Pediatric HESI
2 year old is admitted to the hospital with possible encephalitis, and a lumbar puncture is
scheduled. Which information should the nurse provide this child concerning the procedure? -
ANS-A
describe the side-lying, knees to chest position that must be assumed during the procedure
A 16 y/o female student with a history of asthma controlled with both an oral antihistamine and
an albuterol (Provenfil) meter-dose inhaler (MDI) comes to the school nurse. The student
complains that she cannot sleep at night, feels shaky and her heart feels like it is "beating a mile
per minute" Which information is most important for the nurse to obtain?
a. When she last took the antihistamine
b. When her last Asthma attack occurred
c. Duration of most asthmas attacks
d. How often the MDI is used daily - ANS-D
How often the MDI is used daily
A 16 year old male client who has been treated in the past for a seizure disorder is admitted to
the hospital. Immediately after admission he begins to have a grand mal seizure. Which action
should the nurse take?
a.Obtain assistance in holding him to prevent injury
b. Observe him carefully
c. Call a CODE
d. Place a padded tongue blade between the teeth - ANS-B
observe him carefully
A 2-year-old girl is brought to the clinic by her 17 year old mother. When the nurse observes that
the child is drinking sweetened soda from her bottle, what information should the nurse discuss
with this mother?
a. A 2-year old should be speaking in 2 word phrases
b. Dental caries are associated with drinking soda
c. Drinking soda is related to childhood obesity
d. Toddlers should be sleeping 10 hours a night
e. Toddlers should be drinking from a cup by age 2 - ANS-B, C, E
A 3 year old with HIV infection is staying with a foster family who is caring for 3 other foster
children in their home. When one of the children acquires pertussis, the foster mother calls the
clinic and asks the nurse what she should do. Which action should the nurse take first?
A. Remove the child who has HIV from the foster homeB. Report the exposure of the child with
HIV to the health departmentC. Place the child who has HIV in reverse isolationD. Review the
immunization documentation of the child who has HIV - ANS-D
review the immunization documentation of the child who has HIV
A 4-month-old girl is brought to the clinical by her mother because she has had a cold for 2-3
days and woke up this morning with a hacking cough and difficulty breathing. Which additional
assessment finding should alert the nurse that the child is in acute respiratory distress?
, a. bilateral bronchial breath sounds
b. diaphragmatic respiration
c. a resting respiratory rate of 35 breathes/min
d. flaring of the nares - ANS-D
flaring of the nares
A 4-year-old has just returned from surgery. He has a nasogastric (NG) tube in place and is
attached to intermittent suction. The child says to the nurse, "I'm going to throw up." What
should the nurse do first?
a. notify the HCP because he has an NG tube
b. immediately give an anti-emetic iV
c. irrigate the NG to ensure patency
d. encourage the mother to calm the child down - ANS-C
A 6-year-old child is admitted to the pediatric unit for evaluation of recurrent abdominal pain.
The child has been admitted to the pediatric unit with similar complaints several times in the
past few months. The child's symptoms are vague, yet his mother provides detailed information
about the problem. The nurse is suspicious of the situation. What should the LPN/LVN do next?
a. Request that the parent leave the hospital unit immediately.
b. Ask to speak with the child without the parent being present.
c. Notify the physician and request assistance from the interdisciplinary team.
d. Contact the authorities immediately. - ANS-C
A 6-year-old girl who has asthma is demonstrating a prolonged expiratory phase and wheezing
and has a 35% of personal best peak expiratory flow rate (PEFR) based on these findings, what
actions should the nurse take first?
a. administer a prescribed bronchodilator
b. encourage the child to cough and deep breath
c. report findings to the HCP
d. determine what triggers precipitated this attack - ANS-A
administer a prescribed bronchodilator
A 7 year old child is admitted to the hospital with acute glomerulonephritis (AGN). When
obtaining the nursing history which finding should the nurse expect to obtain?
a. High blood cholesterol level on routine screening
b. Increased thirst and urination
c. A recent strep throat infection
d. A recent DPT immunization - ANS-C
a recent strep throat infection
a 7-year-old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached
to low intermittent suction is applied. Which finding is most important for the nurse to report to
the healthcare provider?
