PEDIATRICS HESI PRACTICE QUESTIONS AND CORRECT VERIFIED ANSWERS

PEDIATRICS HESI PRACTICE QUESTIONS
AND CORRECT VERIFIED ANSWERS
AA29-month-
oldA2childA2isA2seenA2inA2theA2wellA2clinic.A2WhichA2ofA2theA2followingA2behaviorsA2wouldA2t
heA2nurseA2expectA2toA2see?A2SATAA2
(A)A2PlaysA2peek-a-boo
(B)A2WalksA2independentlyA2
(C)A2FeedsA2selfA2withA2aA2spoonA2
(D)A2StacksA22A2blocksA2togetherA2
(E)A2TransfersA2objectsA2fromA2handA2toA2handA2-A2Ans--A,A2EA2
-walksA2independentlyA2atA215A2monthsA2
-feedsA2selfA2withA2spoonA2atA218A2monthsA2
-stacksA22A2blocksA2togetherA2atA218A2months

TheA2motherA2ofA2aA2six-year-
oldA2childA2arrivesA2atA2theA2clinicA2becauseA2theA2childA2hasA2beenA2experiencingA2redA2a
ndA2swollenA2eyes.A2TheA2nurseA2notesA2aA2dischargeA2fromA2theA2eyesA2andA2sendsA2aA2
cultureA2toA2theA2lab.A2ChlamydiaA2conjunctivitisA2isA2diagnosed.A2OnA2theA2basisA2ofA2this
A2diagnosis,A2theA2nurseA2determinesA2thatA2whichA2requiresA2furtherA2investigation?A2
(A)A2PossibleA2traumaA2toA2theA2eyeA2
(B)A2PossibleA2sexualA2abuseA2
(C)A2PresenceA2ofA2anA2allergyA2
(D)A2PresenceA2ofA2aA2respiratoryA2infectionA2-A2Ans--(B)A2PossibleA2sexualA2abuseA2
-
ChlamydiaA2isA2sexualA2transmittedA2disease.A2TheA2diagnosisA2ofA2chlamydiaA2inA2aA2chil
dA2notA2sexuallyA2activeA2shouldA2signalA2theA2healthA2careA2providerA2toA2assessA2theA2si
gnsA2ofA2possibleA2sexualA2abuse

TheA2schoolA2nurseA2determinesA2aA2groupA2ofA2youngA2womenA2areA2inA2earlyA2adolesce
ntsA2basedA2onA2theA2followingA2observation.A2AllA2ofA2theA2women:A2
(A)A2HaveA2decidedA2onA2theirA2careerA2pathA2
(B)A2AreA2dressedA2inA2theA2same-styleA2clothesA2andA2haveA2theA2sameA2hairA2styleA2
(C)A2BrokeA2curfewA2byA2stayingA2outA2lateA2atA2aA2partyA2theyA2wentA2toA2
(D)A2BragA2aboutA2drinkingA2beerA2whenA2theirA2parentsA2wereA2atA2workA2-A2Ans--
(B)A2PeerA2identityA2isA2importantA2atA2thisA2age

TheA2nurseA2isA2watchingA2twoA2siblings,A2agesA27A2andA29A2yearsA2ofA2age,A2verballyA2ar
guingA2overA2aA2toy.A2TheA2nurseA2hasA2counseledA2theA2parentsA2beforeA2aboutA2howA2to
A2handleA2theA2situation.A2TheA2nurseA2shouldA2judgeA2thatA2theA2teachingA2hasA2beenA2ef
fectiveA2whenA2theA2parentA2takesA2whichA2action?A2
(A)A2TellA2theA2siblingsA2toA2stopA2arguingA2andA2shakeA2handsA2
(B)A2IgnoresA2theA2arguingA2andA2continuesA2whatA2sheA2isA2doingA2
(C)A2TellsA2theA2childrenA2theyA2willA2beA2punishedA2whenA2theyA2goA2homeA2

, (D)A2SaysA2theyA2willA2notA2goA2outA2toA2lunchA2nowA2sinceA2theyA2haveA2arguedA2-A2Ans--
(B)A2TheA2bestA2approachA2byA2theA2motherA2isA2notA2toA2interfere.A2TheA2childrenA2needA
2toA2learnA2howA2toA2solveA2disagreementsA2onA2theirA2own.A2IfA2theA2parentsA2alwaysA2int
ervenes,A2whenA2theA2childrenA2doA2notA2learnA2howA2toA2doA2this

