Hesi Pediatric Practice Exam
Study online at https://quizlet.com/_4jgild
1. The nurse is giving pre-op in- "I understand that I will be in a body cast and I will show you
structions to a 14 yr old female how you taught me to turn"
scheduled for surgery to correct
a spinal curvature. Which stmt
best demonstrates that leaning
has taken place?
2. To take the v/s of a 4 month old, RR - HR - rectal temp
which ordered will give the most
accurate results?
3. During routine screening at a Ask the child if they have had a cold, runny nose, or any ear
school clinic, an otoscope exam pain lately
reveals a tympanic mb that
is pearly gray, slightly bulging,
and not movable. What action
should the nurse take next?
4. Which restraint should be used Elbow
for a toddler after a cleft palate
repair?
5. What pre-op nsg intervention Observe for projectile vomiting
should be included in the POC
for an infant w/ pyloric stenosis? (remember that projectile vomiting leads to metabolic alka-
losis)
6. A 6 month old returns from Remove the restraints one at a time and provide ROM exer-
surgery w/ elbow restraints in cises
place. What nsg care should be
included when caring for any re- (Removing them 1 at a time is safer than all at once)
strained child?
, Hesi Pediatric Practice Exam
Study online at https://quizlet.com/_4jgild
7. A 2 yr old w/ Down syndrome is Congenital heart disease
brought to the clinic for his reg-
ular physical exam. The nurse (CHD is the most common associated defect w/ Downs. -
knows which problem is re- also, remember Professor Moore said that heart and ear
quently associated w/ Downs? problems go hand in hand)
8. When assessing a child w/ asth- Inspriation
ma, the nurse should expect in-
tercostal retractions during
9. When planning the care for a Stresses the suture line
child who has had a cleft lip re-
pair, the nurse know that crying
should be minimized because it
10. A full-term infant is admitted to Choking , coughing, and cyanosis
the newborn nursery. After care-
ful assessment, the nurse sus- (this answer includes the 3 "C"s of esophageal atresia
pects that the infant may have caused by the overflow of secretions to the trachea)
an esophageal atresia. Which
sx's is this newborn likely to have
exhibited?
11. Which behavior would the nurse Display possessiveness of toys
expect a 2 yr old to exhibit?
(they are egocentric and unable to share w/ others)
12. the other of a preschool-aged Do not give if they have chicken pox, the flue, or any other
child asks the nurse if it is all viral illness
right to administer Pepto Bis-
mol to her son when he has (ASA can cause Reye's syndrome)
a tummy ache. After remind-
ing her to check the label of
, Hesi Pediatric Practice Exam
Study online at https://quizlet.com/_4jgild
all OTC meds for the presence
of ASA, which instruction should
the nurse include when replying
to the mom's question?
13. the nurse observes a 4 yr old Demonstrates aggressiveness by boasting when telling a
boy in a daycare. Which behav- story
ior should the nurse consider
normal for this child?
14. A burned child is brought to the Head and neck
ER. In estimating the % of body
burned, the nurse uses a modi- (a child's head and neck are proportionately larger to their
fied "Rule of Nines." Which part body than an adult's)
of the body is calculated as a
larger % of total body surface
than an adult?
15. The nurse receives a lab report Pass the info on in the report
stating a child w/ asthma has a
theophylline level of 15mcg/dL. (therapeutic level is 10-20)
What action will the nurse take?
16. A 12 month old is admitted w/ Have a bulb syringe readily available to remove secretions
a respiratory infection and pos-
sible pneumonia. He is placed in (patent airway has the highest priority. Humidification will
a mist tent w/ O2. Which nsg in- liquefy the nasal secretions - thereby increasing the amt of
tervention has the greatest pri- secretions and making that a priority)
ority?
