PEDIATRIC HESI (B) EXAM
1.The nurse is planning care for a 5 - month-old with gastroesophageal
reflux disease whose weight has decreased by 3 ounces since the last clinic
visit one month ago. To increase caloric intake and decrease vomiting, what
instruction should the nurse provide this mother?
ANS •Thicken formula with cereal for each feeding
2.A 4-years-old boy was recently diagnosed with Duchenne muscular dys-
trophy (DMD). Which characteristic of the disease is most important for the
nurse to focus on during the initial teaching?
ANS •Lower legs become progressively weaker, causing a wedding,
unsteady gait
3.In caring for an client with acute epiglottitis, which nursing action
takes priority?
ANS •Prepare for endotracheal intubation
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,4.The nurse is using the Stage Questionnaire (b) to assess a 24 - month-
old child. What is the best intervention for the nurse to initiate after the
assess- ment is completed?
• Assess for changes in the vital signs
• Review the child's birth history
• Provide the parents with a list of stimulating activities
• Meet with a social worker to review the results
ANS • Provide the parents with a list of stimulating activities
5.When caring for a child sickle cell disease, the nurse knows that the
child will most likely exhibit which sign when experiencing a sickle cell
crisis?
ANS • Pain
6.The nurse is administering an oral medication to a reluctant preschool-
age boy. Which intervention should the nurse implement?
ANS • Use straightforward approach with the child
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, 7.The school nurse is presenting a seminar to parents about child safety
that focuses on prevention of spinal cord injuries. What information is
most important for the nurse include in the teaching plan?
ANS • Seat belt and car seat laws for use in motor vehicles should be
reinforced
8.A mother is concerned that her 3-year-old son wants to play with female
doll figures. The child is not interested in building blocks, trucks, or other
typical "boy" toys. How should the nurse respond to the mother's concern?
ANS • Exploring different roles in imaginary play is typical at this age
9.Which nursing intervention is most important to assist in detecting
hypopi- tuitarism and hyperpituitarism in children?
ANS • Carefully recording the height and weight of children to detect
inappropriate growth rates
10.The parents of a 4 week-old infant phone the pediatric clinic to report
that their infant eats well but vomits after each feeding. To differentiate
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1.The nurse is planning care for a 5 - month-old with gastroesophageal
reflux disease whose weight has decreased by 3 ounces since the last clinic
visit one month ago. To increase caloric intake and decrease vomiting, what
instruction should the nurse provide this mother?
ANS •Thicken formula with cereal for each feeding
2.A 4-years-old boy was recently diagnosed with Duchenne muscular dys-
trophy (DMD). Which characteristic of the disease is most important for the
nurse to focus on during the initial teaching?
ANS •Lower legs become progressively weaker, causing a wedding,
unsteady gait
3.In caring for an client with acute epiglottitis, which nursing action
takes priority?
ANS •Prepare for endotracheal intubation
1/
26
,4.The nurse is using the Stage Questionnaire (b) to assess a 24 - month-
old child. What is the best intervention for the nurse to initiate after the
assess- ment is completed?
• Assess for changes in the vital signs
• Review the child's birth history
• Provide the parents with a list of stimulating activities
• Meet with a social worker to review the results
ANS • Provide the parents with a list of stimulating activities
5.When caring for a child sickle cell disease, the nurse knows that the
child will most likely exhibit which sign when experiencing a sickle cell
crisis?
ANS • Pain
6.The nurse is administering an oral medication to a reluctant preschool-
age boy. Which intervention should the nurse implement?
ANS • Use straightforward approach with the child
2/
26
, 7.The school nurse is presenting a seminar to parents about child safety
that focuses on prevention of spinal cord injuries. What information is
most important for the nurse include in the teaching plan?
ANS • Seat belt and car seat laws for use in motor vehicles should be
reinforced
8.A mother is concerned that her 3-year-old son wants to play with female
doll figures. The child is not interested in building blocks, trucks, or other
typical "boy" toys. How should the nurse respond to the mother's concern?
ANS • Exploring different roles in imaginary play is typical at this age
9.Which nursing intervention is most important to assist in detecting
hypopi- tuitarism and hyperpituitarism in children?
ANS • Carefully recording the height and weight of children to detect
inappropriate growth rates
10.The parents of a 4 week-old infant phone the pediatric clinic to report
that their infant eats well but vomits after each feeding. To differentiate
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26
