NUR 353 HESI PRACTICE QUESTIONS
2026/2027 | NUR 353 HESI EXAM
REVIEW & STUDY GUIDE
1 of 33
Term
The nurse is caring for a 2-week-old infant, who was just diagnosed
with developmental dysplasia of the hip (DDH). Which treatment
should the nurse expect to be implemented for this client?
Pavlik harness.
Fixed abduction brace.
Closed reduction surgery.
Open reduction surgery.
Give this one a try later!
Cerebral Palsy
Rationale Cerebral palsy refers to a group of non-progressive disorder that can
result from an hypoxic injury to the developing brain either pre-natally, during the
birthing process or can occur in early childhood due to hypoxic episode or
infectious disease process. Cerebral palsy is often associated with delayed speech
or difficulty speaking, spastic and/or hypotonic muscles, and failure to meet
, expected motor skills milestones. Prenatal injuries are the most common cause of
cerebral palsy.
Pavlik harness.
Rationale DDH is a congenital dislocation of the hip which is usually detected
during the newborn assessment. The preferred treatment for infants involves
splinting with a Pavlik harness, to align the hip joint with the proximal femur
centered in the acetabulum in the flexed position. This splint is worn
continuously, 23-hours out of 24-hour-day for approximately for 6-12 weeks,
until the infant's hip is stable. If this treatment does not work, then other
devices are utilized to stretch the hip to full abduction.
Preeclampsia.
Preeclampsia, also known has "pregnancy-induced hypertension" (PIH) is a
potentially severe complication of pregnancy. Severe headaches and changes in
vision are often reported. High blood pressure is an important early sign, so the
nurse should suspect preeclampsia in this situation. PIH can negatively effect the
growth of the developing fetus and possibly cause premature birth if not well-
managed.
Cesarean delivery is encouraged.
Rationale It is important to test for HIV and understand the treatment options for the
client and the fetus. The pregnant HIV positive women continue with their
medication regime during the pregnancy and C-sections are usually scheduled for
the 38th week of pregnancy. Although vaginal deliveries are a possibility for a client
with HIV, cesarean delivery is highly encouraged to prevent transmission to the
fetus.
Don't know?
2 of 33
Term
,The nurse recognizes signs that a 9-month-old toddler may be living in
an abusive home. Which action is the priority for the nurse?
Report the suspected abuse to local authorities.
Document from head to feet, the physical signs of abuse.
Test the child for sexually-transmitted diseases.
Encourage the child to speak freely.
Give this one a try later!
Tympanostomy tube placement.
Rationale Otitis media with effusion is a common problem for younger children due
to the structural position of the eustachian tube. Tympanostomy tube (T-tube)
placement may be necessary to promote drainage in clients who have a history of
ear infections that do not respond to more conservative treatments.
Cesarean delivery is encouraged.
Rationale It is important to test for HIV and understand the treatment options for the
client and the fetus. The pregnant HIV positive women continue with their
medication regime during the pregnancy and C-sections are usually scheduled for
the 38th week of pregnancy. Although vaginal deliveries are a possibility for a client
with HIV, cesarean delivery is highly encouraged to prevent transmission to the
fetus.
Preeclampsia.
Preeclampsia, also known has "pregnancy-induced hypertension" (PIH) is a
potentially severe complication of pregnancy. Severe headaches and changes in
vision are often reported. High blood pressure is an important early sign, so the
nurse should suspect preeclampsia in this situation. PIH can negatively effect the
growth of the developing fetus and possibly cause premature birth if not well-
managed.
, Report the suspected abuse to local authorities.
The nurse's priority in suspected abuse cases is the safety and welfare of the
child. According to national statistics, children under the age of one have the
highest incidences of being abuse. Nurses are mandated reporters and are
required to report suspected cases of abuse to local authorities in order to
protect the child from further a D
b uo sne' t . k n ow?
3 of 33
Term
The nurse applied 6 lpm of oxygen via a non-rebreather mask to a ten-
year- old child with a history of asthma in the emergency department
and began a nebulizer treatment. The child upon arrival had a
respiratory rate of 32 breathes per minute, SpO2 of 86% on room air;
substernal and intercostalretractions; and audible expiratory and
inspiratory wheezing audible three feet away. After the nebulizer
treatment, the nurse noted the audible wheezing had lessen and the
lower lobes of the lungs were absent of breath sounds. The nurse
should prepare for which intervention next?
Peak expiratory flow measurement.
Administration of albuterol.
Chest physiotherapy.
Endotracheal intubation.
