Hesi Pediatric Practice Exam
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(assessing the physiological state upon admission is a priority, and nervousness,
apprehension, hyperexcitability, and palpitations are signs of hyperthyroidism. Wt
loss (even w/ a hearty appetite) occurs in those w/ hyperthyroidism, but assessing
the neurological state has a higher priority. )
The nurse is planning care for school-aged children at a community care center.
Which activity is best for the children? - ANSWER ✓ Playing follow-the-leader
(School-aged kids strive for independence and productivity (Erikson's industry vs
inferiority) and enjoy individual and group activities r/t real life situations, such as
playing follow the leader
Surgery is being delayed for an infant w/ undescended testes. In collaboration w/
the HCP and the family, which prescription should the nurse anticipate? -
ANSWER ✓ A trial of human chorionic gonadrophic hormone
(A trial of HCG may aid in testicular descent, but does not replace surgical repair
for true undescended testes. Undescended testes (cryptorchidism) may be found in
the inguinal canal due to exaggerated cremasteric reflex
A 3 yr old client w/ sickle cell anemia is admitted to the ED w/ abd pain. The
nurse palpates an enlarged liver, an x-ray reveals an enlarged spleen, and a CBC
reveals anemia. These findings indicate which type of crisis? - ANSWER ✓
Sequestration
(The finding support sequestration crisis, where blood pools in the spleen, and is
characterized by abd'l pain and anemia)
, To assess the effectiveness of an analgesic administered to a 4 yr old, what
intervention is best for the nurse to implement? - ANSWER ✓ Use a happy face /
sad face pain scale
(a 4 yr old can readily identify w/ simple pictures to show the nurse how they are
feeling)
In dvpg a teaching plan for a 5 yr old child w/ diabetes, which component of
diabetic mgmt should the nurse plan for the child to manage first? - ANSWER ✓
Process of glucose testing
(dvpmt'ly, a 5 yr old has the cognitive and psychomotor skills to use a glucometer
and read the number - it is especially helpful if the nurse presents this activity as a
game)
A 17 yr old male student reports to the school clinic one morning for a scheduled
health exam. He tells the nurse that he just finished football practice and is on his
way to class. the nurse assesses his v/s: Temp 100F, Pulse 80, RR 20, and BP
122/82. what is the best action for the nurse to take? - ANSWER ✓ Tell the student
to proceed directly to his regularly scheduled class
The v/s of a 4 yr old child w/ polyuria are : BP 80/40;
P 118; RR 24. the child's pedal pulses are present w/ a volume of +1 and no edema
is observed. What action should the nurse implement first? - ANSWER ✓ Start an
IV infusion of NS
(the current v/s readings and the decreased peripheral pulse volume indicate that
the child is experiencing fluid volume deficit due to the polyuria, so the priority
action is to restore fluid volume)
A 3 wk old newborn is brought to the clinic for f/u after a home birth. the mother
reports that her child bottle feeds for 5 min only and then falls asleep. the nurse
auscultates a loud murmur characteristic of a VSD, and finds the newborn is
acyanotic w/ a RR 64. What instruction should then nurse provide the mother to
ensure the infant is receiving adequate intake? - ANSWER ✓ 1. Monitor the
infant's wt and # of wet diapers per day
2. Increase the infant's intake per feeding by 1-2 oz per week
3. Allow the infant to rest and refeed on demand or every 2 hrs
4. Use a softer nipple or increase the size of the nipple opening
, (Neonates who have VSD may fatigue quickly during feeding and ingest
inadequate amts. They should be monitored for wt gain at least 6 wet diapers/day.
A 1 month old infant should ingest 2-4 oz of formula per feeding and progress to
about 30 uz / day by 4 months of age. Due to fatigue, the infant should rest, but
feed at least q2h to ensure adequate intake. A softer preemie nipple or a larger slit
in the nipple helps to reduce the sucking effort and energy expenditure, thus
allowing the infant to ingest more w/ less effort )
When discussing discipline w/ the mother of a 4 yr old child, the nurse should
include which guideline? - ANSWER ✓ Parental control should be consistent
(Discipline should be a positive and necessary component of childrearing that is
started in infancy and should teach socially acceptable behavior, help children
protect themselves from danger, and channel undesirable behavior into
constructive activity. Misbehavior may result from inconsistent rules or messages,
so parental attn should be clear, reasonable, and consistent)
Which action by the nurse is most helpful in communicating w/ a preschool-aged
child? - ANSWER ✓ Use a doll to play and communicate
(Communicating thru play w/ a doll or other toy gives time for the child to feel
comfortable w/ a stranger)
The nurse is having difficulty communicating w/ a hospitalized 6 yr old child.
Which approach by the nurse is most helpful in establishing communication? -
ANSWER ✓ engage the child thru drawing pictures
(drawing pictures is a valuable form of non-verbal communication. As the nurse
and child look at the drawings, a verbal story can be told that projects the child's
thinking)
A child falls on the playground and is brought to the school nurse w/ a small
laceration on the forearm. Which action should the nurse implement 1st? -
ANSWER ✓ Wash the wound gently w/ mild soap and water
(a small, superficial laceration to the skin should be washed gently w/ mild soap
and water for several minutes, followed by thorough rinsing)
Questions with Correct
Solutions||100% Guaranteed
Pass||Already Graded A+||<<BRAND
NEW VERSION>>
(assessing the physiological state upon admission is a priority, and nervousness,
apprehension, hyperexcitability, and palpitations are signs of hyperthyroidism. Wt
loss (even w/ a hearty appetite) occurs in those w/ hyperthyroidism, but assessing
the neurological state has a higher priority. )
The nurse is planning care for school-aged children at a community care center.
