(evolve) Pediatrics HESI Practice Exam
Questions And Answers
Ae12-year-
oldemaleeclientetellsetheenurseethateheeisehappyetoebeetakingegrowthehormonesebecauseen
oweheecanegrowetoebeeasetalleasehisefriends.eWhateresponseeisebesteforetheenurseetoeprovi
de?
a.e"Youemusterememberethatethisetreatmenteregimeneisenotealwayseeffective."
b.e"Althoughebeingetalleiseimportantetoeyou,erememberethereeareefaremoreeimportantechara
cteristicsethaneheight."
c.eYouewillegrowewithethisemedicine,eandeareelikelyetoebeetallerethaneanyoneeineyourefamily.
"
d.e"Beingetallereiseimportantetoeyoueandetakingeyoureinjectionsewillehelpeachieveethategoal."
e-eCORRECTeeANSWER-
d.e"Beingetallereiseimportantetoeyoueandetakingeyoureinjectionsewillehelpeachieveethategoal."
Ae14-year-
oldeisebroughtetoetheeemergencyedepartmenteaftereaebikingeaccident.eHoweshouldetheenur
seeinteractewithetheeadolescent?
a.eFurnisherewardseforecooperationeduringeprocedures.
b.eHaveetheeparentseremainewithetheeadolescenteatealletimes.
c.eProvideecleareexplanationsewhileeencouragingequestions.
d.eLimitetheenumbereofechoicesetoebeemadeebyetheeadolescent.e-eCORRECTeeANSWER-
c.eProvideecleareexplanationsewhileeencouragingequestions.
Adolescentseareecapableeofeabstractethinkingeandeunderstandeexplanations,esoetheeoppor
tunityetoeaskequestionseshouldebeeprovided.eSinceeaneadolescent'semodestyeshouldebeere
spected,etheepresenceeofetheeparentseatetheebedsideeshouldebeeaechoiceemadeebyetheead
olescent.eAneadolescent'seabilityetoethinkeabstractlyeengageseproblem-
solving,ethereforeethee14-year-
oldeshouldebeeallowedetoeverbalizeedecisionseaboutetheirecare.
Ae14-year-
oldereturnsetoetheepediatriceuniteafterecorrectiveesurgeryeforescoliosis.eInetheeimmediateepo
stoperativeeperiod,etheenurseeshouldeincludeewhicheactioneinethiseclient'seplaneofecare?e(S
electeallethateapply.)
a.eRecordeintakeeandeoutputeeverye8ehours.
b.eElevateetheeheadeofetheebede30edegrees.
,c.eAssessebowelesoundseeverye4ehours.
d.eInitiateeaelogrollingescheduleeeverye2ehours.
e.eAmbulateefore5eminutes,e12ehoursepostoperative.
f.eGiveemorphineesulfate,e2emgeIVeeverye4ehoursePRN.e-eCORRECTeeANSWER-
a.eRecordeintakeeandeoutputeeverye8ehours.
c.eAssessebowelesoundseeverye4ehours.
d.eInitiateeaelogrollingescheduleeeverye2ehours.
f.eGiveemorphineesulfate,e2emgeIVeeverye4ehoursePRN.
Recordingeintakeeandeoutputeandeassessingebowelesoundseareecriticalewhenedetermininge
ifetheebodyesystemseareerecoveringefrometheeeffectseofeanesthesia.eUsingeaelogrollingetec
hniqueetoeturnetheeclientemaintainsespinalealignmentepostoperativelyeandepreventsecompli
cationseofeimmobility.eSinceethiseiseaepainfulesurgery,etheenurseeshouldemaintainepainecont
roleaseprescribed.eTheepaineassociatedeisenotejustedueetoetheeincisionseofesurgery,ebuteals
oetoetheemanipulationeandeplacementeofetheespinalehardwareeandemuscularepaineasetheein
volvedemuscleseadjustetoetheecorrectiveerealignmenteofetheespine.eFollowingecorrectiveesu
rgeryeforescoliosis,eaeclienteshouldebeeimmobilizedewithoutespinaleflexionefore24etoe48ehour
s,eandetheneambulatedebyetheephysicaletherapist.
