NUR HESI Pediatric Practice Exam
3. A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The
mother reports that her child bottle feeds for 5 minutes only and then falls asleep. The
nurse auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and
finds the newborn is acyanotic with a respiratory rate of 64 breaths per minute. What
instruction should the nurse provide the mother to ensure the infant is receiving adequate
intake? (Select all that apply.) - - A. Monitor the the infant's weight and number of wet
diapers per day. - child should at least have 6 wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.- child is always
fatigue, need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 hours.- child is always fatigue,
this will ensure adequate feeding.
E. Use a softer nipple or increase the size of the nipple opening.- this will save energy
33. A 15-year-old girl tells the school nurse that all of her friends have started their periods
and she feels abnormal because she has not. Which response is best for the nurse
provide? - - Explain that menarche varies and occurs between the ages of 12 and 18
years.
81. Which finding in a 19-year-old female client should trigger further assessment by the
nurse? - - Menstruation has not occurred- menarche usually occur between the ages
of 12 and 18 years old
34. At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a
female adolescent client with acute glomerulonephritis has a blood pressure of 210/110.
The 4 a.m. blood pressure reading was 170/88. The client reports to the UAP that she is
upset because her boyfriend did not visit last night. What action should the nurse take
first? - - Administer PRN prescription of nifedipine (Procardia) sublingually.
-CA channel blocker
-always assess physiological needs
56. A 3-year-old client with sickle cell anemia is admitted to the Emergency Department
with abdominal pain. The nurse palpates an enlarged liver, an x-ray reveals an enlarged
spleen, and a CBC reveals anemia. These findings indicate which type of crisis? - -
,NUR HESI Pediatric Practice Exam
Sequestration.- pooling of blood causes and pain and anemia d/t blockage of blood in the
spleen
1. Aplastic anemia- anemia d/t drugs
2. Hyperhemolytic anemia- anemia d/t the breakdown of RBC
3.Vaso-occlusive anemia- sickle cells are clogging up small capillaries- and pain but not
enlarged spleen and liver
49. A preschool-age child who is hospitalized for hypospadias repair is most strongly
influenced by which behavior? - - pre school age children are conceded about lost of
body mutilation or body integrity.
nurse should explain- they did not cause the illness, procedure is not punishment,
restoring body image with a band-aid.
26. The vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and
Respirations 24. The child's pedal pulses are present with a volume of +1, and no edema is
observed. What action should the nurse implement first? - - Start an IV infusion of
normal saline- patient is experiencing fluid vole deficit
40. A 6-month-old boy and his mother are at the healthcare provider's office for a well-baby
check-up and routine immunizations. The healthcare provider recommends to the mother
that the child receive an influenza vaccine. What medications should the nurse plan to
administer today? - - 6 month shots: DTAP; HEP -B (1st dose: birth, 2nd dose: 1-2
months, 3rd dose 6-9 months); PCV; IPV; INFLUENZA~ adminster at a different site
38. A 3-year-old boy is brought to the emergency room because he swallowed an entire
bottle of children's vitamin pills. Which intervention should the nurse implement first? -
- Determine the child's pulse and respiration~ always ABC
assess: respiratory, cardiac, and neuro
, NUR HESI Pediatric Practice Exam
27. The parents of a 3-week-old infant report that the child eats well but vomits after each
feeding. What information is most important for the nurse to obtain? - - Description
of vomiting episodes in past 24 hours.- assessment of what cause vomiting episodes
leaning towards treatment
4. The nurse is planning care for school-aged children at a community care center. Which
activity is best for the children? - - Playing follow-the-leader.
Erikson: industry vs inferiority
achieve independence and productivity
60. The mother of a 2-year-old boy consults the nurse about her son's increased temper
tantrums. The mother states, "Yesterday he threw a fit in the grocery store, and I did not
know what to do. I was so embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother? - - Walk away from him
and ignore the behavior
-temper tantrums are normal, just ignore the behavior.
25. A 2-year-old child with gastro-esophageal reflux has developed a fear of eating. What
instruction should the nurse include in the parents' teaching plan? - - Consistently
follow a set mealtime routine
- always follow a consistent home schedule
18. As part of the physical assessment of children, the nurse observes and palpates the
fontanels. Which child's fontanel finding should be reported to the healthcare provider? -
- A 6-month-old with failure to thrive that has a closed anterior fontanel.
5. Surgery is being delayed for an infant with undescended testes. In collaboration with the
healthcare provider and the family, which prescription should the nurse anticipate? -
- A trial of human chorionic gonadotrophic hormone
Frequent stimulation of the cremasteric reflex~ causes the testes to ascend, not descend.