Which activity is best for the children? - ANSWER ✓ Playing follow-the-leader
(School-aged kids strive for independence and productivity (Erikson's industry vs
inferiority) and enjoy individual and group activities r/t real life situations, such as
playing follow the leader
Surgery is being delayed for an infant w/ undescended testes. In collaboration w/
the HCP and the family, which prescription should the nurse anticipate? -
ANSWER ✓ A trial of human chorionic gonadrophic hormone
(A trial of HCG may aid in testicular descent, but does not replace surgical repair
for true undescended testes. Undescended testes (cryptorchidism) may be found in
the inguinal canal due to exaggerated cremasteric reflex
A 3 yr old client w/ sickle cell anemia is admitted to the ED w/ abd pain. The
nurse palpates an enlarged liver, an x-ray reveals an enlarged spleen, and a CBC
reveals anemia. These findings indicate which type of crisis? - ANSWER ✓
Sequestration
(The finding support sequestration crisis, where blood pools in the spleen, and is
characterized by abd'l pain and anemia)
, To assess the effectiveness of an analgesic administered to a 4 yr old, what
intervention is best for the nurse to implement? - ANSWER ✓ Use a happy face /
sad face pain scale
(a 4 yr old can readily identify w/ simple pictures to show the nurse how they are
feeling)
In dvpg a teaching plan for a 5 yr old child w/ diabetes, which component of
diabetic mgmt should the nurse plan for the child to manage first? - ANSWER ✓
Process of glucose testing
(dvpmt'ly, a 5 yr old has the cognitive and psychomotor skills to use a glucometer
and read the number - it is especially helpful if the nurse presents this activity as a
game)
A 17 yr old male student reports to the school clinic one morning for a scheduled
health exam. He tells the nurse that he just finished football practice and is on his
way to class. the nurse assesses his v/s: Temp 100F, Pulse 80, RR 20, and BP
122/82. what is the best action for the nurse to take? - ANSWER ✓ Tell the student
to proceed directly to his regularly scheduled class
The v/s of a 4 yr old child w/ polyuria are : BP 80/40;
P 118; RR 24. the child's pedal pulses are present w/ a volume of +1 and no edema
is observed. What action should the nurse implement first? - ANSWER ✓ Start an
IV infusion of NS
(the current v/s readings and the decreased peripheral pulse volume indicate that
the child is experiencing fluid volume deficit due to the polyuria, so the priority
action is to restore fluid volume)
A 3 wk old newborn is brought to the clinic for f/u after a home birth. the mother
reports that her child bottle feeds for 5 min only and then falls asleep. the nurse
auscultates a loud murmur characteristic of a VSD, and finds the newborn is
acyanotic w/ a RR 64. What instruction should then nurse provide the mother to
ensure the infant is receiving adequate intake? - ANSWER ✓ 1. Monitor the
infant's wt and # of wet diapers per day
2. Increase the infant's intake per feeding by 1-2 oz per week
3. Allow the infant to rest and refeed on demand or every 2 hrs
4. Use a softer nipple or increase the size of the nipple opening
, (Neonates who have VSD may fatigue quickly during feeding and ingest
inadequate amts. They should be monitored for wt gain at least 6 wet diapers/day.
A 1 month old infant should ingest 2-4 oz of formula per feeding and progress to
about 30 uz / day by 4 months of age. Due to fatigue, the infant should rest, but
feed at least q2h to ensure adequate intake. A softer preemie nipple or a larger slit
in the nipple helps to reduce the sucking effort and energy expenditure, thus
allowing the infant to ingest more w/ less effort )
When discussing discipline w/ the mother of a 4 yr old child, the nurse should
include which guideline? - ANSWER ✓ Parental control should be consistent
(Discipline should be a positive and necessary component of childrearing that is
started in infancy and should teach socially acceptable behavior, help children
protect themselves from danger, and channel undesirable behavior into
constructive activity. Misbehavior may result from inconsistent rules or messages,
so parental attn should be clear, reasonable, and consistent)
Which action by the nurse is most helpful in communicating w/ a preschool-aged
child? - ANSWER ✓ Use a doll to play and communicate
(Communicating thru play w/ a doll or other toy gives time for the child to feel
comfortable w/ a stranger)
The nurse is having difficulty communicating w/ a hospitalized 6 yr old child.
Which approach by the nurse is most helpful in establishing communication? -
ANSWER ✓ engage the child thru drawing pictures
(drawing pictures is a valuable form of non-verbal communication. As the nurse
and child look at the drawings, a verbal story can be told that projects the child's
thinking)
A child falls on the playground and is brought to the school nurse w/ a small
laceration on the forearm. Which action should the nurse implement 1st? -
ANSWER ✓ Wash the wound gently w/ mild soap and water
(a small, superficial laceration to the skin should be washed gently w/ mild soap
and water for several minutes, followed by thorough rinsing)
