Hesi Pediatric Practice Exam
A 12 month old is admitted w/ a respiratory contamination and feasible pneumonia. He is
positioned in a mist tent w/ O2. Which nsg intervention has the greatest priority? - ANS-Have a
bulb syringe quite simply to be had to dispose of secretions
(patent airway has the very best priority. Humidification will liquefy the nasal secretions - thereby
increasing the amt of secretions and making that a concern)
A 14 yr vintage woman tells the nurse that she is involved about the zits she has currently dvp'd.
Which recommendation ought to the nurse offer? - ANS-Wash the hair and pores and skin often
w/ soap and warm water
(washing the hair and pores and skin w/ cleaning soap and water eliminates oil and particles
from the pores and skin and allows prevent and tx acne. Oily pores and skin is mainly
bothersome at some stage in childhood while hormones reason growth of sebaceous glands
and accelerated glandular secretions which predispose the youngster to acne.)
A 15 year old girl tells the school nurse that each one of her pals have started out their periods
and she or he feels bizarre because she has not. Which reaction is quality for the nurse
provide? - ANS-Explain that menarche varies and happens at 12-18 yrs vintage
A sixteen year old is added to the ER w/ a crushed leg after falling off a horse. The adolescent's
final tetanus toxoid booster become acquired eight yrs in the past. What action must the nurse
take? - ANS-Administer tetanus toxoid booster
(After the final touch of the initial completion of the preliminary tetanus immunization agenda,
the endorsed booster for a youngster or person is each 10 yrs or much less if a traumatic injury
happens that is contaminated with the aid of dust, feces, soil, or saliva, which include puncture
or crushing injuries, avulsions, wounds from missiles, burns, or frostbite. The adolescent's harm
is taken into consideration a contaminated wound requiring prophylactic therapy, so the tetanus
toxoid booster have to be administered)
A 17 12 months vintage male pupil reports to the college hospital one morning for a scheduled
fitness examination. He tells the nurse that he just finished football practice and is on his
manner to class. The nurse assesses his v/s: Temp 100F, Pulse eighty, RR 20, and BP 122/82.
What is the satisfactory movement for the nurse to take? - ANS-Tell the pupil to continue directly
to his often scheduled elegance
, A 2 12 months vintage child recently diagnosed w/ hemophilia A is discharged domestic. What
information must the nurse encompass in a coaching plan about domestic care? - ANS-Apply
pressure and ice for bleeding at the same time as elevating and resting the extremity
(Hemophilia, a blood disease, reasons joint bleeding that is treated w/ relaxation, ice,
compression, and elevation (RICE) )
A 2 yr vintage baby w/ gastro-esophageal reflux has dvpd a worry of ingesting. What training
should the nurse consist of inside the mother and father' coaching plan? - ANS-Consistently
observe a fixed mealtime routine
(2 12 months olds are comforted through consistency)
A 2 yr antique w/ Down syndrome is delivered to the sanatorium for his ordinary physical
examination. The nurse knows which hassle is requently associated w/ Downs? -
ANS-Congenital coronary heart disorder
(CHD is the maximum common related illness w/ Downs. - additionally, don't forget Professor
Moore stated that heart and ear issues go hand in hand)
A 3 month antique toddler dvps oral thrush. Which pharmacologic agent have to the nurse plan
to manage for tx of this sickness? - ANS-Nystatin (Mycostatin)
(this is an antifungal drug this is powerful in tx'g thrush, an oral fungal infection)
A three month vintage weighing 10 #, 15 oz.Has an axillary temp of 98.9F. The nurse
determines the day by day caloric want for him as about - ANS-six hundred calories/ day
(10# 15 oz. = 10.9#. Convert # to kg and rounded to 5.
10.9/2.2=four.954 = 5kg. An toddler requires 108 calories/kg/day. So, 108 * five = 540 cal/day.
But, this infant calls for 10% more because he has a one diploma tempt elevation. So 10% of
540 is 54. So 540 + 54 = 594)
A three wk antique new child is delivered to the hospital for f/u after a domestic start. The mom
reports that her child bottle feeds for 5 min most effective after which falls asleep. The nurse
auscultates a loud murmur characteristic of a VSD, and reveals the newborn is acyanotic w/ a
RR sixty four. What practise need to then nurse offer the mom to make sure the infant is
receiving good enough intake? - ANS-1. Monitor the toddler's wt and # of moist diapers
according to day
2. Increase the infant's consumption per feeding via 1-2 oz.In keeping with week
three. Allow the little one to rest and refeed on demand or each 2 hrs
4. Use a softer nipple or growth the size of the nipple establishing
A 12 month old is admitted w/ a respiratory contamination and feasible pneumonia. He is
positioned in a mist tent w/ O2. Which nsg intervention has the greatest priority? - ANS-Have a
bulb syringe quite simply to be had to dispose of secretions
(patent airway has the very best priority. Humidification will liquefy the nasal secretions - thereby
increasing the amt of secretions and making that a concern)
A 14 yr vintage woman tells the nurse that she is involved about the zits she has currently dvp'd.
