HESI: NUR203 / NUR 203 (Latest 2024 /
2025 Update) Pediatric Nursing | Guide with
Questions and Verified Answers 100%
Correct | Grade A - Fortis
,Describe inspection - CORRECT ANSWERS-- Concentrated watching, close scrutiny
- Compare right and left sides (symmetry)
- Use good lighting
- Ensure adequate patient exposure
describe the otoscope - CORRECT ANSWERS-Funnels light into ear canal and onto
tympanic membrane
describe the ophthalmoscope - CORRECT ANSWERS-- Can visualize through the pupil
to fundus of eye
- Illuminates internal eye structures
what are some instruments we would use for inspection? - CORRECT ANSWERS-
otoscope, ophthalmoscope, specula, penlight
describe palpation - CORRECT ANSWERS-- Using sense of touch can confirm points
noted during inspection
- Slow and systematic
- Light vs. deep palpation
- Intermittent pressure
- Bimanual palpation
what characteristics do we look for in palpation? - CORRECT ANSWERS-Texture,
temp, moisture, organ location and size, swelling, vibration or pulsation, rigidity or
spasticity, crepitation, presence of lumps or masses, presence of tenderness or pain
what parts of the hand do we use for palpation? - CORRECT ANSWERS-- Fingertips
- A grasping action of fingers and thumb
- The dorsa of the hands and fingers - temperature
- Base of fingers (metacarpophalangeal joints) or ulnar surface of the hand - palpating
vibration
describe percussion - CORRECT ANSWERS-- Tapping skin with short, sharp strokes to
assess underlying structures
- Yields palpable vibration and characteristic sounds
*Location, size, density of underlying organ
describe direct percussion - CORRECT ANSWERS-Striking hand contacts body wall
directly
describe indirect percussion - CORRECT ANSWERS-Stationary hand and striking hand
what are the characteristics of percussion notes? - CORRECT ANSWERS-- Resonant -
lungs, air-filled, hollow sound
- Hyperresonant - child's lung
- Tympany - abdomen and GI structures
, - Dull - organs
- Flat - bones
what are the variations of percussion notes? - CORRECT ANSWERS-- Amplitude
- Pitch
*Higher in tympany or hyperresonance
- Quality
- Duration
describe auscultation - CORRECT ANSWERS-Use sense of hearing for sounds
produced by heart, blood vessels, lungs, and abdomen channeled through a
stethoscope
what are the two types of data in the nursing assessment? - CORRECT ANSWERS-
Subjective - what the patient says or describes
Objective - what we see
who are our sources of data in the nursing assessment? - CORRECT ANSWERS--
Patient
- Other - family, friends, other health care professionals, medical records/diagnostic
tests
describe the nursing assessment - CORRECT ANSWERS-- Collection of info about the
patient - holistic and detailed
- Supports clinical reasoning and critical thinking
- Determines the problems and strengths
- Occurs at the beginning and is ongoing during all of the phases of the nursing process
describe the nursing diagnosis - CORRECT ANSWERS-- Use of clinical judgment
- For indivs, family or community
- Provides basis for outcomes and interventions
- Uses r/t
what are the 4 types of nursing diagnoses? - CORRECT ANSWERS-1. Actual nursing
diagnosis (problem focused): describes human responses to health conditions or life
processes
2. Risk nursing diagnosis: describes human responses to health conditions or life
processes that may develop
- May not have signs and symptoms but we can anticipate
3. Health-promotion nursing diagnosis: clinical judgment of motivation and desire to
increase well-being by readiness to enhance specific health behaviours, such as
nutrition and exercise
4. Wellness nursing diagnosis: describes human responses to levels of wellness that
have a readiness for enhancement
2025 Update) Pediatric Nursing | Guide with
Questions and Verified Answers 100%
Correct | Grade A - Fortis
,Describe inspection - CORRECT ANSWERS-- Concentrated watching, close scrutiny
- Compare right and left sides (symmetry)
- Use good lighting
- Ensure adequate patient exposure
describe the otoscope - CORRECT ANSWERS-Funnels light into ear canal and onto
tympanic membrane
describe the ophthalmoscope - CORRECT ANSWERS-- Can visualize through the pupil
to fundus of eye
- Illuminates internal eye structures
what are some instruments we would use for inspection? - CORRECT ANSWERS-
otoscope, ophthalmoscope, specula, penlight
describe palpation - CORRECT ANSWERS-- Using sense of touch can confirm points
noted during inspection
- Slow and systematic
- Light vs. deep palpation
- Intermittent pressure
- Bimanual palpation
what characteristics do we look for in palpation? - CORRECT ANSWERS-Texture,
temp, moisture, organ location and size, swelling, vibration or pulsation, rigidity or
spasticity, crepitation, presence of lumps or masses, presence of tenderness or pain
what parts of the hand do we use for palpation? - CORRECT ANSWERS-- Fingertips
- A grasping action of fingers and thumb
- The dorsa of the hands and fingers - temperature
- Base of fingers (metacarpophalangeal joints) or ulnar surface of the hand - palpating
vibration
describe percussion - CORRECT ANSWERS-- Tapping skin with short, sharp strokes to
assess underlying structures
- Yields palpable vibration and characteristic sounds
*Location, size, density of underlying organ
describe direct percussion - CORRECT ANSWERS-Striking hand contacts body wall
directly
describe indirect percussion - CORRECT ANSWERS-Stationary hand and striking hand
what are the characteristics of percussion notes? - CORRECT ANSWERS-- Resonant -
lungs, air-filled, hollow sound
- Hyperresonant - child's lung
- Tympany - abdomen and GI structures
, - Dull - organs
- Flat - bones
what are the variations of percussion notes? - CORRECT ANSWERS-- Amplitude
- Pitch
*Higher in tympany or hyperresonance
- Quality
- Duration
describe auscultation - CORRECT ANSWERS-Use sense of hearing for sounds
produced by heart, blood vessels, lungs, and abdomen channeled through a
stethoscope
what are the two types of data in the nursing assessment? - CORRECT ANSWERS-
Subjective - what the patient says or describes
Objective - what we see
who are our sources of data in the nursing assessment? - CORRECT ANSWERS--
Patient
- Other - family, friends, other health care professionals, medical records/diagnostic
tests
describe the nursing assessment - CORRECT ANSWERS-- Collection of info about the
patient - holistic and detailed
- Supports clinical reasoning and critical thinking
- Determines the problems and strengths
- Occurs at the beginning and is ongoing during all of the phases of the nursing process
describe the nursing diagnosis - CORRECT ANSWERS-- Use of clinical judgment
- For indivs, family or community
- Provides basis for outcomes and interventions
- Uses r/t
what are the 4 types of nursing diagnoses? - CORRECT ANSWERS-1. Actual nursing
diagnosis (problem focused): describes human responses to health conditions or life
processes
2. Risk nursing diagnosis: describes human responses to health conditions or life
processes that may develop
- May not have signs and symptoms but we can anticipate
3. Health-promotion nursing diagnosis: clinical judgment of motivation and desire to
increase well-being by readiness to enhance specific health behaviours, such as
nutrition and exercise
4. Wellness nursing diagnosis: describes human responses to levels of wellness that
have a readiness for enhancement
