Exit Hesi Pediatrics Evolve UPDATED
ACTUAL Exam Questions and CORRECT
Answers
The nurse is reviewing the primary health care provider's documentation in the record of a child
admitted with a diagnosis of intussusception. The nurse expects to note that the primary health
care provider has documented which manifestation?
1.Scleral jaundice 2.Projectile vomiting 3.Currant jelly-like stools 4.Pale-colored and hard stools
- CORRECT ANSWER- 3.Currant jelly-like stools
A child who is 4 years old is seen for a well-child checkup. He has been regularly receiving
immunizations. Which immunizations should the child receive at this visit? Select all that apply.
1.Varicella vaccine 2.Rotavirus vaccine 3.Inactivated polio vaccine 4.Meningococcal conjugate
vaccine 5.Haemophilus influenzae type B vaccine 6.Measles, mumps, and rubella (MMR)
vaccine - CORRECT ANSWER- 1, 3, 6
A child is seen in the health care clinic, and the nurse suspects the presence of pinworm infection
(enterobiasis). The nurse instructs the mother as to how to obtain a cellophane tape rectal
specimen. Which statement by the mother indicates an understanding of the correct procedure to
obtain the specimen?
1."I need to collect the specimen after I give my child a bath." 2."I need to collect the first bowel
movement of the day and place it in a sealed container." 3."I need to place a piece of transparent
cellophane tape lightly over the anal area as soon as my child awakens and bring it to the clinic
for examination." 4."I need to place a piece of transparent cellophane tape lightly over the anal
area after my child has a bowel movement and bring it to the clinic for examination." -
CORRECT ANSWER- 3."I need to place a piece of transparent cellophane tape lightly over
the anal area as soon as my child awakens and bring it to the clinic for examination."
In caring for a child diagnosed with Hodgkin's disease, which oncologic emergency should the
nurse be most concerned about?
1.Hyperleukocytosis 2.Spinal cord compression 3.Superior vena cava syndrome 4.Disseminated
intavascular coagulation - CORRECT ANSWER- 3.Superior vena cava syndrome
, A child seen in the clinic is found to have rubeola (measles), and the mother asks the nurse how
to care for the child. The nurse should tell the mother to implement which action?
1.Keep the child in a room with dim lights. 2.Give the child warm baths to help prevent itching.
3.Allow the child to play outdoors because sunlight will help the rash. 4.Take the child's
temperature every 4 hours and administer 1 baby aspirin for fever. - CORRECT ANSWER-
1.Keep the child in a room with dim lights.
The nurse is collecting data on a child with a diagnosis of rheumatic fever. Which question
should the nurse initially ask the mother of the child?
1."Has the child been vomiting?" 2."Has the child had any diarrhea?" 3."Does the child complain
of chest pain and numbness in the right arm?" 4."Has the child complained of a sore throat
within the past few months?" - CORRECT ANSWER- 4."Has the child complained of a sore
throat within the past few months?"
Which interventions should the nurse include when creating a care plan for a child with
hepatitis? Select all that apply.
1.Providing a low-fat, well-balanced diet. 2.Teaching the child effective hand-washing
techniques. 3.Scheduling playtime in the playroom with other children. 4.Notifying the primary
health care provider (PHCP) if jaundice is present. 5.Instructing the parents to avoid
administering medications unless prescribed. 6.Arranging for indefinite home schooling because
the child will not be able to return to school. - CORRECT ANSWER- 1, 2, 5
The nurse caring for a child who sustained a burn injury plans care based on which pediatric
considerations associated with this injury? Select all that apply.
1.Scarring is less severe in a child than in an adult. 2.A delay in growth may occur after a burn
injury. 3.An immature immune system presents an increased risk of infection for infants and
young children. 4.Fluid resuscitation is unnecessary unless the burned area is more than 25% of
the total body surface area. 5.The lower proportion of body fluid to body mass in a child
increases the risk of cardiovascular problems. 6.Infants and young children are at increased risk
for protein and calorie deficiency because they have smaller muscle mass and less body fat than
adults. - CORRECT ANSWER- 2, 3, 6
The nurse is caring for an infant with gastroenteritis who is being treated for dehydration. The
nurse reviews the health record and notes that the primary health care provider has documented
that the infant is mildly dehydrated. Which assessment finding should the nurse expect to note in
mild dehydration?
