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PEDIATRICS - HESI PRACTICE EXAM
GRADED A LATEST 2 VERSIONS
UPDATED APRIL 2024-2025
The Nurse Is Giving Preoperative Instructions To A 14-Year Old Female Client
Who Is Scheduled For Surgery To Correct A Spinal Curvature. Which Statement
By The Client Best Demonstrates That Learning Has Taken Place?
A. I Will Read All The Literature You Gave Me Before Surgery.
B. I Have Had Surgery Before When I Broke My Wrist In A Bike Accident, So
I Know What To Expect.
C. All The Things People Have Told Me Will Help Me Take Care Of My Back.
D. I Understand That I Will Be In A Body Cast And I Will Show You How
You Taught Me To Turn.
(ANS - D. I Understand That I Will Be In A Body Cast And I Will Show You
How You Taught Me To Turn.
Outcome Of Learning Is Best Demonstrated When The Client Not Only
Verbalizes An Understanding, But Also Can Provide A Return Demonstration. A
14-Year Old May Or May Not Follow Through With Reading Material And
There Is No Way Of Measuring That Way Of Learning. Have A Previous
Surgery May Help The Client Understand The Surgical Process, But Wrist
Surgery Is Very Different From Spinal Surgery And Emergency Surgery Is
Different Than Elective Surgery. In (C), The Client May Be Saying What The
Nurse Wants To Hear, Without Expressing Any Real Understanding Of What To
Do After Surgery.
To Take The Vital Signs Of A 4-Month Old Child, Which Order Will Give The
Most
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Accurate Results?
A. Respiratory Rate, Heart Rate, Then Rectal Temperature
B. Heart Rate, Rectal Temperature, Then Respiratory Rate.
C. Rectal Temperature, Heart Rate, Then Respiratory Rate
D. Rectal Temperature, Respiratory Rate, Then Heart Rate
(ANS - A. Respiratory Rate, Heart Rate, Then Rectal Temperature
The Respiratory Rate Should Be Taken First In Infants, Since Touching Them Or
Performing Unpleasant Procedures Usually Makes Them Cry, Elevating The Heart
Rate
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And Making Respirations Difficult To Count. Rectal Temperature Is The Most
Invasive Procedure, And Is Mot Likely To Precipitate Crying, So Should Be Done
Last.
During Routine Screening At A School Clinic, An Otoscope Examination Of A
Child's Ear Reveals A Tympanic Membrane That Is Pearly Gray, Slightly
Bulging, And Not Movable. What Action Should The Nurse Take Next?
A. No Action Required, As This Is An Expected Finding For A School-Aged Child
B. Ask The Child If He/She Has Had A Cold, Runny Nose, Or Any Ear Pain Lately.
C. Send A Note Home Advising The Parents To Have The Child
Evaluated By A Healthcare Provider As Soon As Possible.
D. Call The Parents And Have Them Take The Child Home From School For
The Rest Of The Day.
(ANS - B. Ask The Child If He/She Has Had A Cold, Runny Nose, Or Any Ear Pain
Lately.
More Information Is Needed To Interpret These Findings. The Tympanic
Membrane Is Normally Pearly Gray, Not Bulging, And Moves When The Client
Blows Against Resistance Or A Small Puff Of Air Is Blown Into The Ear Canal.
Since This Child's Findings Are Not Completely Normal, Further Assessment Of
History And Related Signs And Symptoms Is Indicated For Accurate
Interpretation Of The Findings. (A), (C), And
(D) Are Inappropriate Actions Based On The Data Obtained From The
Otoscope Examination.
Which Restraint Should Be Used For A Toddler After A Cleft Palate Repair?
A. Clove Hitch
B. Mummy
C. Elbow
D. Jacket
(ANS - C.
Elbow Elbow
Restraints
Elbow Restraints Prevent Children From Bending Their Arms And Bringing Their
Hands To The Oral Surgical Site. A Clove Hitch Restrains The Hands, But The
Child Can Bend And Bring Their Head To Their Hands. A Mummy Restraint Is
Used During Procedures. A Jacket Restraint Restrains The Body Torso And Is Not
, Appropriate.
