PEDs HESI Practice Test
A 12-month-vintage boy is admitted with a respiration infection and viable pneumonia. He is
positioned in a mist tent with oxygen. Which nursing intervention has the finest precedence for
this little one?
A. Give small, common feedings of fluids.
B. Accurately chart observations regarding breath sounds.
C. Have a bulb syringe without problems to be had to eliminate secretions.
D. Encourage older siblings to go to. - ANS-C. Have a bulb syringe comfortably to be had to
remove secretions.
A 14-year-vintage girl customer tells the nurse that she is worried approximately the pimples she
has recently advanced. Which recommendation must the nurse offer?
A. Remove all blackheads and observe with an alcohol scrub.
B. Use medicated cosmetics handiest to help hide the blemishes.
C. Wash the hair and skin often with cleaning soap and hot water.
D. Encourage her to see a dermatologist as soon as viable. - ANS-C. Wash the hair and skin
regularly with cleaning soap and warm water.
A 15-yr-vintage female tells the college nurse that every one of her friends have commenced
their periods and she feels strange because she has now not. Which reaction is first-rate for the
nurse provide?
A. Refer the adolescent to the healthcare provider for a pregnancy display.
B. Schedule a conference along with her mother and father to recommend hormone remedy.
C. Explain that menarche varies and takes place among the a long time of 12 and 18 years.
D. Suggest that she use diversions to assist her no longer fear approximately not on time
menarche. - ANS-C. Explain that menarche varies and occurs among the a while of 12 and 18
years.
A 16-12 months-vintage is introduced to the Emergency Center with a overwhelmed leg after
falling off a horse. The adolescent's last tetanus toxoid booster changed into obtained 8 years
ago. What action ought to the nurse take?
A. Dispense a tetanus antitoxin.
B. Prepare human tetanus immune globulin.
C. Administer tetanus toxoid booster.
D. Delay the tetanus toxoid booster till due. - ANS-C. Administer tetanus toxoid booster.
A 17-year-antique male pupil reports to the faculty clinic one morning for a scheduled fitness
examination. He tells the nurse that he just finished soccer practice and is on his way to
elegance. The nurse assesses his crucial signs and symptoms: temperature a hundred F, pulse
eighty, respirations 20, and blood pressure 122/eighty two. What is the great action for the nurse
to take?
,A. Tell the pupil to continue immediately to his often scheduled elegance.
B. Call the determine and advocate re-taking the student's temperature at domestic.
C. Give the pupil a glass of cool fluids, then retake his temperature.
D. Send the pupil to class, but re-affirm his temperature after lunch. - ANS-A. Tell the student to
continue immediately to his regularly scheduled magnificence.
A 2-12 months-vintage child lately identified with hemophilia A is discharged home. What data
ought to the nurse include in a teaching plan about home care?
A. Minimize interactive play with other children to lessen chances for harm.
B. Give low-dose children's chewable aspirin in orange flavor for joint pain.
C. Use a company and dry toothbrush to clean enamel as a minimum two times according to
day.
D. Apply stress and ice for bleeding while raising and resting the extremity. - ANS-D. Apply
strain and ice for bleeding at the same time as raising and resting the extremity.
A 2-year-antique toddler with Down syndrome is added to the health facility for his normal
physical exam. The nurse knows which trouble is often related to Down syndrome?
A. Congenital coronary heart disorder.
B. Fragile X chromosome.
C. Trisomy 13.
D. Pyloric stenosis. - ANS-A. Congenital coronary heart ailment.
A 2-yr-antique toddler with gastro-esophageal reflux has developed a worry of ingesting. What
practise have to the nurse include inside the dad and mom' teaching plan?
A. Invite different youngsters domestic to percentage meals.
B. Accept that he'll eat whilst he's hungry.
C. Reward the kid with a nap after ingesting.
D. Consistently comply with a set mealtime routine. - ANS-D. Consistently comply with a fixed
mealtime ordinary.
A three-month-antique toddler develops oral thrush. Which pharmacologic agent must the nurse
plan to administer for treatment of this disorder?
