NUR HESI PEDIATRIC PRACTICE EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS

NUR HESI PEDIATRIC PRACTICE EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS
3.A2AA23-week-oldA2newbornA2isA2broughtA2toA2theA2clinicA2forA2follow-
upA2afterA2aA2homeA2birth.A2TheA2motherA2reportsA2thatA2herA2childA2bottleA2feedsA2forA25A2
minutesA2onlyA2andA2thenA2fallsA2asleep.A2TheA2nurseA2auscultatesA2aA2loudA2murmurA2ch
aracteristicA2ofA2aA2ventricularA2septalA2defectA2(VSD),A2andA2findsA2theA2newbornA2isA2ac
yanoticA2withA2aA2respiratoryA2rateA2ofA264A2breathsA2perA2minute.A2WhatA2instructionA2sh
ouldA2theA2nurseA2provideA2theA2motherA2toA2ensureA2theA2infantA2isA2receivingA2adequate
A2intake?A2(SelectA2allA2thatA2apply.)A2-A2Ans--
A.A2MonitorA2theA2theA2infant'sA2weightA2andA2numberA2ofA2wetA2diapersA2perA2day.A2-
A2childA2shouldA2atA2leastA2haveA26A2wetA2diapersA2perA2day.
B.A2IncreaseA2theA2infant'sA2intakeA2perA2feedingA2byA21A2toA22A2ouncesA2perA2week.-
A2childA2isA2alwaysA2fatigue,A2needA2toA2increaseA2toA230A2ozA2aA2day
D.A2AllowA2theA2infantA2toA2restA2andA2re-feedA2onA2demandA2orA2everyA22A2hours.-
A2childA2isA2alwaysA2fatigue,A2thisA2willA2ensureA2adequateA2feeding.A2
E.A2UseA2aA2softerA2nippleA2orA2increaseA2theA2sizeA2ofA2theA2nippleA2opening.-
A2thisA2willA2saveA2energy


33.A2AA215-year-
oldA2girlA2tellsA2theA2schoolA2nurseA2thatA2allA2ofA2herA2friendsA2haveA2startedA2theirA2perio
dsA2andA2sheA2feelsA2abnormalA2becauseA2sheA2hasA2not.A2WhichA2responseA2isA2bestA2fo
rA2theA2nurseA2provide?A2-A2Ans--
ExplainA2thatA2menarcheA2variesA2andA2occursA2betweenA2theA2agesA2ofA212A2andA218A2y
ears.

81.A2WhichA2findingA2inA2aA219-year-
oldA2femaleA2clientA2shouldA2triggerA2furtherA2assessmentA2byA2theA2nurse?A2-A2Ans--
MenstruationA2hasA2notA2occurred-
A2menarcheA2usuallyA2occurA2betweenA2theA2agesA2ofA212A2andA218A2yearsA2old


34.A2AtA28A2a.m.A2theA2unlicensedA2assistiveA2personnelA2(UAP)A2informsA2theA2chargeA2n
urseA2thatA2aA2femaleA2adolescentA2clientA2withA2acuteA2glomerulonephritisA2hasA2aA2bloo
dA2pressureA2ofA2210/110.A2TheA24A2a.m.A2bloodA2pressureA2readingA2wasA2170/88.A2TheA
2clientA2reportsA2toA2theA2UAPA2thatA2sheA2isA2upsetA2becauseA2herA2boyfriendA2didA2notA2
visitA2lastA2night.A2WhatA2actionA2shouldA2theA2nurseA2takeA2first?A2-A2Ans--
AdministerA2PRNA2prescriptionA2ofA2nifedipineA2(Procardia)A2sublingually.
-CAA2channelA2blocker
-alwaysA2assessA2physiologicalA2needs

56.A2AA23-year-
oldA2clientA2withA2sickleA2cellA2anemiaA2isA2admittedA2toA2theA2EmergencyA2DepartmentA2
withA2abdominalA2pain.A2TheA2nurseA2palpatesA2anA2enlargedA2liver,A2anA2x-

,rayA2revealsA2anA2enlargedA2spleen,A2andA2aA2CBCA2revealsA2anemia.A2TheseA2findingsA2i
ndicateA2whichA2typeA2ofA2crisis?A2-A2Ans--Sequestration.-
A2poolingA2ofA2bloodA2causesA2andA2painA2andA2anemiaA2d/
tA2blockageA2ofA2bloodA2inA2theA2spleen

1.A2AplasticA2anemia-A2anemiaA2d/tA2drugs
2.A2HyperhemolyticA2anemia-A2anemiaA2d/tA2theA2breakdownA2ofA2RBC
3.Vaso-occlusiveA2anemia-A2sickleA2cellsA2areA2cloggingA2upA2smallA2capillaries-
A2andA2painA2butA2notA2enlargedA2spleenA2andA2liver


49.A2AA2preschool-
ageA2childA2whoA2isA2hospitalizedA2forA2hypospadiasA2repairA2isA2mostA2stronglyA2influenc
edA2byA2whichA2behavior?A2-A2Ans--
preA2schoolA2ageA2childrenA2areA2concededA2aboutA2lostA2ofA2bodyA2mutilationA2orA2bodyA2
integrity.

nurseA2shouldA2explain-
A2theyA2didA2notA2causeA2theA2illness,A2procedureA2isA2notA2punishment,A2restoringA2bodyA
2imageA2withA2aA2band-aid.