Give this one a try later!
2026/2027 | NUR 353 HESI EXAM
REVIEW & STUDY GUIDE
1 of 33
Term
The nurse is caring for a 2-week-old infant, who was just diagnosed
with developmental dysplasia of the hip (DDH). Which treatment
should the nurse expect to be implemented for this client?
Pavlik harness.
Fixed abduction brace.
Closed reduction surgery.
Open reduction surgery.
Give this one a try later!
Cerebral Palsy
Rationale Cerebral palsy refers to a group of non-progressive disorder that can
result from an hypoxic injury to the developing brain either pre-natally, during the
birthing process or can occur in early childhood due to hypoxic episode or
infectious disease process. Cerebral palsy is often associated with delayed speech
or difficulty speaking, spastic and/or hypotonic muscles, and failure to meet
, expected motor skills milestones. Prenatal injuries are the most common cause of
cerebral palsy.
Pavlik harness.
Rationale DDH is a congenital dislocation of the hip which is usually detected
during the newborn assessment. The preferred treatment for infants involves
splinting with a Pavlik harness, to align the hip joint with the proximal femur
centered in the acetabulum in the flexed position. This splint is worn
continuously, 23-hours out of 24-hour-day for approximately for 6-12 weeks,
until the infant's hip is stable. If this treatment does not work, then other
devices are utilized to stretch the hip to full abduction.
Preeclampsia.
Preeclampsia, also known has "pregnancy-induced hypertension" (PIH) is a
potentially severe complication of pregnancy. Severe headaches and changes in
vision are often reported. High blood pressure is an important early sign, so the
nurse should suspect preeclampsia in this situation. PIH can negatively effect the
growth of the developing fetus and possibly cause premature birth if not well-
managed.
Cesarean delivery is encouraged.
Rationale It is important to test for HIV and understand the treatment options for the
client and the fetus. The pregnant HIV positive women continue with their
medication regime during the pregnancy and C-sections are usually scheduled for
the 38th week of pregnancy. Although vaginal deliveries are a possibility for a client
with HIV, cesarean delivery is highly encouraged to prevent transmission to the
fetus.
Don't know?
2 of 33
Term
,The nurse recognizes signs that a 9-month-old toddler may be living in
an abusive home. Which action is the priority for the nurse?
Report the suspected abuse to local authorities.
Document from head to feet, the physical signs of abuse.
Test the child for sexually-transmitted diseases.
Encourage the child to speak freely.
Give this one a try later!
Tympanostomy tube placement.
Rationale Otitis media with effusion is a common problem for younger children due
to the structural position of the eustachian tube. Tympanostomy tube (T-tube)
placement may be necessary to promote drainage in clients who have a history of
ear infections that do not respond to more conservative treatments.
Cesarean delivery is encouraged.
Rationale It is important to test for HIV and understand the treatment options for the
client and the fetus. The pregnant HIV positive women continue with their
medication regime during the pregnancy and C-sections are usually scheduled for
the 38th week of pregnancy. Although vaginal deliveries are a possibility for a client
with HIV, cesarean delivery is highly encouraged to prevent transmission to the
fetus.
Preeclampsia.
Preeclampsia, also known has "pregnancy-induced hypertension" (PIH) is a
potentially severe complication of pregnancy. Severe headaches and changes in
vision are often reported. High blood pressure is an important early sign, so the
nurse should suspect preeclampsia in this situation. PIH can negatively effect the
growth of the developing fetus and possibly cause premature birth if not well-
managed.
, Report the suspected abuse to local authorities.
The nurse's priority in suspected abuse cases is the safety and welfare of the
child. According to national statistics, children under the age of one have the
highest incidences of being abuse. Nurses are mandated reporters and are
required to report suspected cases of abuse to local authorities in order to
protect the child from further a D
b uo sne' t . k n ow?
3 of 33
Term
The nurse applied 6 lpm of oxygen via a non-rebreather mask to a ten-
year- old child with a history of asthma in the emergency department
and began a nebulizer treatment. The child upon arrival had a
respiratory rate of 32 breathes per minute, SpO2 of 86% on room air;
substernal and intercostalretractions; and audible expiratory and
inspiratory wheezing audible three feet away. After the nebulizer
treatment, the nurse noted the audible wheezing had lessen and the
lower lobes of the lungs were absent of breath sounds. The nurse
should prepare for which intervention next?
Peak expiratory flow measurement.
Administration of albuterol.
Chest physiotherapy.
Endotracheal intubation.
Give this one a try later!
