Hesi Pediatric Practice Exam
Questions and Answers 100% Pass
The nurse is giving pre-op instructions to a 14 yr old female scheduled for
surgery to correct a spinal curvature. Which stmt best demonstrates that
leaning has taken place? - ✔✔"I understand that I will be in a body cast and
I will show you how you taught me to turn"
To take the v/s of a 4 month old, which ordered will give the most accurate
results? - ✔✔RR - HR - rectal temp
During routine screening at a school clinic, an otoscope exam reveals a
tympanic mb that is pearly gray, slightly bulging, and not movable. What
action should the nurse take next? - ✔✔Ask the child if they have had a
cold, runny nose, or any ear pain lately
1
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,Which restraint should be used for a toddler after a cleft palate repair? -
✔✔Elbow
What pre-op nsg intervention should be included in the POC for an infant
w/ pyloric stenosis? - ✔✔Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
A 6 month old returns from surgery w/ elbow restraints in place. What nsg
care should be included when caring for any restrained child? - ✔✔Remove
the restraints one at a time and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
A 2 yr old w/ Down syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is requently associated w/
Downs? - ✔✔Congenital heart disease
2
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,(CHD is the most common associated defect w/ Downs. - also, remember
Professor Moore said that heart and ear problems go hand in hand)
When assessing a child w/ asthma, the nurse should expect intercostal
retractions during - ✔✔Inspriation
When planning the care for a child who has had a cleft lip repair, the nurse
know that crying should be minimized because it - ✔✔Stresses the suture
line
A full-term infant is admitted to the newborn nursery. After careful
assessment, the nurse suspects that the infant may have an esophageal
atresia. Which sx's is this newborn likely to have exhibited? - ✔✔Choking ,
coughing, and cyanosis
(this answer includes the 3 "C"s of esophageal atresia caused by the
overflow of secretions to the trachea)
Which behavior would the nurse expect a 2 yr old to exhibit? - ✔✔Display
possessiveness of toys
3
100% Pass Guarantee Katelyn Whitman, All Rights
, (they are egocentric and unable to share w/ others)
the other of a preschool-aged child asks the nurse if it is all right to
administer Pepto Bismol to her son when he has a tummy ache. After
reminding her to check the label of all OTC meds for the presence of ASA,
which instruction should the nurse include when replying to the mom's
question? - ✔✔Do not give if they have chicken pox, the flue, or any other
viral illness
(ASA can cause Reye's syndrome)
the nurse observes a 4 yr old boy in a daycare. Which behavior should the
nurse consider normal for this child? - ✔✔Demonstrates aggressiveness by
boasting when telling a story
A burned child is brought to the ER. In estimating the % of body burned,
the nurse uses a modified "Rule of Nines." Which part of the body is
4
100% Pass Guarantee Katelyn Whitman, All Rights
Questions and Answers 100% Pass
The nurse is giving pre-op instructions to a 14 yr old female scheduled for
surgery to correct a spinal curvature. Which stmt best demonstrates that
leaning has taken place? - ✔✔"I understand that I will be in a body cast and
I will show you how you taught me to turn"
To take the v/s of a 4 month old, which ordered will give the most accurate
results? - ✔✔RR - HR - rectal temp
During routine screening at a school clinic, an otoscope exam reveals a
tympanic mb that is pearly gray, slightly bulging, and not movable. What
action should the nurse take next? - ✔✔Ask the child if they have had a
cold, runny nose, or any ear pain lately
1
100% Pass Guarantee Katelyn Whitman, All Rights
,Which restraint should be used for a toddler after a cleft palate repair? -
✔✔Elbow
What pre-op nsg intervention should be included in the POC for an infant
w/ pyloric stenosis? - ✔✔Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
A 6 month old returns from surgery w/ elbow restraints in place. What nsg
care should be included when caring for any restrained child? - ✔✔Remove
the restraints one at a time and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
A 2 yr old w/ Down syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is requently associated w/
Downs? - ✔✔Congenital heart disease
2
100% Pass Guarantee Katelyn Whitman, All Rights
,(CHD is the most common associated defect w/ Downs. - also, remember
Professor Moore said that heart and ear problems go hand in hand)
When assessing a child w/ asthma, the nurse should expect intercostal
retractions during - ✔✔Inspriation
When planning the care for a child who has had a cleft lip repair, the nurse
know that crying should be minimized because it - ✔✔Stresses the suture
line
A full-term infant is admitted to the newborn nursery. After careful
assessment, the nurse suspects that the infant may have an esophageal
atresia. Which sx's is this newborn likely to have exhibited? - ✔✔Choking ,
coughing, and cyanosis
(this answer includes the 3 "C"s of esophageal atresia caused by the
overflow of secretions to the trachea)
Which behavior would the nurse expect a 2 yr old to exhibit? - ✔✔Display
possessiveness of toys
3
100% Pass Guarantee Katelyn Whitman, All Rights
, (they are egocentric and unable to share w/ others)
the other of a preschool-aged child asks the nurse if it is all right to
administer Pepto Bismol to her son when he has a tummy ache. After
reminding her to check the label of all OTC meds for the presence of ASA,
which instruction should the nurse include when replying to the mom's
question? - ✔✔Do not give if they have chicken pox, the flue, or any other
viral illness
(ASA can cause Reye's syndrome)
the nurse observes a 4 yr old boy in a daycare. Which behavior should the
nurse consider normal for this child? - ✔✔Demonstrates aggressiveness by
boasting when telling a story
A burned child is brought to the ER. In estimating the % of body burned,
the nurse uses a modified "Rule of Nines." Which part of the body is
4
100% Pass Guarantee Katelyn Whitman, All Rights
