HESI PEDIATRIC EXIT 12 COMPREHENSIVE TEST
PAPER QUESTIONS AND SOLUTIONS GRADED
A+
◉ Major cause of death in children and adolescents.
Answer: Accidents.
Collaborate with the RN to develop a teaching plan for parents and
children about developmentally appropriate safety/accident-
prevention techniques.
◉ Infants from 32 to 60 weeks (8 months to approximately 1.5
years)of gestational age will ------ when they are in pain.
Answer: Cry
◉ FLACC pain scale.
Answer: The FLACC Pain Scale is a tool used to assess pain in
individuals who are unable to communicate their pain verbally, such
as young children 0 to toddler or those with cognitive impairments.
FLACC stands for Face, Legs, Activity, Cry, and Consolability.
The scale assigns scores based on observations in these five
categories:
Face: Observations of facial expressions (0-2 points)
Legs: Assessment of leg movement (0-2 points)
,Activity: Overall body movement (0-2 points)
Cry: Quality of crying (0-2 points)
Consolability: Response to comfort attempts (0-2 points)
Each category is scored from 0 to 2, with a total score ranging from 0
to 10. Higher scores indicate greater pain levels. This scale is widely
used in clinical settings for non-verbal patients.
◉ Faces pain scale.
Answer: The Faces Pain Scale is primarily designed for use with
children aged 3 to 8 years.
It typically consists of a series of faces, each depicting a different
level of discomfort, ranging from a smiling face representing no pain
to a crying face indicating extreme pain.
Patients are asked to point to the face that best represents their
current pain level. This scale is effective for those who may have
difficulty verbalizing their pain, making it widely used in pediatric
settings and for individuals with cognitive impairments. The Faces
Pain Scale helps healthcare providers assess and manage pain more
effectively.
◉ Numeric pain scale.
Answer: 0-10
Can be used from children 9 years and older
,◉ Oucher pain scale.
Answer: Scale used for children aged 3-12 years with culturally
specific photographs showing different levels of pain and
discomfort.
◉ ----------- Of a childs self report of pain is essential to effectively
treating the childs pain.
Answer: Documentation. Done every shift. And evaluate the pain
after the child has been medicated.
◉ Nonpharmacological interventions for children with pain.
Answer: *Should be based on the childs age and developmental level
*Infants may respond best to pacifiers, holding and rocking
*Toddlers and preschoolers may respond best to distraction.
Distraction may be through books, music, television and bubble
blowing. Truck or ipad.
◉ Before administering pain medicine to a pediatric child.
Answer: * Verify that the prescibed dose is safe for the child based
on the childs weight.
◉ After the administration of opiods in a child you need to.
Answer: Monitor the vital signs
, ◉ Children as young as ------ years of age can be taught to use a
patient controlled analgesia pump..
Answer: 5 years.
◉ Children may deny pain if they fear receiving a.
Answer: IM injection, therefore iv pain medications are the
preferred choice. Even orally or topically.
◉ Rubeola (Measles).
Answer: * Vaccination with the measles, mumps and rubella vaccine
are given two doses at 12-15 months and 4-6 years
* Rash that begins on the face and spreads downwards
* Koplick spots on the buccal mucosa ( little white spots_
* eyes may be sensitive to light
◉ Varicella (chicken pox).
Answer: Incubation 13-17 days (highly contagious)
Viral disease charecterized by skin lesions
* Lesions begin on the trunk and spread to the face and proximal
extremities.
* Progresses through, macular, papular, vesicular and pustular
stages.
PAPER QUESTIONS AND SOLUTIONS GRADED
A+
◉ Major cause of death in children and adolescents.
Answer: Accidents.
Collaborate with the RN to develop a teaching plan for parents and
children about developmentally appropriate safety/accident-
prevention techniques.
◉ Infants from 32 to 60 weeks (8 months to approximately 1.5
years)of gestational age will ------ when they are in pain.
Answer: Cry
◉ FLACC pain scale.
Answer: The FLACC Pain Scale is a tool used to assess pain in
individuals who are unable to communicate their pain verbally, such
as young children 0 to toddler or those with cognitive impairments.
FLACC stands for Face, Legs, Activity, Cry, and Consolability.
The scale assigns scores based on observations in these five
categories:
Face: Observations of facial expressions (0-2 points)
Legs: Assessment of leg movement (0-2 points)
,Activity: Overall body movement (0-2 points)
Cry: Quality of crying (0-2 points)
Consolability: Response to comfort attempts (0-2 points)
Each category is scored from 0 to 2, with a total score ranging from 0
to 10. Higher scores indicate greater pain levels. This scale is widely
used in clinical settings for non-verbal patients.
◉ Faces pain scale.
Answer: The Faces Pain Scale is primarily designed for use with
children aged 3 to 8 years.
It typically consists of a series of faces, each depicting a different
level of discomfort, ranging from a smiling face representing no pain
to a crying face indicating extreme pain.
Patients are asked to point to the face that best represents their
current pain level. This scale is effective for those who may have
difficulty verbalizing their pain, making it widely used in pediatric
settings and for individuals with cognitive impairments. The Faces
Pain Scale helps healthcare providers assess and manage pain more
effectively.
◉ Numeric pain scale.
Answer: 0-10
Can be used from children 9 years and older
,◉ Oucher pain scale.
Answer: Scale used for children aged 3-12 years with culturally
specific photographs showing different levels of pain and
discomfort.
◉ ----------- Of a childs self report of pain is essential to effectively
treating the childs pain.
Answer: Documentation. Done every shift. And evaluate the pain
after the child has been medicated.
◉ Nonpharmacological interventions for children with pain.
Answer: *Should be based on the childs age and developmental level
*Infants may respond best to pacifiers, holding and rocking
*Toddlers and preschoolers may respond best to distraction.
Distraction may be through books, music, television and bubble
blowing. Truck or ipad.
◉ Before administering pain medicine to a pediatric child.
Answer: * Verify that the prescibed dose is safe for the child based
on the childs weight.
◉ After the administration of opiods in a child you need to.
Answer: Monitor the vital signs
, ◉ Children as young as ------ years of age can be taught to use a
patient controlled analgesia pump..
Answer: 5 years.
◉ Children may deny pain if they fear receiving a.
Answer: IM injection, therefore iv pain medications are the
preferred choice. Even orally or topically.
◉ Rubeola (Measles).
Answer: * Vaccination with the measles, mumps and rubella vaccine
are given two doses at 12-15 months and 4-6 years
* Rash that begins on the face and spreads downwards
* Koplick spots on the buccal mucosa ( little white spots_
* eyes may be sensitive to light
◉ Varicella (chicken pox).
Answer: Incubation 13-17 days (highly contagious)
Viral disease charecterized by skin lesions
* Lesions begin on the trunk and spread to the face and proximal
extremities.
* Progresses through, macular, papular, vesicular and pustular
stages.
