HESI PEDIATRICS ACTUAL EXAM LATEST 2024
QUESTIONS AND CORRECT DETAILED ANSWERS
GRADED A
A 4-year-old boy is brought to the emergency department by his parent, who reports that the child has
been pointing at his stomach and saying, "It hurts so bad." Which pain-assessment tool should the nurse
use?
Descriptor Scale.
Brief Pain Inventory.
A numeric rating scale.
Wong-Baker FACES Scale. - ANSWER ✔Wong-Baker FACES Scale.
Which clinical finding should the nurse expect a child with nephrosis to exhibit?
Elevated blood pressure.
Blood-tinged urine.
Elevated temperature.
,Urine protein 3+ to 4+. - ANSWER ✔Urine protein 3+ to 4+.
The father of an 8-year-old child tells the nurse he is interested in seeing his child succeed in soccer. The
nurse talks with the boy, who expresses a sincere interest in playing chess and feels like a failure at
soccer. How should the nurse respond to this father?
The father should decrease his expectations to give the son a chance to succeed.
The child has an introverted personality and should be encouraged to play isolated games.
The father should encourage the son to participate in team - ANSWER ✔The child should be given
opportunities to achieve a sense of competency in an area he chooses.
The nurse is instructing an adolescent with bulimia and a low potassium level about the risk for
complications. Which medical problem should be the focus of the nurse's instruction to this client?
Anemia.
Cardiac arrhythmias.
Gastrointestinal reflux.
Heightened neurologic reflexes. - ANSWER ✔Cardiac arrhythmias.
,A 2-year-old is receiving care in the emergency department (ED) for a deep laceration on the head. What
action should the nurse implement to facilitate the child's cooperation?
Allow the child to hold a favorite toy or blanket.
Direct the parents to remain outside the treatment room.
Keep the child physically restrained during nursing care.
Let the child decide whether to sit up or lie down for procedures. - ANSWER ✔Allow the child to hold
a favorite toy or blanket
A mother brings her 6-month-old infant to the clinic for a well-baby routine exam. Which vaccine(s)
should the nurse verify the infant has received? (Select all that apply.)
Meningococcal polysaccharide vaccine (MPSV4).
Haemophilus influenzae type b conjugate vaccine (Hib).
Inactivated poliovirus vaccine (IPV).
Hepatitis B virus vaccine (HepB).
, Diphtheria, tetanus toxoids, and acellular pertussis (DTaP).
Measles, mumps, and rubella vaccine (MMR). - ANSWER ✔Inactivated poliovirus vaccine (IPV).
Hepatitis B virus vaccine (HepB).
Diphtheria, tetanus toxoids, and acellular pertussis (DTaP).
The parents of a 14-year-old girl tell the nurse that their daughter dresses as a tomboy and plays
baseball one day and the next day dresses in feminine clothes and becomes a teenage "drama queen."
What information should the nurse use to respond to the parents?
Teenagers need a strong role mode to emulate.
Adolescents try on different roles while seeking their identity.
Such erratic behavior needs further investigation.
Forteen-year-olds often try to please parents with their role choices. - ANSWER ✔Adolescents try on
different roles while seeking their identity.
What is the priority nursing intervention for a 12-year-old client newly diagnosed with bacterial
meningitis?
QUESTIONS AND CORRECT DETAILED ANSWERS
GRADED A
A 4-year-old boy is brought to the emergency department by his parent, who reports that the child has
been pointing at his stomach and saying, "It hurts so bad." Which pain-assessment tool should the nurse
use?
Descriptor Scale.
Brief Pain Inventory.
A numeric rating scale.
Wong-Baker FACES Scale. - ANSWER ✔Wong-Baker FACES Scale.
Which clinical finding should the nurse expect a child with nephrosis to exhibit?
Elevated blood pressure.
Blood-tinged urine.
Elevated temperature.
,Urine protein 3+ to 4+. - ANSWER ✔Urine protein 3+ to 4+.
The father of an 8-year-old child tells the nurse he is interested in seeing his child succeed in soccer. The
nurse talks with the boy, who expresses a sincere interest in playing chess and feels like a failure at
soccer. How should the nurse respond to this father?
The father should decrease his expectations to give the son a chance to succeed.
The child has an introverted personality and should be encouraged to play isolated games.
The father should encourage the son to participate in team - ANSWER ✔The child should be given
opportunities to achieve a sense of competency in an area he chooses.
The nurse is instructing an adolescent with bulimia and a low potassium level about the risk for
complications. Which medical problem should be the focus of the nurse's instruction to this client?
Anemia.
Cardiac arrhythmias.
Gastrointestinal reflux.
Heightened neurologic reflexes. - ANSWER ✔Cardiac arrhythmias.
,A 2-year-old is receiving care in the emergency department (ED) for a deep laceration on the head. What
action should the nurse implement to facilitate the child's cooperation?
Allow the child to hold a favorite toy or blanket.
Direct the parents to remain outside the treatment room.
Keep the child physically restrained during nursing care.
Let the child decide whether to sit up or lie down for procedures. - ANSWER ✔Allow the child to hold
a favorite toy or blanket
A mother brings her 6-month-old infant to the clinic for a well-baby routine exam. Which vaccine(s)
should the nurse verify the infant has received? (Select all that apply.)
Meningococcal polysaccharide vaccine (MPSV4).
Haemophilus influenzae type b conjugate vaccine (Hib).
Inactivated poliovirus vaccine (IPV).
Hepatitis B virus vaccine (HepB).
, Diphtheria, tetanus toxoids, and acellular pertussis (DTaP).
Measles, mumps, and rubella vaccine (MMR). - ANSWER ✔Inactivated poliovirus vaccine (IPV).
Hepatitis B virus vaccine (HepB).
Diphtheria, tetanus toxoids, and acellular pertussis (DTaP).
The parents of a 14-year-old girl tell the nurse that their daughter dresses as a tomboy and plays
baseball one day and the next day dresses in feminine clothes and becomes a teenage "drama queen."
What information should the nurse use to respond to the parents?
Teenagers need a strong role mode to emulate.
Adolescents try on different roles while seeking their identity.
Such erratic behavior needs further investigation.
Forteen-year-olds often try to please parents with their role choices. - ANSWER ✔Adolescents try on
different roles while seeking their identity.
What is the priority nursing intervention for a 12-year-old client newly diagnosed with bacterial
meningitis?
