HESI PEDIATRICS EXAM (RATIONALE
AVAILABLE) NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+
A child breaks out with varicella infection (chickenpox) while
| | | | | | | |
hospitalized for a minor surgical procedure. Which intervention should
| | | | | | | | |
the nurse implement first?
| | | |
A. Place a mask on the child before transporting the child outside the
| | | | | | | | | | |
room.
|
B. Immunize exposed family members with the varicella vaccine.
| | | | | | |
C. Place the child in strict isolation to prevent an outbreak on the unit.
| | | | | | | | | | | |
D. Determine which staff have had varicella before making
| | | | | | |
assignments. - ✔✔✔ Correct Answer > C. Place the child in
| | | | | | | | | | |
strict isolation to prevent an outbreak on the unit.
| | | | | | | | |
Rationale:
The period of communicability of varicella is 2 days before the rash
| | | | | | | | | | |
appears until all lesions are crusted; varicella is spread by direct or
| | | | | | | | | | | |
indirect contact of saliva or vesicles. Strict isolation is indicated to
| | | | | | | | | | |
prevent further exposure to staff and others. Staff who have had
| | | | | | | | | | |
,varicella or the vaccine are not susceptible to contracting or spreading
| | | | | | | | | |
the virus and should be the only personnel assigned to care for this
| | | | | | | | | | | | |
client.
|
The nurse is assessing a male adolescent client's knowledge of
| | | | | | | | |
contraception. The teen states, "I have all the info I need." What is the
| | | | | | | | | | | | | |
best response by the nurse?
| | | | |
A. "Tell me what you know about birth control."
| | | | | | |
B. "Do you know how to apply a condom?"
| | | | | | |
C. "Teen pregnancy should not be taken lightly."
| | | | | |
D. "You need to visit with your guidance counselor." - ✔✔✔ Correct
| | | | | | | | | |
Answer > A. "Tell me what you know about birth control."
| | | | | | | | | | |
Rationale:
Teens often obtain information from peers, which may not be accurate.
| | | | | | | | | |
Knowing the source of the information may assist the nurse in
| | | | | | | | | | |
evaluating the information that the teenager has regarding
| | | | | | | |
contraception. It would be best for the nurse to ask a more general
| | | | | | | | | | | | |
question, such as option A
| | | | |
When inserting a nasogastric tube into the stomach of a 3-month-old
| | | | | | | | | |
infant, which nursing intervention is most important to implement?
| | | | | | | | |
A. Use a blanket as a mummy restraint.
| | | | | |
B. Monitor the infant's heart rate. | | | |
C. Lubricate the catheter with saline. | | | |
,D. Explain the procedure to the parents. - ✔✔✔ Correct Answer > B.
| | | | | | | | | | |
Monitor the infant's heart rate.
| | | | |
Rationale:
All interventions may be implemented during nasogastric tube
| | | | | | |
insertion, but the most important nursing action is to monitor the
| | | | | | | | | | |
infant's heart rate, which may decrease because of vagal nerve
| | | | | | | | | |
stimulation and can occur when the tube is inserted.
| | | | | | | | |
The nurse observes a 4-year-old boy in a day care setting. Which
| | | | | | | | | | |
behavior should the nurse expect this child to exhibit?
| | | | | | | | |
A. Throws a temper tantrum when told he must share the toys.
| | | | | | | | | |
B. Plays by himself for most of the day.
| | | | | | |
C. Boasts aggressively when telling a story.
| | | | |
D. Cries and is fearful when separated from his parents. - ✔✔✔
| | | | | | | | | |
Correct Answer > C. Boasts aggressively when telling a story.
| | | | | | | | |
Rationale:
Four-year-old children are aggressive in their behavior and enjoy telling
| | | | | | | | |
tales.
|
During routine screening at a school clinic, an otoscope examination of
| | | | | | | | | |
a child's ear reveals a tympanic membrane that is pearly gray, slightly
| | | | | | | | | | | |
bulging, and not movable. Based on these findings, what action should
| | | | | | | | | | |
the nurse take?
| | |
, A. No action is required because this is an expected finding for a school-
| | | | | | | | | | | |
aged child.
| |
B. Ask if the child has had a cold, runny nose, or any ear pain lately.
| | | | | | | | | | | | | |
C. Send a note home advising parents to have the child evaluated by a
| | | | | | | | | | | |
health care provider.
| | |
D. Call the parents and have them take the child home from school for
| | | | | | | | | | | |
the rest of the day. - ✔✔✔ Correct Answer > B. Ask if the child has
| | | | | | | | | | | | | | | |
had a cold, runny nose, or any ear pain lately.
| | | | | | | | | |
Rationale:
More information is needed to interpret these findings. The tympanic
| | | | | | | | |
membrane is normally pearly gray, not bulging, and moves when a
| | | | | | | | | | |
client blows against resistance or when a small puff of air is blown into
| | | | | | | | | | | | | |
the ear canal. Because these findings are not completely normal,
| | | | | | | | | |
further assessment of history and related signs and symptoms are
| | | | | | | | | |
needed to interpret the findings accurately.
| | | | | |
When caring for a child with congenital heart disease and
| | | | | | | | |
polycythemia, which nursing intervention has the highest priority?
| | | | | | | |
A. Administering oxygen therapy continuously | | |
B. Restricting fluids as ordered | | |
C. Maintaining adequate hydration | |
D. Maintaining digoxin levels - ✔✔✔ Correct Answer > C. | | | | | | | |
Maintaining adequate hydration
| | |
AVAILABLE) NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+
A child breaks out with varicella infection (chickenpox) while
| | | | | | | |
hospitalized for a minor surgical procedure. Which intervention should
| | | | | | | | |
the nurse implement first?