Ae15-year-
oldegirletellsetheeschoolenurseethatesheewantsetoehaveeaebaby.eHoweshouldetheenurseeresp
ond?
a.e"Willeyouebeeableetoesupportetheebaby?"
b.e"Doeyouehaveeplansetoecontinueeschool?"
c.e"Haveeyouetalkedewitheyoureparentseaboutethis?"
d.e"Caneyouetellemeehoweyourelifeewillebeeifeyouehaveeaneinfant?"e-eCORRECTeeANSWER-
d.e"Caneyouetellemeehoweyourelifeewillebeeifeyouehaveeaneinfant?"
Developingeaedialogueewithetheeteeneiseimportant.eByeusingeaneopen-
endedequestionetheenurseewilleencourageecommunicationeandeexplanation.eThisequestion
edirectsetheeteenetoeconsidererealelifeeexperienceseandeallowsetheenurseetoeassessetheetee
n'seperceptioneanderealityeorientation.
Ae2-year-
oldeisereceivingecareeinetheeemergencyedepartmente(ED)eforeaedeepelacerationeonetheehea
d.eWhateactioneshouldetheenurseeimplementetoefacilitateetheechild'secooperation?
a.eAllowetheechildetoeholdeaefavoriteetoyeoreblanket.
b.eDirectetheeparentsetoeremaineoutsideetheetreatmenteroom.
c.eKeepetheechildephysicallyerestrainededuringenursingecare.
d.eLetetheechildedecideewhetheretoesiteupeorelieedowneforeprocedures.e-
eCORRECTeeANSWER-a.eAllowetheechildetoeholdeaefavoriteetoyeoreblanket.
, Allowingeaechildetoeholdeaefavoriteetoyeoreblanketeprovidesefamiliarityeandecomfortethatesho
uldefacilitateetheechild'secooperationeduringetreatment.eParentseshoulderemainewithetheechi
ldetoecalmeandereassureetheechildewhoemayeperceiveetheeEDeenvironmenteasethreatening.
Ae3-year-
oldeboyeisebroughtetoetheeemergencyedepartmentebecauseeofeaepossibleediazepameoverd
ose.eHeeiselethargiceandeconfused.eHisevitalesignseare:epulseeratee100ebeats/minute,erespi
ratoryeratee20ebreaths/minute,eandebloodepressuree70/30emmHg.eWhichenursingeintervent
ionehasetheehighestepriority?
a.eInserteaneorogastricetubeeforegastricelavage.
b.ePrepareeaeset-upeforeaneendotrachealeintubation.
c.eDrawebloodeforestatechemistrieseandebloodegases.
d.eInserteaeFoleyecatheteretoemonitorerenalefunctioning.e-eCORRECTeeANSWER-
b.ePrepareeaeset-upeforeaneendotrachealeintubation.
Diazepamecauseserespiratoryedepression.ePreparationeforeendotrachealeintubationetoepro
tectetheeairwayeisetheepriorityeinterventioneatethisetime.
Ae4-month-
oldebreastfeedingeinfanteiseatethee80thepercentileeforeweighteandethee75thepercentileeforehe
ight.eHoweshouldetheenurseeinterpretethisefinding?
a.eMilkeallergy.
b.eFailureetoethrive.
c.eInadequateemilkesupplyeinemother.
d.eNormalegrowthecurveeofeaebreastfedeinfant.e-eCORRECTeeANSWER-
d.eNormalegrowthecurveeofeaebreastfedeinfant.
Wheneplottingeweightseandeheightseoneaestandardegrowthechartebothebreastfedeandeformu
la-
fedeinfants,etheebreastfedeinfantegrowsemoreerapidlyeduringetheefirste2emonthseofelife,eandet
henegrowtheslowsefrome3etoe12emonths.eAebreastfedeinfanteiseleanereandehaselessebodyefa
tethaneaeformula-
fedeinfant.eNormalepatternseofeinfantsewhoeareebreastfededifferefromethoseewhoeareeformul
aefed.