ACTUAL Exam Questions and CORRECT
Answers
The nurse is reviewing the primary health care provider's documentation in the record of a child
admitted with a diagnosis of intussusception. The nurse expects to note that the primary health
care provider has documented which manifestation?
1.Scleral jaundice 2.Projectile vomiting 3.Currant jelly-like stools 4.Pale-colored and hard stools
- CORRECT ANSWER- 3.Currant jelly-like stools
A child who is 4 years old is seen for a well-child checkup. He has been regularly receiving
immunizations. Which immunizations should the child receive at this visit? Select all that apply.
1.Varicella vaccine 2.Rotavirus vaccine 3.Inactivated polio vaccine 4.Meningococcal conjugate
vaccine 5.Haemophilus influenzae type B vaccine 6.Measles, mumps, and rubella (MMR)
vaccine - CORRECT ANSWER- 1, 3, 6
A child is seen in the health care clinic, and the nurse suspects the presence of pinworm infection
(enterobiasis). The nurse instructs the mother as to how to obtain a cellophane tape rectal
specimen. Which statement by the mother indicates an understanding of the correct procedure to
obtain the specimen?
1."I need to collect the specimen after I give my child a bath." 2."I need to collect the first bowel
movement of the day and place it in a sealed container." 3."I need to place a piece of transparent
cellophane tape lightly over the anal area as soon as my child awakens and bring it to the clinic
for examination." 4."I need to place a piece of transparent cellophane tape lightly over the anal
area after my child has a bowel movement and bring it to the clinic for examination." -
CORRECT ANSWER- 3."I need to place a piece of transparent cellophane tape lightly over
the anal area as soon as my child awakens and bring it to the clinic for examination."
In caring for a child diagnosed with Hodgkin's disease, which oncologic emergency should the
nurse be most concerned about?
1.Hyperleukocytosis 2.Spinal cord compression 3.Superior vena cava syndrome 4.Disseminated
intavascular coagulation - CORRECT ANSWER- 3.Superior vena cava syndrome
, A child seen in the clinic is found to have rubeola (measles), and the mother asks the nurse how
to care for the child. The nurse should tell the mother to implement which action?
1.Keep the child in a room with dim lights. 2.Give the child warm baths to help prevent itching.
3.Allow the child to play outdoors because sunlight will help the rash. 4.Take the child's
temperature every 4 hours and administer 1 baby aspirin for fever. - CORRECT ANSWER-
1.Keep the child in a room with dim lights.
The nurse is collecting data on a child with a diagnosis of rheumatic fever. Which question
should the nurse initially ask the mother of the child?
1."Has the child been vomiting?" 2."Has the child had any diarrhea?" 3."Does the child complain
of chest pain and numbness in the right arm?" 4."Has the child complained of a sore throat
within the past few months?" - CORRECT ANSWER- 4."Has the child complained of a sore
throat within the past few months?"
Which interventions should the nurse include when creating a care plan for a child with
hepatitis? Select all that apply.
1.Providing a low-fat, well-balanced diet. 2.Teaching the child effective hand-washing
techniques. 3.Scheduling playtime in the playroom with other children. 4.Notifying the primary
health care provider (PHCP) if jaundice is present. 5.Instructing the parents to avoid
administering medications unless prescribed. 6.Arranging for indefinite home schooling because
the child will not be able to return to school. - CORRECT ANSWER- 1, 2, 5
The nurse caring for a child who sustained a burn injury plans care based on which pediatric
considerations associated with this injury? Select all that apply.
1.Scarring is less severe in a child than in an adult. 2.A delay in growth may occur after a burn
injury. 3.An immature immune system presents an increased risk of infection for infants and
young children. 4.Fluid resuscitation is unnecessary unless the burned area is more than 25% of
the total body surface area. 5.The lower proportion of body fluid to body mass in a child
increases the risk of cardiovascular problems. 6.Infants and young children are at increased risk
for protein and calorie deficiency because they have smaller muscle mass and less body fat than
adults. - CORRECT ANSWER- 2, 3, 6
The nurse is caring for an infant with gastroenteritis who is being treated for dehydration. The
nurse reviews the health record and notes that the primary health care provider has documented
that the infant is mildly dehydrated. Which assessment finding should the nurse expect to note in
mild dehydration?