Which recommendation ought to the nurse offer? - ANS-Wash the hair and pores and skin often
w/ soap and warm water
(washing the hair and pores and skin w/ cleaning soap and water eliminates oil and particles
from the pores and skin and allows prevent and tx acne. Oily pores and skin is mainly
bothersome at some stage in childhood while hormones reason growth of sebaceous glands
and accelerated glandular secretions which predispose the youngster to acne.)
A 15 year old girl tells the school nurse that each one of her pals have started out their periods
and she or he feels bizarre because she has not. Which reaction is quality for the nurse
provide? - ANS-Explain that menarche varies and happens at 12-18 yrs vintage
A sixteen year old is added to the ER w/ a crushed leg after falling off a horse. The adolescent's
final tetanus toxoid booster become acquired eight yrs in the past. What action must the nurse
take? - ANS-Administer tetanus toxoid booster
(After the final touch of the initial completion of the preliminary tetanus immunization agenda,
the endorsed booster for a youngster or person is each 10 yrs or much less if a traumatic injury
happens that is contaminated with the aid of dust, feces, soil, or saliva, which include puncture
or crushing injuries, avulsions, wounds from missiles, burns, or frostbite. The adolescent's harm
is taken into consideration a contaminated wound requiring prophylactic therapy, so the tetanus
toxoid booster have to be administered)
A 17 12 months vintage male pupil reports to the college hospital one morning for a scheduled
fitness examination. He tells the nurse that he just finished football practice and is on his
manner to class. The nurse assesses his v/s: Temp 100F, Pulse eighty, RR 20, and BP 122/82.
What is the satisfactory movement for the nurse to take? - ANS-Tell the pupil to continue directly
to his often scheduled elegance
, A 2 12 months vintage child recently diagnosed w/ hemophilia A is discharged domestic. What
information must the nurse encompass in a coaching plan about domestic care? - ANS-Apply
pressure and ice for bleeding at the same time as elevating and resting the extremity
(Hemophilia, a blood disease, reasons joint bleeding that is treated w/ relaxation, ice,
compression, and elevation (RICE) )
A 2 yr vintage baby w/ gastro-esophageal reflux has dvpd a worry of ingesting. What training
should the nurse consist of inside the mother and father' coaching plan? - ANS-Consistently
observe a fixed mealtime routine
(2 12 months olds are comforted through consistency)
A 2 yr antique w/ Down syndrome is delivered to the sanatorium for his ordinary physical
examination. The nurse knows which hassle is requently associated w/ Downs? -
ANS-Congenital coronary heart disorder
(CHD is the maximum common related illness w/ Downs. - additionally, don't forget Professor
Moore stated that heart and ear issues go hand in hand)
A 3 month antique toddler dvps oral thrush. Which pharmacologic agent have to the nurse plan
to manage for tx of this sickness? - ANS-Nystatin (Mycostatin)
(this is an antifungal drug this is powerful in tx'g thrush, an oral fungal infection)
A three month vintage weighing 10 #, 15 oz.Has an axillary temp of 98.9F. The nurse
determines the day by day caloric want for him as about - ANS-six hundred calories/ day
(10# 15 oz. = 10.9#. Convert # to kg and rounded to 5.
10.9/2.2=four.954 = 5kg. An toddler requires 108 calories/kg/day. So, 108 * five = 540 cal/day.
But, this infant calls for 10% more because he has a one diploma tempt elevation. So 10% of
540 is 54. So 540 + 54 = 594)
A three wk antique new child is delivered to the hospital for f/u after a domestic start. The mom
reports that her child bottle feeds for 5 min most effective after which falls asleep. The nurse
auscultates a loud murmur characteristic of a VSD, and reveals the newborn is acyanotic w/ a
RR sixty four. What practise need to then nurse offer the mom to make sure the infant is
receiving good enough intake? - ANS-1. Monitor the toddler's wt and # of moist diapers
according to day
2. Increase the infant's consumption per feeding via 1-2 oz.In keeping with week
three. Allow the little one to rest and refeed on demand or each 2 hrs
4. Use a softer nipple or growth the size of the nipple establishing