a. gastric output of 100 mL in the last 8 hours
b. shift intake of 640 mL iV fluids plus 30 mL PO ice chips
c. serum potassium of 3.0 mg/dL
d. serum pH of 7.45 - ANS-C
serum potassium of 3.0
2 year old is admitted to the hospital with possible encephalitis, and a lumbar puncture is
scheduled. Which information should the nurse provide this child concerning the procedure? -
ANS-A
describe the side-lying, knees to chest position that must be assumed during the procedure
A 16 y/o female student with a history of asthma controlled with both an oral antihistamine and
an albuterol (Provenfil) meter-dose inhaler (MDI) comes to the school nurse. The student
complains that she cannot sleep at night, feels shaky and her heart feels like it is "beating a mile
per minute" Which information is most important for the nurse to obtain?
a. When she last took the antihistamine
b. When her last Asthma attack occurred
c. Duration of most asthmas attacks
d. How often the MDI is used daily - ANS-D
How often the MDI is used daily
A 16 year old male client who has been treated in the past for a seizure disorder is admitted to
the hospital. Immediately after admission he begins to have a grand mal seizure. Which action
should the nurse take?
a.Obtain assistance in holding him to prevent injury
b. Observe him carefully
c. Call a CODE
d. Place a padded tongue blade between the teeth - ANS-B
observe him carefully
A 2-year-old girl is brought to the clinic by her 17 year old mother. When the nurse observes that
the child is drinking sweetened soda from her bottle, what information should the nurse discuss
with this mother?
a. A 2-year old should be speaking in 2 word phrases
b. Dental caries are associated with drinking soda
c. Drinking soda is related to childhood obesity
d. Toddlers should be sleeping 10 hours a night
e. Toddlers should be drinking from a cup by age 2 - ANS-B, C, E
A 3 year old with HIV infection is staying with a foster family who is caring for 3 other foster
children in their home. When one of the children acquires pertussis, the foster mother calls the
clinic and asks the nurse what she should do. Which action should the nurse take first?
A. Remove the child who has HIV from the foster homeB. Report the exposure of the child with
HIV to the health departmentC. Place the child who has HIV in reverse isolationD. Review the
immunization documentation of the child who has HIV - ANS-D
review the immunization documentation of the child who has HIV
A 4-month-old girl is brought to the clinical by her mother because she has had a cold for 2-3
days and woke up this morning with a hacking cough and difficulty breathing. Which additional
assessment finding should alert the nurse that the child is in acute respiratory distress?
, a. bilateral bronchial breath sounds
b. diaphragmatic respiration
c. a resting respiratory rate of 35 breathes/min
d. flaring of the nares - ANS-D
flaring of the nares
A 4-year-old has just returned from surgery. He has a nasogastric (NG) tube in place and is
attached to intermittent suction. The child says to the nurse, "I'm going to throw up." What
should the nurse do first?
a. notify the HCP because he has an NG tube
b. immediately give an anti-emetic iV
c. irrigate the NG to ensure patency
d. encourage the mother to calm the child down - ANS-C
A 6-year-old child is admitted to the pediatric unit for evaluation of recurrent abdominal pain.
The child has been admitted to the pediatric unit with similar complaints several times in the
past few months. The child's symptoms are vague, yet his mother provides detailed information
about the problem. The nurse is suspicious of the situation. What should the LPN/LVN do next?
a. Request that the parent leave the hospital unit immediately.
b. Ask to speak with the child without the parent being present.
c. Notify the physician and request assistance from the interdisciplinary team.
d. Contact the authorities immediately. - ANS-C
A 6-year-old girl who has asthma is demonstrating a prolonged expiratory phase and wheezing
and has a 35% of personal best peak expiratory flow rate (PEFR) based on these findings, what
actions should the nurse take first?
a. administer a prescribed bronchodilator
b. encourage the child to cough and deep breath
c. report findings to the HCP
d. determine what triggers precipitated this attack - ANS-A
administer a prescribed bronchodilator
A 7 year old child is admitted to the hospital with acute glomerulonephritis (AGN). When
obtaining the nursing history which finding should the nurse expect to obtain?
a. High blood cholesterol level on routine screening
b. Increased thirst and urination
c. A recent strep throat infection
d. A recent DPT immunization - ANS-C
a recent strep throat infection
a 7-year-old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached
to low intermittent suction is applied. Which finding is most important for the nurse to report to
the healthcare provider?
a. gastric output of 100 mL in the last 8 hours
b. shift intake of 640 mL iV fluids plus 30 mL PO ice chips
c. serum potassium of 3.0 mg/dL
d. serum pH of 7.45 - ANS-C
serum potassium of 3.0