17. All of the following interventions Assessing the fontanels
can be used to eval the effec-
tiveness of nsg and medical in- (Weighing diapers, checking skin turgor, and observing mu-
Study online at https://quizlet.com/_4jgild
1. The nurse is giving pre-op in- "I understand that I will be in a body cast and I will show you
structions to a 14 yr old female how you taught me to turn"
scheduled for surgery to correct
a spinal curvature. Which stmt
best demonstrates that leaning
has taken place?
2. To take the v/s of a 4 month old, RR - HR - rectal temp
which ordered will give the most
accurate results?
3. During routine screening at a Ask the child if they have had a cold, runny nose, or any ear
school clinic, an otoscope exam pain lately
reveals a tympanic mb that
is pearly gray, slightly bulging,
and not movable. What action
should the nurse take next?
4. Which restraint should be used Elbow
for a toddler after a cleft palate
repair?
5. What pre-op nsg intervention Observe for projectile vomiting
should be included in the POC
for an infant w/ pyloric stenosis? (remember that projectile vomiting leads to metabolic alka-
losis)
6. A 6 month old returns from Remove the restraints one at a time and provide ROM exer-
surgery w/ elbow restraints in cises
place. What nsg care should be
included when caring for any re- (Removing them 1 at a time is safer than all at once)
strained child?
, Hesi Pediatric Practice Exam
Study online at https://quizlet.com/_4jgild
7. A 2 yr old w/ Down syndrome is Congenital heart disease
brought to the clinic for his reg-
ular physical exam. The nurse (CHD is the most common associated defect w/ Downs. -
knows which problem is re- also, remember Professor Moore said that heart and ear
quently associated w/ Downs? problems go hand in hand)
8. When assessing a child w/ asth- Inspriation
ma, the nurse should expect in-
tercostal retractions during
9. When planning the care for a Stresses the suture line
child who has had a cleft lip re-
pair, the nurse know that crying
should be minimized because it
10. A full-term infant is admitted to Choking , coughing, and cyanosis
the newborn nursery. After care-
ful assessment, the nurse sus- (this answer includes the 3 "C"s of esophageal atresia
pects that the infant may have caused by the overflow of secretions to the trachea)
an esophageal atresia. Which
sx's is this newborn likely to have
exhibited?
11. Which behavior would the nurse Display possessiveness of toys
expect a 2 yr old to exhibit?
(they are egocentric and unable to share w/ others)
12. the other of a preschool-aged Do not give if they have chicken pox, the flue, or any other
child asks the nurse if it is all viral illness
right to administer Pepto Bis-
mol to her son when he has (ASA can cause Reye's syndrome)
a tummy ache. After remind-
ing her to check the label of
, Hesi Pediatric Practice Exam
Study online at https://quizlet.com/_4jgild
all OTC meds for the presence
of ASA, which instruction should
the nurse include when replying
to the mom's question?
13. the nurse observes a 4 yr old Demonstrates aggressiveness by boasting when telling a
boy in a daycare. Which behav- story
ior should the nurse consider
normal for this child?
14. A burned child is brought to the Head and neck
ER. In estimating the % of body
burned, the nurse uses a modi- (a child's head and neck are proportionately larger to their
fied "Rule of Nines." Which part body than an adult's)
of the body is calculated as a
larger % of total body surface
than an adult?
15. The nurse receives a lab report Pass the info on in the report
stating a child w/ asthma has a
theophylline level of 15mcg/dL. (therapeutic level is 10-20)
What action will the nurse take?
16. A 12 month old is admitted w/ Have a bulb syringe readily available to remove secretions
a respiratory infection and pos-
sible pneumonia. He is placed in (patent airway has the highest priority. Humidification will
a mist tent w/ O2. Which nsg in- liquefy the nasal secretions - thereby increasing the amt of
tervention has the greatest pri- secretions and making that a priority)
ority?
17. All of the following interventions Assessing the fontanels
can be used to eval the effec-
tiveness of nsg and medical in- (Weighing diapers, checking skin turgor, and observing mu-
