HESI Pediatrics Practice Exam Latest Updated 2024 With 100% Correct Answers
A 15-year-old girl tells the school nurse that she wants to have a baby. How should
the nurse respond?
"Will you be able to support the baby?"
"Do you have plans to continue school?"
"Have you talked with your parents about this?"
"Can you tell me how your life will be if you have an infant?" - answers-"Can you
tell me how your life will be if you have an infant?"
Developing a dialogue with the teen is important. By using an open-ended question
the nurse will encourage communication and explanation. This question directs the
teen to consider real life experiences and allows the nurse to assess the teen's
perception and reality orientation.
,The nurse is caring for a premature infant who needs an IV access restarted.
What action should the nurse take when using adhesive tape?
Use solvents such as water, mineral oil, or petrolatum to remove adhesives
instead of pulling on skin.
Avoid using tape and adhesives until skin is more mature.
Use scissors carefully to remove tape instead of pulling tape off.
Use alcohol to remove the adhesives. - answers-Remove adhesives with water,
mineral oil, or petrolatum.
The use of adhesives should be minimized as much as possible in the treatment of
preterm neonates. They should be removed using water, mineral oil, or
petrolatum. The skin of the premature infant is fragile, delicate, and thinner
compared to a full-term infant, and is easily traumatized. Alcohol should not be
used to remove adhesives.
,A seven-month old infant is admitted with nonorganic failure to thrive (NFTT). To
aid the child's growth and development, which intervention is most important for
the nurse to implement?
Encourage the parents to participate in a planned program of play with the infant.
Refer the parents for psychological counseling to identify parental detachment.
Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
Provide instructions about formula preparation and feeding schedules. - answers-
Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
NFTT most often occurs due to inadequate parental knowledge or a disturbance in
parental-child attachment, but the first goal for infants with NFTT is to provide
nutrition to promote "catch-up" growth. The nurse should demonstrate positive
feeding strategies that reduce parent and infant frustration, such as recognizing
the infant's cues indicated by vigorous sucking and satiation.
The nurse is triaging a child with a fever brought to the emergency department by
the parents. Which finding requires the nurse's immediate intervention?
, Prolonged exhalations.
Thick yellow rhinorrhea.
Frequent nonproductive cough.
Oxygen saturation is 95% by pulse oximeter. - answers-Prolonged exhalations.
Prolonged exhalation indicates breathing difficulty and requires immediate
intervention. According to the American Heart Association's Pediatric Advance
Life Support (PALS) algorithm, a prolonged expiration in a pediatric client is
indicative of lower airway obstruction.
The nurse is assessing the coping behaviors of the parents whose child has been
recently diagnosed with a chronic illness. What reaction by the parents is a
positive step in the ability to cope with this new situation?
Endowing the illness with meaning.
A 15-year-old girl tells the school nurse that she wants to have a baby. How should
the nurse respond?
"Will you be able to support the baby?"
"Do you have plans to continue school?"
"Have you talked with your parents about this?"
"Can you tell me how your life will be if you have an infant?" - answers-"Can you
tell me how your life will be if you have an infant?"
Developing a dialogue with the teen is important. By using an open-ended question
the nurse will encourage communication and explanation. This question directs the
teen to consider real life experiences and allows the nurse to assess the teen's
perception and reality orientation.
,The nurse is caring for a premature infant who needs an IV access restarted.
What action should the nurse take when using adhesive tape?
Use solvents such as water, mineral oil, or petrolatum to remove adhesives
instead of pulling on skin.
Avoid using tape and adhesives until skin is more mature.
Use scissors carefully to remove tape instead of pulling tape off.
Use alcohol to remove the adhesives. - answers-Remove adhesives with water,
mineral oil, or petrolatum.
The use of adhesives should be minimized as much as possible in the treatment of
preterm neonates. They should be removed using water, mineral oil, or
petrolatum. The skin of the premature infant is fragile, delicate, and thinner
compared to a full-term infant, and is easily traumatized. Alcohol should not be
used to remove adhesives.
,A seven-month old infant is admitted with nonorganic failure to thrive (NFTT). To
aid the child's growth and development, which intervention is most important for
the nurse to implement?
Encourage the parents to participate in a planned program of play with the infant.
Refer the parents for psychological counseling to identify parental detachment.
Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
Provide instructions about formula preparation and feeding schedules. - answers-
Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
NFTT most often occurs due to inadequate parental knowledge or a disturbance in
parental-child attachment, but the first goal for infants with NFTT is to provide
nutrition to promote "catch-up" growth. The nurse should demonstrate positive
feeding strategies that reduce parent and infant frustration, such as recognizing
the infant's cues indicated by vigorous sucking and satiation.
The nurse is triaging a child with a fever brought to the emergency department by
the parents. Which finding requires the nurse's immediate intervention?
, Prolonged exhalations.
Thick yellow rhinorrhea.
Frequent nonproductive cough.
Oxygen saturation is 95% by pulse oximeter. - answers-Prolonged exhalations.
Prolonged exhalation indicates breathing difficulty and requires immediate
intervention. According to the American Heart Association's Pediatric Advance
Life Support (PALS) algorithm, a prolonged expiration in a pediatric client is
indicative of lower airway obstruction.
The nurse is assessing the coping behaviors of the parents whose child has been
recently diagnosed with a chronic illness. What reaction by the parents is a
positive step in the ability to cope with this new situation?
Endowing the illness with meaning.