Ae4-year-
oldeboyeisebroughtetoetheeemergencyedepartmentebyehiseparentewhoereportsethatetheechilde
hasebeenepointingeatehisestomacheandesaying,e"Itehurtsesoebad."eWhichepaineassessmente
tooleshouldetheenurseeuse?
a.eDescriptoreScale.
b.eBriefePaineInventory.
c.eAenumericeratingescale.
d.eWong-BakereFACESeScale.e-eCORRECTeeANSWER-d.eWong-BakereFACESeScale.e
Questions And Answers
Ae12-year-
oldemaleeclientetellsetheenurseethateheeisehappyetoebeetakingegrowthehormonesebecauseen
oweheecanegrowetoebeeasetalleasehisefriends.eWhateresponseeisebesteforetheenurseetoeprovi
de?
a.e"Youemusterememberethatethisetreatmenteregimeneisenotealwayseeffective."
b.e"Althoughebeingetalleiseimportantetoeyou,erememberethereeareefaremoreeimportantechara
cteristicsethaneheight."
c.eYouewillegrowewithethisemedicine,eandeareelikelyetoebeetallerethaneanyoneeineyourefamily.
"
d.e"Beingetallereiseimportantetoeyoueandetakingeyoureinjectionsewillehelpeachieveethategoal."
e-eCORRECTeeANSWER-
d.e"Beingetallereiseimportantetoeyoueandetakingeyoureinjectionsewillehelpeachieveethategoal."
Ae14-year-
oldeisebroughtetoetheeemergencyedepartmenteaftereaebikingeaccident.eHoweshouldetheenur
seeinteractewithetheeadolescent?
a.eFurnisherewardseforecooperationeduringeprocedures.
b.eHaveetheeparentseremainewithetheeadolescenteatealletimes.
c.eProvideecleareexplanationsewhileeencouragingequestions.
d.eLimitetheenumbereofechoicesetoebeemadeebyetheeadolescent.e-eCORRECTeeANSWER-
c.eProvideecleareexplanationsewhileeencouragingequestions.
Adolescentseareecapableeofeabstractethinkingeandeunderstandeexplanations,esoetheeoppor
tunityetoeaskequestionseshouldebeeprovided.eSinceeaneadolescent'semodestyeshouldebeere
spected,etheepresenceeofetheeparentseatetheebedsideeshouldebeeaechoiceemadeebyetheead
olescent.eAneadolescent'seabilityetoethinkeabstractlyeengageseproblem-
solving,ethereforeethee14-year-
oldeshouldebeeallowedetoeverbalizeedecisionseaboutetheirecare.
Ae14-year-
oldereturnsetoetheepediatriceuniteafterecorrectiveesurgeryeforescoliosis.eInetheeimmediateepo
stoperativeeperiod,etheenurseeshouldeincludeewhicheactioneinethiseclient'seplaneofecare?e(S
electeallethateapply.)
a.eRecordeintakeeandeoutputeeverye8ehours.
b.eElevateetheeheadeofetheebede30edegrees.
,c.eAssessebowelesoundseeverye4ehours.
d.eInitiateeaelogrollingescheduleeeverye2ehours.
e.eAmbulateefore5eminutes,e12ehoursepostoperative.
f.eGiveemorphineesulfate,e2emgeIVeeverye4ehoursePRN.e-eCORRECTeeANSWER-
a.eRecordeintakeeandeoutputeeverye8ehours.
c.eAssessebowelesoundseeverye4ehours.
d.eInitiateeaelogrollingescheduleeeverye2ehours.
f.eGiveemorphineesulfate,e2emgeIVeeverye4ehoursePRN.
Recordingeintakeeandeoutputeandeassessingebowelesoundseareecriticalewhenedetermininge
ifetheebodyesystemseareerecoveringefrometheeeffectseofeanesthesia.eUsingeaelogrollingetec
hniqueetoeturnetheeclientemaintainsespinalealignmentepostoperativelyeandepreventsecompli
cationseofeimmobility.eSinceethiseiseaepainfulesurgery,etheenurseeshouldemaintainepainecont
roleaseprescribed.eTheepaineassociatedeisenotejustedueetoetheeincisionseofesurgery,ebuteals
oetoetheemanipulationeandeplacementeofetheespinalehardwareeandemuscularepaineasetheein
volvedemuscleseadjustetoetheecorrectiveerealignmenteofetheespine.eFollowingecorrectiveesu
rgeryeforescoliosis,eaeclienteshouldebeeimmobilizedewithoutespinaleflexionefore24etoe48ehour
s,eandetheneambulatedebyetheephysicaletherapist.
