure respiratory therapy is done daily during any respiratory
infection
C. Administer aerosol therapy followed by postural drainage before
meals
Postural drainage for a child with cystic fibrosis is most effective when
performed after nebulization and before meals, or at least 1 hour after
eating to prevent N/V. Postural drainage uses gravity to promote mucous
removal after nebulization treatments which open the airways. Pulmonary
toileting or respiratory treatments should be given 3 to 4 times daily, not
episodically.
The nurse is assessing the neurovascular status of a child in Russell's
traction. Which finding should the nurse report to the healthcare
provider?
A. pale bluish coloration of the toes
B. skin is warm and dry to the touch
C. toes are wiggled upon command
D. capillary refill less than 3 seconds
A. pale bluish coloration of the toes
Russell's skin traction is used for fractures of the femur in young children
and adolescents, whose growth plates remain open and is applied to the
lower leg using moleskin and elastic wrap bandages, which can
compress the peroneal nerve and arteries that supply the foot.
Assessment of adequate circulation, movement, and sensation of the
toes and skin distal to the application is made to identify compromised
blood flow so cyanosis should be reported immediately.
, A child is rescued from a burning house and brought to the emergency
room with partial-thickness burns on the face and chest. Which action
should the nurse implement first?
A. insert an indwelling urinary catheter
B. administer IV pain medication
C. collect blood specimen for laboratory studies
D. assess the child's respiratory status.
D. assess the child's respiratory status
Assessing the airway and the respiratory status is the highest priority
since burns to the face and chest place the child at risk for smoke
inhalation injury and compromised airway
The mother of a 4 year old child asks the nurse what she can do to help
her other children cope with their sibling's repeated hospitalizations.
Which is the best response that the nurse should offer?
A. inform the parent that the child is too young to visit the hospital
B. suggest that the child visit a grandmother until the sibling returns
home.
C. ask the mother if the child asks when the sibling will be discharged
D. encourage the mother to have the children visit the hospitalized
sibling.
D. encourage the mother to have the children visit the hospitalized
sibling.
Needs of a sibling will be better met with factual information and contact
with the ill child, so sibling visitation should be encouraged. Parents are
experts on their children and should determine when their children are
old enough to visit in the hospital. Separation from family and home may
intensify fear and anxiety. Children may have difficulty expressing
questions so the support of parents and other caregivers are needed to
help alleviate their fears.
