Pediatric's HESI Comp Book Exam
Questions and Answers 100% Pass
These are Pediatric Practice Questions from my HESI NCLEX-PN/ HESI
EXIT Prep book that I bought from Evolve. Wanted to put this out there so
you guys had the opportunity as well to practice them for the HESI. :) -
✔✔none
To minimize separation anxiety in a hospitalized 2 year old, which nursing
intervention is best for the practical nurse to implement?
a. Provide for privacy.
b. Encourage parents to room-in.
c. Explain procedures and routines.
d. Encourage contact with children of the same age. - ✔✔b. Encourage
parents to room-in.
1
100% Pass Guarantee Katelyn Whitman, All Rights
,Rationale:
Separation anxiety is especially threatening for toddlers, so encouraging
parents to room-in helps the toddler cope with this threat.
The nurse is assisting with data collection for a 2-week-old infant who has
been diagnosed with pyloric stenosis. The nurse recognizes which is a sign
or symptom associated with pyloric stenosis?
a. Occasional burping episodes after swallowing air.
b. Vomiting which appears to contain brownish colored bile.
c. Mass in the upper right abdominal quadrant, shaped like an olive.
d. Emesis which looks and smells as if it had feces backed up into it. - ✔✔c.
Mass in the upper right abdominal quadrant, shaped like an olive.
Rationale:
An infant with pyloric stenosis will have an olive-shaped mass in the upper
right abdominal quadrant. The child will frequently have projectile
vomiting, and is hungry, loses weight and may quickly dehydrate. Pyloric
2
100% Pass Guarantee Katelyn Whitman, All Rights
,stenosis is not associated with occasional burping or bile-colored emesis.
Emesis that looks and smells like feces is associated with bowel obstruction
The practical nurse (PN) is assessing a child with asthma for retractions
during respirations. When should the PN recognize the absence or
presence of intercostal retractions?
a. Inspiration
b. Coughing
c. Apneic episodes
d. Expiration - ✔✔a. Inspiration
The practical nurse (PN) is orienting a new nurse employee as they care for
a toddler who is admitted for cleft palate repair. The nurse realizes the new
employee understands the plan of care if the new employee gathers which
type of restraint to apply in the postoperative period?
a. Wrist
b. Mummy
c. Elbow
3
100% Pass Guarantee Katelyn Whitman, All Rights
, d. Jacket - ✔✔c. Elbow
Rationale:
Elbow restraints prevent children from bending their arms and bringing
their hands to the oral surgical site.
A mother phones the clinic because her 6-year-old child has been taking
prescribed antibiotics for 7 of the previous 10 days and continues to cough.
She also reports that the cough is worsening and is nonproductive. What
information should the practical nurse (PN) provide to this mother?
a. Watch the child a few more days and see if the cough begins to produce
sputum.
b. Complete the full 10-day course of antibiotics and reevaluate the cough
then.
c. Give the child plenty of fluids and an over-the-counter cough
suppressant.
4
100% Pass Guarantee Katelyn Whitman, All Rights
Questions and Answers 100% Pass
These are Pediatric Practice Questions from my HESI NCLEX-PN/ HESI
EXIT Prep book that I bought from Evolve. Wanted to put this out there so
you guys had the opportunity as well to practice them for the HESI. :) -
✔✔none
To minimize separation anxiety in a hospitalized 2 year old, which nursing
intervention is best for the practical nurse to implement?
a. Provide for privacy.
b. Encourage parents to room-in.
c. Explain procedures and routines.
d. Encourage contact with children of the same age. - ✔✔b. Encourage
parents to room-in.
1
100% Pass Guarantee Katelyn Whitman, All Rights
,Rationale:
Separation anxiety is especially threatening for toddlers, so encouraging
parents to room-in helps the toddler cope with this threat.
The nurse is assisting with data collection for a 2-week-old infant who has
been diagnosed with pyloric stenosis. The nurse recognizes which is a sign
or symptom associated with pyloric stenosis?
a. Occasional burping episodes after swallowing air.
b. Vomiting which appears to contain brownish colored bile.
c. Mass in the upper right abdominal quadrant, shaped like an olive.
d. Emesis which looks and smells as if it had feces backed up into it. - ✔✔c.
Mass in the upper right abdominal quadrant, shaped like an olive.
Rationale:
An infant with pyloric stenosis will have an olive-shaped mass in the upper
right abdominal quadrant. The child will frequently have projectile
vomiting, and is hungry, loses weight and may quickly dehydrate. Pyloric
2
100% Pass Guarantee Katelyn Whitman, All Rights
,stenosis is not associated with occasional burping or bile-colored emesis.
Emesis that looks and smells like feces is associated with bowel obstruction
The practical nurse (PN) is assessing a child with asthma for retractions
during respirations. When should the PN recognize the absence or
presence of intercostal retractions?
a. Inspiration
b. Coughing
c. Apneic episodes
d. Expiration - ✔✔a. Inspiration
The practical nurse (PN) is orienting a new nurse employee as they care for
a toddler who is admitted for cleft palate repair. The nurse realizes the new
employee understands the plan of care if the new employee gathers which
type of restraint to apply in the postoperative period?
a. Wrist
b. Mummy
c. Elbow
3
100% Pass Guarantee Katelyn Whitman, All Rights
, d. Jacket - ✔✔c. Elbow
Rationale:
Elbow restraints prevent children from bending their arms and bringing
their hands to the oral surgical site.
A mother phones the clinic because her 6-year-old child has been taking
prescribed antibiotics for 7 of the previous 10 days and continues to cough.
She also reports that the cough is worsening and is nonproductive. What
information should the practical nurse (PN) provide to this mother?
a. Watch the child a few more days and see if the cough begins to produce
sputum.
b. Complete the full 10-day course of antibiotics and reevaluate the cough
then.
c. Give the child plenty of fluids and an over-the-counter cough
suppressant.
4
100% Pass Guarantee Katelyn Whitman, All Rights