26.A2TheA2vitalA2signsA2ofA2aA24-year-
oldA2childA2withA2polyuriaA2are:A2BPA280/40,A2PulseA2118,A2andA2RespirationsA224.A2TheA2
child'sA2pedalA2pulsesA2areA2presentA2withA2aA2volumeA2ofA2+1,A2andA2noA2edemaA2isA2obs
erved.A2WhatA2actionA2shouldA2theA2nurseA2implementA2first?A2-A2Ans--
StartA2anA2IVA2infusionA2ofA2normalA2saline-A2patientA2isA2experiencingA2fluidA2voleA2deficit

40.A2AA26-month-
oldA2boyA2andA2hisA2motherA2areA2atA2theA2healthcareA2provider'sA2officeA2forA2aA2well-
babyA2check-
upA2andA2routineA2immunizations.A2TheA2healthcareA2providerA2recommendsA2toA2theA2m
otherA2thatA2theA2childA2receiveA2anA2influenzaA2vaccine.A2WhatA2medicationsA2shouldA2th
eA2nurseA2planA2toA2administerA2today?A2-A2Ans--6A2monthA2shots:A2DTAP;A2HEPA2-
BA2(1stA2dose:A2birth,A22ndA2dose:A21-2A2months,A23rdA2doseA26-
9A2months);A2PCV;A2IPV;A2INFLUENZA~A2adminsterA2atA2aA2differentA2site

38.A2AA23-year-
oldA2boyA2isA2broughtA2toA2theA2emergencyA2roomA2becauseA2heA2swallowedA2anA2entireA2
bottleA2ofA2children'sA2vitaminA2pills.A2WhichA2interventionA2shouldA2theA2nurseA2implemen
tA2first?A2-A2Ans--DetermineA2theA2child'sA2pulseA2andA2respiration~A2alwaysA2ABC
assess:A2respiratory,A2cardiac,A2andA2neuro

27.A2TheA2parentsA2ofA2aA23-week-
oldA2infantA2reportA2thatA2theA2childA2eatsA2wellA2butA2vomitsA2afterA2eachA2feeding.A2What
A2informationA2isA2mostA2importantA2forA2theA2nurseA2toA2obtain?A2-A2Ans--
DescriptionA2ofA2vomitingA2episodesA2inA2pastA224A2hours.-
A2assessmentA2ofA2whatA2causeA2vomitingA2episodesA2leaningA2towardsA2treatment

, 4.A2TheA2nurseA2isA2planningA2careA2forA2school-
agedA2childrenA2atA2aA2communityA2careA2center.A2WhichA2activityA2isA2bestA2forA2theA2chil
dren?A2-A2Ans--PlayingA2follow-the-leader.A2
Erikson:A2industryA2vsA2inferiorityA2
achieveA2independenceA2andA2productivity

60.A2TheA2motherA2ofA2aA22-year-
oldA2boyA2consultsA2theA2nurseA2aboutA2herA2son'sA2increasedA2temperA2tantrums.A2TheA2
motherA2states,A2"YesterdayA2heA2threwA2aA2fitA2inA2theA2groceryA2store,A2andA2IA2didA2notA
2knowA2whatA2toA2do.A2IA2wasA2soA2embarrassed.A2WhatA2canA2IA2doA2ifA2thisA2occursA2aga
in?"A2WhichA2recommendationA2isA2bestA2forA2theA2nurseA2toA2provideA2thisA2mother?A2-
A2Ans--WalkA2awayA2fromA2himA2andA2ignoreA2theA2behavior
-temperA2tantrumsA2areA2normal,A2justA2ignoreA2theA2behavior.

25.A2AA22-year-oldA2childA2withA2gastro-
esophagealA2refluxA2hasA2developedA2aA2fearA2ofA2eating.A2WhatA2instructionA2shouldA2th
eA2nurseA2includeA2inA2theA2parents'A2teachingA2plan?A2-A2Ans--
ConsistentlyA2followA2aA2setA2mealtimeA2routine
-A2alwaysA2followA2aA2consistentA2homeA2schedule

18.A2AsA2partA2ofA2theA2physicalA2assessmentA2ofA2children,A2theA2nurseA2observesA2andA2
palpatesA2theA2fontanels.A2WhichA2child'sA2fontanelA2findingA2shouldA2beA2reportedA2toA2th
eA2healthcareA2provider?A2-A2Ans--AA26-month-
oldA2withA2failureA2toA2thriveA2thatA2hasA2aA2closedA2anteriorA2fontanel.

5.A2SurgeryA2isA2beingA2delayedA2forA2anA2infantA2withA2undescendedA2testes.A2InA2collab
orationA2withA2theA2healthcareA2providerA2andA2theA2family,A2whichA2prescriptionA2shouldA2
theA2nurseA2anticipate?A2-A2Ans--
AA2trialA2ofA2humanA2chorionicA2gonadotrophicA2hormone

A2FrequentA2stimulationA2ofA2theA2cremastericA2reflex~A2causesA2theA2testesA2toA2ascend,
A2notA2descend.


70.A2WhenA2evaluatingA2theA2effectivenessA2ofA2interventionsA2toA2improveA2theA2nutrition
alA2statusA2ofA2anA2infantA2withA2gastro-
esophagealA2reflux,A2whichA2interventionA2isA2mostA2importantA2forA2theA2nurseA2toA2imple
ment?A2-A2Ans--RecordA2weightA2dailyA2=A2nutritionA2forA2infants

63.A2TheA2nurseA2isA2assessingA2aA213-year-
oldA2girlA2withA2suspectedA2hyperthyroidism.A2WhichA2questionA2isA2mostA2importantA2forA2
theA2nurseA2toA2askA2herA2duringA2theA2admissionA2interview?A2-A2Ans--
AreA2youA2experiencingA2anyA2typeA2ofA2nervousness?A2-
A2physiologicalA2answers:A2nervousness,A2apprehension,A2palpitations,A2hyperA2excitabilit
y