Pediatrics HESI Practice Questions And Answers

Pediatrics HESI Practice Questions And
Answers

Ae1-year-
oldeisebeingeseeneinetheepediatrician'seoffice.eHeeiseUTDeonehiseimmunizations.eTheemothere
asks,e"willemyechildeneedeanyeshotsetoday?"eWhicheofetheefollowingeresponsesebyetheenurse
eiseappropriate?e

(A)e"Theerotovirusewillebeegivenetodayetoepreventeseriousediarrhea"e
(B)e"Children'sefirsteinfluenzaewillebeeadministeredetodayeandegiveneeveryeyeareatetheesamee
time"e
(C)e"TheelastehepatitiseBevaccineeisedueetoeadministeredetoday"e
(D)e"Theemeasles,emumps,erubellae(MMR),evaricella,eandehepatitiseAevaccineseareegivenew
heneaechildereachese1eyeareofeage"e-eCORRECTeeANSWER-(D)

Ae10-month-
oldeinfantehasebeeneexposedetoechickenepox.eTheenurseewouldeexpectetheepediatricianetoeo
rderewhicheinterventionetoeprotectetheebabyefromecontractingetheedisease?e
(A)eIVeantibioticse
(B)eVaricellaezostereimmuneeglobuline
(C)eVaricellaeimmunizatione
(D)eNothingebecauseetheebabyeiseprotectedebyetheemother'seantibodiese-
eCORRECTeeANSWER-(D)e

Theevaccineeisn'tegiveneuntile1-year-ofeage

Ae2-year-
oldechildehasejustebeenediagnosedewithetypee1ediabetes.eTheenurseeiseprovidingeeducationet
oeparentseregardingesignseandesymptomseofehypoglycemia.eWhicheshouldetheenurseeinclud
e?e
(A)eTheechild'sebreatheewillesmellelikeefruite
(B)eTheechildewillecomplaineofeexcessiveethirste
(C)eTheechildewilleappearesleepyeandefatiguede
(D)eTheechildewillehaveemoreefrequentetemperetantrumseandeappeareangrye-
eCORRECTeeANSWER-(D)e

Theeotherethreeeoptionseresembleehyperglycemia

Ae9-month-
oldechildeiseseeneinetheewelleclinic.eWhicheofetheefollowingebehaviorsewouldetheenurseeexpec
tetoesee?eSATAe
(A)ePlaysepeek-a-boo
(B)eWalkseindependentlye
(C)eFeedseselfewitheaespoone
(D)eStackse2eblocksetogethere

, (E)eTransferseobjectsefromehandetoehande-eCORRECTeeANSWER-A,eEe
-walkseindependentlyeate15emonthse
-feedseselfewithespooneate18emonthse
-stackse2eblocksetogethereate18emonths

AechildehaseDuchenneeMusculareDystrophy.eTheenurseeknowsetheefollowingerelativeseshoul
debeetestede(SATA):e
(A)eMothere
(B)eSister
(C)eBrothere
(D)eAuntseandeallefemaleecousinse
(E)eUncleseandeallemaleecousinse-eCORRECTeeANSWER-A,eB
DuchenneeMusculareDystrophyeiseaneX-
linkedetrait.eWomenecarryetheediseaseeandemaleseareeaffected.eGeneticecounselingeiseimpo
rtant

Aechildewhoeisebleedingeheavilyeiseinehypovolemiceshock.eTheenurseedeterminesetheechildeis
ecurrentlyecompensatingeforetheelosseofebloodewhenetheenurseenotesewhicheofetheefollowing

?e
(A)eHypotensione
(B)eCyanosise
(C)eTachycardiae
(D)eBradypneae-eCORRECTeeANSWER-(C)e
Hypotension,ecyanosis,eandebradypneaewouldebeelateesignseandeshowedecompensation.

Aechildewithenephroticesyndromeeisereceivingecorticosteroids.eWhicheofetheefollowingestate
mentsebyetheeparentewouldecauseetheenurseetoereinforceetheeinstructions?eSATAe
(A)e"Myechild'sebloodepressureeisegoodebecauseeofetheesteroids"e
(B)e"Steroidsereduceeinflammation"e
(C)e"Steroidseareemakingemyechild'seurineehaveesolideparticles"e
(D)e"Steroidsepreventemyechildefromegettingeaneinfection"e
(E)e"Steroidsemakeetheekidneyseworkebetter"e-eCORRECTeeANSWER-A,eC,eDe
Theedesiredeeffecteofecorticosteroidseinetreatingeaechildewithenephroticesyndromeeisetoeredu
ceeinflammationeandecauseefluidetoebeeremovedefrometheebody.eItemayeincreaseebloodepres
sureeoremakeetheechildemoreeproneetoeinfections,ebuteiteisenoteaedesiredeoutcome.eAneincrea
seeofeproteineinetheeurineewouldesuggestethatetheechildeiseworseeandenoteimprovingefrometre
atment

Aechildewithetypee1ediabeteseisebroughtetoetheeERebyehisemotherewhoestatesetheechildehasebe
enecomplainingeofeabdominalepaineandeiselethargic.eDiabeticeketoacidosiseisediagnosed.eW
hichetypeeofeIVesolutioneshouldetheenurseeanticipateewillebeeordered?e
(A)ePotassiumeinfusione
(B)eNPHeinsulineinfusione
(C)e5%edextroseeinfusione
(D)eNSeinfusione-eCORRECTeeANSWER-(D)e