Material
PEDIATRICS - HESI PRACTICE EXAM
GRADED A LATEST 2 VERSIONS
UPDATED APRIL 2024-2025
The Nurse Is Giving Preoperative Instructions To A 14-Year Old Female Client
Who Is Scheduled For Surgery To Correct A Spinal Curvature. Which Statement
By The Client Best Demonstrates That Learning Has Taken Place?
A. I Will Read All The Literature You Gave Me Before Surgery.
B. I Have Had Surgery Before When I Broke My Wrist In A Bike Accident, So
I Know What To Expect.
C. All The Things People Have Told Me Will Help Me Take Care Of My Back.
D. I Understand That I Will Be In A Body Cast And I Will Show You How
You Taught Me To Turn.
(ANS - D. I Understand That I Will Be In A Body Cast And I Will Show You
How You Taught Me To Turn.
Outcome Of Learning Is Best Demonstrated When The Client Not Only
Verbalizes An Understanding, But Also Can Provide A Return Demonstration. A
14-Year Old May Or May Not Follow Through With Reading Material And
There Is No Way Of Measuring That Way Of Learning. Have A Previous
Surgery May Help The Client Understand The Surgical Process, But Wrist
Surgery Is Very Different From Spinal Surgery And Emergency Surgery Is
Different Than Elective Surgery. In (C), The Client May Be Saying What The
Nurse Wants To Hear, Without Expressing Any Real Understanding Of What To
Do After Surgery.
To Take The Vital Signs Of A 4-Month Old Child, Which Order Will Give The
Most
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Material
Accurate Results?
A. Respiratory Rate, Heart Rate, Then Rectal Temperature
B. Heart Rate, Rectal Temperature, Then Respiratory Rate.
C. Rectal Temperature, Heart Rate, Then Respiratory Rate
D. Rectal Temperature, Respiratory Rate, Then Heart Rate
(ANS - A. Respiratory Rate, Heart Rate, Then Rectal Temperature
The Respiratory Rate Should Be Taken First In Infants, Since Touching Them Or
Performing Unpleasant Procedures Usually Makes Them Cry, Elevating The Heart
Rate
, Stuvia.Com - The Marketplace To Buy And Sell Your Study
Material
And Making Respirations Difficult To Count. Rectal Temperature Is The Most
Invasive Procedure, And Is Mot Likely To Precipitate Crying, So Should Be Done
Last.
During Routine Screening At A School Clinic, An Otoscope Examination Of A
Child's Ear Reveals A Tympanic Membrane That Is Pearly Gray, Slightly
Bulging, And Not Movable. What Action Should The Nurse Take Next?
A. No Action Required, As This Is An Expected Finding For A School-Aged Child
B. Ask The Child If He/She Has Had A Cold, Runny Nose, Or Any Ear Pain Lately.
C. Send A Note Home Advising The Parents To Have The Child
Evaluated By A Healthcare Provider As Soon As Possible.
D. Call The Parents And Have Them Take The Child Home From School For
The Rest Of The Day.
(ANS - B. Ask The Child If He/She Has Had A Cold, Runny Nose, Or Any Ear Pain
Lately.
More Information Is Needed To Interpret These Findings. The Tympanic
Membrane Is Normally Pearly Gray, Not Bulging, And Moves When The Client
Blows Against Resistance Or A Small Puff Of Air Is Blown Into The Ear Canal.
Since This Child's Findings Are Not Completely Normal, Further Assessment Of
History And Related Signs And Symptoms Is Indicated For Accurate
Interpretation Of The Findings. (A), (C), And
(D) Are Inappropriate Actions Based On The Data Obtained From The
Otoscope Examination.
Which Restraint Should Be Used For A Toddler After A Cleft Palate Repair?
A. Clove Hitch
B. Mummy
C. Elbow
D. Jacket
(ANS - C.
Elbow Elbow
Restraints
Elbow Restraints Prevent Children From Bending Their Arms And Bringing Their
Hands To The Oral Surgical Site. A Clove Hitch Restrains The Hands, But The
Child Can Bend And Bring Their Head To Their Hands. A Mummy Restraint Is
Used During Procedures. A Jacket Restraint Restrains The Body Torso And Is Not
, Appropriate.
