Pediatric HESI Practice Exam | Atcual
Questions and Answers with Verified
Solutions | Latest Updated 2026
The nurse is preparing a child with ANS: B
an Intussusception, an invagination or
intussusception for a prescribed telescoping of
barium enema. What is the main one portion of the intestine into another,
purpose of conducting this causes
procedure prior to surgical intestinal obstruction in children (usually
intervention? occurs
A.Evacuate the bowel of impacted between 3 months and 5 years of age).
feces. Nonsurgical
B.Reduce the invaginated bowel treatment is attempted with hydrostatic
segment. pressure
C.Locate the presence of created by barium instillation, which often
diverticula. reduces
D.Identify the area of esophageal the area of bowel intussusception (B),
atresia. thereby
negating the need for surgical intervention.
A
barium enema is likely to cause (A). A
barium
enema could be used to detect (C), but
this is not
the reason for its use with intussusception.
(D) is
not a use for a barium enema.
,The nurse is teaching an ANS: A
adolescent The Milwaukee brace is designed to slow
girl with scoliosis about a the
Milwaukee progression in spinal curvature while the
brace that her health care provider adolescent is growing. The brace should
has prescribed. Which instruction be worn
should the nurse provide to this 23 hours a day and removed a total of 1
client? hour a day
A.Remove the brace 1 hour each for hygiene (A). There are no specific
day exercises for
for bathing only. increasing the range of motion in the back
B.Remove the brace only for back that
range-of-motion exercises. should be performed (B). A T shirt should
C.Wear the brace against the bare be worn
skin to ensure a good fit. next to the body and the brace put on over
D.Wearing the brace will cure the the T
spinal curvature. shirt to protect the skin (C). The brace will
not cure
the spinal curvature (D) but should slow
the
progression of the scoliosis.
,The nurse should teach the ANS: C
parents Assuming a knee-chest position with the
of a child with a cyanotic heart head and
defect to perform which action chest slightly elevated (C) will help restore
when hemodynamic equilibrium. (A and B) are
a hypercyanotic spell occurs? incorrect
A.Place the child's head flat, with positions and may hinder the child's
the condition. (D)
knees on pillows above the level of may cause chest pain or a vasovagal
the heart. response, with
B.Have the child lie on the right resulting hypotension.
side,
with the head elevated on one
pillow.
C.Allow the child to assume a
knee-
chest position, with the head and
chest slightly elevated.
D.Encourage the child to sit up at
a
45-degree angle, drink cold water,
and take deep breaths.
, During routine screening at a ANS: B
school More information is needed to interpret
clinic, an otoscope examination of these
a findings (B). The tympanic membrane is
child's ear reveals a tympanic normally
membrane that is pearly gray, pearly gray, not bulging, and moves when
slightly a client
bulging, and not movable. Based blows against resistance or when a small
on puff of air
these findings, what action should is blown into the ear canal. Because these
the nurse take? findings
A.No action is required, because are not completely normal, further
this assessment of
is an expected finding for a school- history and related signs and symptoms
aged child. are
B.Ask if the child has had a cold, needed to interpret the findings accurately.
runny nose, or any ear pain lately. Based
C.Send a note home advising on the data obtained from the otoscope
parents to have the child examination, (A, C, and D) are not
evaluated indicated.
by a health care provider.
D.Call the parents and have them
take the child home from school
for
the rest of the day.
Questions and Answers with Verified
Solutions | Latest Updated 2026
The nurse is preparing a child with ANS: B
an Intussusception, an invagination or
intussusception for a prescribed telescoping of
barium enema. What is the main one portion of the intestine into another,
purpose of conducting this causes
procedure prior to surgical intestinal obstruction in children (usually
intervention? occurs
A.Evacuate the bowel of impacted between 3 months and 5 years of age).
feces. Nonsurgical
B.Reduce the invaginated bowel treatment is attempted with hydrostatic
segment. pressure
C.Locate the presence of created by barium instillation, which often
diverticula. reduces
D.Identify the area of esophageal the area of bowel intussusception (B),
atresia. thereby
negating the need for surgical intervention.
A
barium enema is likely to cause (A). A
barium
enema could be used to detect (C), but
this is not
the reason for its use with intussusception.
(D) is
not a use for a barium enema.
,The nurse is teaching an ANS: A
adolescent The Milwaukee brace is designed to slow
girl with scoliosis about a the
Milwaukee progression in spinal curvature while the
brace that her health care provider adolescent is growing. The brace should
has prescribed. Which instruction be worn
should the nurse provide to this 23 hours a day and removed a total of 1
client? hour a day
A.Remove the brace 1 hour each for hygiene (A). There are no specific
day exercises for
for bathing only. increasing the range of motion in the back
B.Remove the brace only for back that
range-of-motion exercises. should be performed (B). A T shirt should
C.Wear the brace against the bare be worn
skin to ensure a good fit. next to the body and the brace put on over
D.Wearing the brace will cure the the T
spinal curvature. shirt to protect the skin (C). The brace will
not cure
the spinal curvature (D) but should slow
the
progression of the scoliosis.
,The nurse should teach the ANS: C
parents Assuming a knee-chest position with the
of a child with a cyanotic heart head and
defect to perform which action chest slightly elevated (C) will help restore
when hemodynamic equilibrium. (A and B) are
a hypercyanotic spell occurs? incorrect
A.Place the child's head flat, with positions and may hinder the child's
the condition. (D)
knees on pillows above the level of may cause chest pain or a vasovagal
the heart. response, with
B.Have the child lie on the right resulting hypotension.
side,
with the head elevated on one
pillow.
C.Allow the child to assume a
knee-
chest position, with the head and
chest slightly elevated.
D.Encourage the child to sit up at
a
45-degree angle, drink cold water,
and take deep breaths.
, During routine screening at a ANS: B
school More information is needed to interpret
clinic, an otoscope examination of these
a findings (B). The tympanic membrane is
child's ear reveals a tympanic normally
membrane that is pearly gray, pearly gray, not bulging, and moves when
slightly a client
bulging, and not movable. Based blows against resistance or when a small
on puff of air
these findings, what action should is blown into the ear canal. Because these
the nurse take? findings
A.No action is required, because are not completely normal, further
this assessment of
is an expected finding for a school- history and related signs and symptoms
aged child. are
B.Ask if the child has had a cold, needed to interpret the findings accurately.
runny nose, or any ear pain lately. Based
C.Send a note home advising on the data obtained from the otoscope
parents to have the child examination, (A, C, and D) are not
evaluated indicated.
by a health care provider.
D.Call the parents and have them
take the child home from school
for
the rest of the day.