TheA2nurseA2isA2caringA2forA2aA2newbornA2withA2aA2suspectedA2diagnosisA2ofA2imperforate
dA2anus.A2WhichA2clinicalA2manifestationA2isA2associatedA2withA2thisA2defect?A2
(A)A2Bile-stainedA2fecalA2emesisA2
(B)A2TheA2passageA2ofA2currentA2jellyA2stoolsA2
(C)A2FailureA2toA2passA2meconiumA2stoolA2inA2theA2firstA224A2hoursA2afterA2birthA2
(D)A2Sausage-shapedA2massA2inA2theA2upperA2rightA2quadrantA2-A2Ans--
(C)A2ThisA2isA2aA2defectA2whereA2incompleteA2developmentA2orA2absenceA2ofA2theA2anus

WhichA2drugA2mayA2beA2givenA2toA2newbornsA2toA2closeA2theA2patentA2ductusA2arteriosusA
2(PDA)?A2-A2Ans--IndomethacinA2(prostaglandinA2inhibitor)


WhichA2drugA2mayA2beA2givenA2toA2newbornsA2toA2keepA2theA2ductusA2arteriosusA2(PDA)A
2openA2untilA2surgeryA2canA2beA2performed?A2-A2Ans--ProstaglandinA2E


AfterA2receivingA2changeA2ofA2shiftA2report,A2whichA2patientA2shouldA2youA2assessA2first?A2
(A)A2AnA218-month-
oldA2withA2coarcationA2ofA2theA2aortaA2whoA2hasA2decreasedA2pedalA2pulsesA2
(B)A2AA23-year-oldA2withA2rheumaticA2feverA2whoA2reportsA2severeA2kneeA2painA2
(C)A2AA25-year-oldA2withA2endocarditisA2whoA2hasA2cracklesA2throughoutA2bothA2lungsA2
(D)A2AnA28-year-oldA2withA2Kawasaki'sA2diseaseA2whoA2hasA2aA2feverA2ofA2102.2A2-A2Ans--
(C)A2CracklesA2throughA2theA2lungsA2indicateA2theA2childA2hasA2leftA2ventricularA2failureA2a
sA2aA2complicationA2ofA2endocarditis.A2HypoxemiaA2isA2likely,A2soA2theA2childA2needsA2aA2r
apidA2respiratoryA2assessment,A2possibleA2administrationA2ofA2oxygen.A2TheA2otherA2child
renA2shouldA2beA2assessedA2asA2quicklyA2asA2possible,A2butA2areA2notA2experiencingA2life-
threateningA2complications

AnA2infantA2isA2bornA2withA2ventricularA2septalA2defectA2(VSD)A2andA2surgeryA2isA2planned
A2toA2correctA2theA2defect.A2TheA2nurseA2recognizesA2thatA2surgicalA2correctionA2isA2desig
nedA2toA2achieveA2whichA2outcome?A2
(A)A2StopA2theA2flowA2ofA2deoxygenatedA2bloodA2intoA2systemicA2circulationA2
(B)A2IncreaseA2theA2flowA2ofA2deoxygenatedA2bloodA2toA2theA2lungsA2
(C)A2PreventA2theA2returnA2ofA2oxygenatedA2bloodA2toA2theA2lungsA2
(D)A2ReduceA2peripheralA2tissueA2hypoxiaA2andA2nailA2bedA2clubbingA2-A2Ans--(C)

TheA2nurseA2wouldA2suggestA2geneticA2counselingA2forA2eachA2ofA2theA2followingA2except:
A2
(A)A2SickleA2cellA2anemiaA2
(B)A2B-thalassemiaA2
(C)A2HemophiliaA2AA2
(D)A2Henoch-SchonleinA2purpuraA2-A2Ans--
(D)A2ThisA2isA2anA2inflammationA2ofA2theA2smallA2bloodA2vesselsA2ofA2theA2skin,A2joints,A2b
owels,A2andA2kidneysA2andA2isA2commonA2inA2children.A2However,A2itA2isA2notA2genetic