3. A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The
mother reports that her child bottle feeds for 5 minutes only and then falls asleep. The
nurse auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and
finds the newborn is acyanotic with a respiratory rate of 64 breaths per minute. What
instruction should the nurse provide the mother to ensure the infant is receiving adequate
intake? (Select all that apply.) - - A. Monitor the the infant's weight and number of wet
diapers per day. - child should at least have 6 wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.- child is always
fatigue, need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 hours.- child is always fatigue,
this will ensure adequate feeding.
E. Use a softer nipple or increase the size of the nipple opening.- this will save energy
33. A 15-year-old girl tells the school nurse that all of her friends have started their periods
and she feels abnormal because she has not. Which response is best for the nurse
provide? - - Explain that menarche varies and occurs between the ages of 12 and 18
years.
81. Which finding in a 19-year-old female client should trigger further assessment by the
nurse? - - Menstruation has not occurred- menarche usually occur between the ages
of 12 and 18 years old
34. At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a
female adolescent client with acute glomerulonephritis has a blood pressure of 210/110.
The 4 a.m. blood pressure reading was 170/88. The client reports to the UAP that she is
upset because her boyfriend did not visit last night. What action should the nurse take
first? - - Administer PRN prescription of nifedipine (Procardia) sublingually.
-CA channel blocker
-always assess physiological needs
56. A 3-year-old client with sickle cell anemia is admitted to the Emergency Department
with abdominal pain. The nurse palpates an enlarged liver, an x-ray reveals an enlarged
spleen, and a CBC reveals anemia. These findings indicate which type of crisis? - -
,NUR HESI Pediatric Practice Exam
Sequestration.- pooling of blood causes and pain and anemia d/t blockage of blood in the
spleen
1. Aplastic anemia- anemia d/t drugs
2. Hyperhemolytic anemia- anemia d/t the breakdown of RBC
3.Vaso-occlusive anemia- sickle cells are clogging up small capillaries- and pain but not
enlarged spleen and liver
49. A preschool-age child who is hospitalized for hypospadias repair is most strongly
influenced by which behavior? - - pre school age children are conceded about lost of
body mutilation or body integrity.
nurse should explain- they did not cause the illness, procedure is not punishment,
restoring body image with a band-aid.
26. The vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and
Respirations 24. The child's pedal pulses are present with a volume of +1, and no edema is
observed. What action should the nurse implement first? - - Start an IV infusion of
normal saline- patient is experiencing fluid vole deficit
40. A 6-month-old boy and his mother are at the healthcare provider's office for a well-baby
check-up and routine immunizations. The healthcare provider recommends to the mother
that the child receive an influenza vaccine. What medications should the nurse plan to
administer today? - - 6 month shots: DTAP; HEP -B (1st dose: birth, 2nd dose: 1-2
months, 3rd dose 6-9 months); PCV; IPV; INFLUENZA~ adminster at a different site
38. A 3-year-old boy is brought to the emergency room because he swallowed an entire
bottle of children's vitamin pills. Which intervention should the nurse implement first? -
- Determine the child's pulse and respiration~ always ABC
assess: respiratory, cardiac, and neuro
, NUR HESI Pediatric Practice Exam
27. The parents of a 3-week-old infant report that the child eats well but vomits after each
feeding. What information is most important for the nurse to obtain? - - Description
of vomiting episodes in past 24 hours.- assessment of what cause vomiting episodes
leaning towards treatment
4. The nurse is planning care for school-aged children at a community care center. Which
activity is best for the children? - - Playing follow-the-leader.
Erikson: industry vs inferiority
achieve independence and productivity
60. The mother of a 2-year-old boy consults the nurse about her son's increased temper
tantrums. The mother states, "Yesterday he threw a fit in the grocery store, and I did not
know what to do. I was so embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother? - - Walk away from him
and ignore the behavior
-temper tantrums are normal, just ignore the behavior.
25. A 2-year-old child with gastro-esophageal reflux has developed a fear of eating. What
instruction should the nurse include in the parents' teaching plan? - - Consistently
follow a set mealtime routine
- always follow a consistent home schedule
18. As part of the physical assessment of children, the nurse observes and palpates the
fontanels. Which child's fontanel finding should be reported to the healthcare provider? -
- A 6-month-old with failure to thrive that has a closed anterior fontanel.
5. Surgery is being delayed for an infant with undescended testes. In collaboration with the
healthcare provider and the family, which prescription should the nurse anticipate? -
- A trial of human chorionic gonadotrophic hormone
Frequent stimulation of the cremasteric reflex~ causes the testes to ascend, not descend.