| | | |
A. Place a mask on the child before transporting the child outside the
| | | | | | | | | | |
room.
|
B. Immunize exposed family members with the varicella vaccine.
| | | | | | |
C. Place the child in strict isolation to prevent an outbreak on the unit.
| | | | | | | | | | | |
D. Determine which staff have had varicella before making
| | | | | | |
assignments. - ✔✔✔ Correct Answer > C. Place the child in
| | | | | | | | | | |
strict isolation to prevent an outbreak on the unit.
| | | | | | | | |
Rationale:
The period of communicability of varicella is 2 days before the rash
| | | | | | | | | | |
appears until all lesions are crusted; varicella is spread by direct or
| | | | | | | | | | | |
indirect contact of saliva or vesicles. Strict isolation is indicated to
| | | | | | | | | | |
prevent further exposure to staff and others. Staff who have had
| | | | | | | | | | |
,varicella or the vaccine are not susceptible to contracting or spreading
| | | | | | | | | |
the virus and should be the only personnel assigned to care for this
| | | | | | | | | | | | |
client.
|
The nurse is assessing a male adolescent client's knowledge of
| | | | | | | | |
contraception. The teen states, "I have all the info I need." What is the
| | | | | | | | | | | | | |
best response by the nurse?
| | | | |
A. "Tell me what you know about birth control."
| | | | | | |
B. "Do you know how to apply a condom?"
| | | | | | |
C. "Teen pregnancy should not be taken lightly."
| | | | | |
D. "You need to visit with your guidance counselor." - ✔✔✔ Correct
| | | | | | | | | |
Answer > A. "Tell me what you know about birth control."
| | | | | | | | | | |
Rationale:
Teens often obtain information from peers, which may not be accurate.
| | | | | | | | | |
Knowing the source of the information may assist the nurse in
| | | | | | | | | | |
evaluating the information that the teenager has regarding
| | | | | | | |
contraception. It would be best for the nurse to ask a more general
| | | | | | | | | | | | |
question, such as option A
| | | | |
When inserting a nasogastric tube into the stomach of a 3-month-old
| | | | | | | | | |
infant, which nursing intervention is most important to implement?
| | | | | | | | |
A. Use a blanket as a mummy restraint.
| | | | | |
B. Monitor the infant's heart rate. | | | |
C. Lubricate the catheter with saline. | | | |
,D. Explain the procedure to the parents. - ✔✔✔ Correct Answer > B.
| | | | | | | | | | |
Monitor the infant's heart rate.
| | | | |
Rationale:
All interventions may be implemented during nasogastric tube
| | | | | | |
insertion, but the most important nursing action is to monitor the
| | | | | | | | | | |
infant's heart rate, which may decrease because of vagal nerve
| | | | | | | | | |
stimulation and can occur when the tube is inserted.
| | | | | | | | |
The nurse observes a 4-year-old boy in a day care setting. Which
| | | | | | | | | | |
behavior should the nurse expect this child to exhibit?
| | | | | | | | |
A. Throws a temper tantrum when told he must share the toys.
| | | | | | | | | |
B. Plays by himself for most of the day.
| | | | | | |
C. Boasts aggressively when telling a story.
| | | | |
D. Cries and is fearful when separated from his parents. - ✔✔✔
| | | | | | | | | |
Correct Answer > C. Boasts aggressively when telling a story.
| | | | | | | | |
Rationale:
Four-year-old children are aggressive in their behavior and enjoy telling
| | | | | | | | |
tales.
|
During routine screening at a school clinic, an otoscope examination of
| | | | | | | | | |
a child's ear reveals a tympanic membrane that is pearly gray, slightly
| | | | | | | | | | | |
bulging, and not movable. Based on these findings, what action should
| | | | | | | | | | |
the nurse take?
| | |
, A. No action is required because this is an expected finding for a school-
| | | | | | | | | | | |
aged child.
| |
B. Ask if the child has had a cold, runny nose, or any ear pain lately.
| | | | | | | | | | | | | |
C. Send a note home advising parents to have the child evaluated by a
| | | | | | | | | | | |
health care provider.
| | |
D. Call the parents and have them take the child home from school for
| | | | | | | | | | | |
the rest of the day. - ✔✔✔ Correct Answer > B. Ask if the child has
| | | | | | | | | | | | | | | |
had a cold, runny nose, or any ear pain lately.
| | | | | | | | | |
Rationale:
More information is needed to interpret these findings. The tympanic
| | | | | | | | |
membrane is normally pearly gray, not bulging, and moves when a
| | | | | | | | | | |
client blows against resistance or when a small puff of air is blown into
| | | | | | | | | | | | | |
the ear canal. Because these findings are not completely normal,
| | | | | | | | | |
further assessment of history and related signs and symptoms are
| | | | | | | | | |
needed to interpret the findings accurately.
| | | | | |
When caring for a child with congenital heart disease and
| | | | | | | | |
polycythemia, which nursing intervention has the highest priority?
| | | | | | | |
A. Administering oxygen therapy continuously | | |
B. Restricting fluids as ordered | | |
C. Maintaining adequate hydration | |
D. Maintaining digoxin levels - ✔✔✔ Correct Answer > C. | | | | | | | |
Maintaining adequate hydration
| | |