Ae15-year-
oldegirletellsetheeschoolenurseethatesheewantsetoehaveeaebaby.eHoweshouldetheenurseeresp
ond?
a.e"Willeyouebeeableetoesupportetheebaby?"
b.e"Doeyouehaveeplansetoecontinueeschool?"
c.e"Haveeyouetalkedewitheyoureparentseaboutethis?"
d.e"Caneyouetellemeehoweyourelifeewillebeeifeyouehaveeaneinfant?"e-eCORRECTeeANSWER-
d.e"Caneyouetellemeehoweyourelifeewillebeeifeyouehaveeaneinfant?"
Developingeaedialogueewithetheeteeneiseimportant.eByeusingeaneopen-
endedequestionetheenurseewilleencourageecommunicationeandeexplanation.eThisequestion
edirectsetheeteenetoeconsidererealelifeeexperienceseandeallowsetheenurseetoeassessetheetee
n'seperceptioneanderealityeorientation.
Ae2-year-
oldeisereceivingecareeinetheeemergencyedepartmente(ED)eforeaedeepelacerationeonetheehea
d.eWhateactioneshouldetheenurseeimplementetoefacilitateetheechild'secooperation?
a.eAllowetheechildetoeholdeaefavoriteetoyeoreblanket.
b.eDirectetheeparentsetoeremaineoutsideetheetreatmenteroom.
c.eKeepetheechildephysicallyerestrainededuringenursingecare.
d.eLetetheechildedecideewhetheretoesiteupeorelieedowneforeprocedures.e-
eCORRECTeeANSWER-a.eAllowetheechildetoeholdeaefavoriteetoyeoreblanket.
, Allowingeaechildetoeholdeaefavoriteetoyeoreblanketeprovidesefamiliarityeandecomfortethatesho
uldefacilitateetheechild'secooperationeduringetreatment.eParentseshoulderemainewithetheechi
ldetoecalmeandereassureetheechildewhoemayeperceiveetheeEDeenvironmenteasethreatening.
Ae3-year-
oldeboyeisebroughtetoetheeemergencyedepartmentebecauseeofeaepossibleediazepameoverd
ose.eHeeiselethargiceandeconfused.eHisevitalesignseare:epulseeratee100ebeats/minute,erespi
ratoryeratee20ebreaths/minute,eandebloodepressuree70/30emmHg.eWhichenursingeintervent
ionehasetheehighestepriority?
a.eInserteaneorogastricetubeeforegastricelavage.
b.ePrepareeaeset-upeforeaneendotrachealeintubation.
c.eDrawebloodeforestatechemistrieseandebloodegases.
d.eInserteaeFoleyecatheteretoemonitorerenalefunctioning.e-eCORRECTeeANSWER-
b.ePrepareeaeset-upeforeaneendotrachealeintubation.
Diazepamecauseserespiratoryedepression.ePreparationeforeendotrachealeintubationetoepro
tectetheeairwayeisetheepriorityeinterventioneatethisetime.
Ae4-month-
oldebreastfeedingeinfanteiseatethee80thepercentileeforeweighteandethee75thepercentileeforehe
ight.eHoweshouldetheenurseeinterpretethisefinding?
a.eMilkeallergy.
b.eFailureetoethrive.
c.eInadequateemilkesupplyeinemother.
d.eNormalegrowthecurveeofeaebreastfedeinfant.e-eCORRECTeeANSWER-
d.eNormalegrowthecurveeofeaebreastfedeinfant.
Wheneplottingeweightseandeheightseoneaestandardegrowthechartebothebreastfedeandeformu
la-
fedeinfants,etheebreastfedeinfantegrowsemoreerapidlyeduringetheefirste2emonthseofelife,eandet
henegrowtheslowsefrome3etoe12emonths.eAebreastfedeinfanteiseleanereandehaselessebodyefa
tethaneaeformula-
fedeinfant.eNormalepatternseofeinfantsewhoeareebreastfededifferefromethoseewhoeareeformul
aefed.
Ae4-year-
oldeboyeisebroughtetoetheeemergencyedepartmentebyehiseparentewhoereportsethatetheechilde
hasebeenepointingeatehisestomacheandesaying,e"Itehurtsesoebad."eWhichepaineassessmente
tooleshouldetheenurseeuse?
a.eDescriptoreScale.
b.eBriefePaineInventory.
c.eAenumericeratingescale.
d.eWong-BakereFACESeScale.e-eCORRECTeeANSWER-d.eWong-BakereFACESeScale.e