A. Nystatin (Mycostatin).
B. Nitrofurantoin (Macrodantin).
C. Norfloxacin (Noroxin).
D. Neomycin sulfate (Mycifradin). - ANS-A. Nystatin (Mycostatin).
A 3-week-vintage new child is brought to the health center for comply with-up after a home birth.
The mother reports that her toddler bottle feeds for 5 minutes best after which falls asleep. The
nurse auscultates a loud murmur feature of a ventricular septal illness (VSD), and reveals the
new child is acyanotic with a respiratory fee of sixty four breaths consistent with minute. What
practise have to the nurse provide the mother to make sure the toddler is receiving ok
consumption? (Select all that apply.)
A. Monitor the the infant's weight and range of moist diapers in line with day.
, B. Increase the toddler's consumption according to feeding by way of 1 to two ounces in
keeping with week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formulation.
D. Allow the little one to relaxation and refeed on demand or each 2 hours.
E. Use a softer nipple or increase the scale of the nipple commencing. - ANS-A. Monitor the the
infant's weight and variety of wet diapers per day.
B. Increase the little one's consumption in line with feeding with the aid of 1 to two ounces in
keeping with week.
D. Allow the infant to rest and refeed on demand or each 2 hours.
E. Use a softer nipple or boom the size of the nipple opening.
A 3-12 months-antique boy is brought to the emergency room due to the fact he swallowed a
whole bottle of kid's nutrition drugs. Which intervention should the nurse put in force first?
A. Insert N/G tube for gastric lavage.
B. Determine the child's pulse and respirations.
C. Assess the kid's degree of consciousness.
D. Administer an IV D5/zero.25 NS as prescribed. - ANS-B. Determine the kid's pulse and
respirations.
A 3-12 months-old client with sickle cell anemia is admitted to the Emergency Department with
belly pain. The nurse palpates an enlarged liver, an x-ray reveals an enlarged spleen, and a
CBC well-knownshows anemia. These findings imply which kind of crisis?
A. Aplastic.
B. Sequestration.
C. Hyperhemolytic.
D. Vaso-occlusive. - ANS-B. Sequestration.
A four-yr-antique boy was admitted to the emergency room with a fractured right ulna and a
quick arm cast changed into implemented. When preparing the mother and father to take the
child domestic, which discharge practise has the best precedence?
A. "Call the healthcare provider straight away if his nail beds seem blue."
B. "Check his hands hourly for the primary 48 hours to look that he's capable of flow them with
out ache."
C. "Be sure your infant's arm remains above his coronary heart for the first 24 hours."
D. "Take his temperature every four hours for the subsequent days and contact if an elevation
is referred to." - ANS-A. "Call the healthcare provider right away if his nail beds appear blue."
A 4-year-antique female continues to break her mother in the course of a ordinary clinic go to.
The mom seems irritated with the child and asks the nurse, "Is this ordinary conduct for a child
this age?" The nurse's reaction must be primarily based on which records?
A. Children want to preserve a feel of initiative without impinging on the rights and privileges of
others.
B. Negative emotions of doubt and disgrace are characteristic of four-12 months-antique
youngsters.
A 12-month-vintage boy is admitted with a respiration infection and viable pneumonia. He is
positioned in a mist tent with oxygen. Which nursing intervention has the finest precedence for
this little one?
A. Give small, common feedings of fluids.
B. Accurately chart observations regarding breath sounds.
C. Have a bulb syringe without problems to be had to eliminate secretions.
D. Encourage older siblings to go to. - ANS-C. Have a bulb syringe comfortably to be had to
remove secretions.
A 14-year-vintage girl customer tells the nurse that she is worried approximately the pimples she
has recently advanced. Which recommendation must the nurse offer?
A. Remove all blackheads and observe with an alcohol scrub.
B. Use medicated cosmetics handiest to help hide the blemishes.
C. Wash the hair and skin often with cleaning soap and hot water.
D. Encourage her to see a dermatologist as soon as viable. - ANS-C. Wash the hair and skin
regularly with cleaning soap and warm water.
A 15-yr-vintage female tells the college nurse that every one of her friends have commenced
their periods and she feels strange because she has now not. Which reaction is first-rate for the
nurse provide?
A. Refer the adolescent to the healthcare provider for a pregnancy display.
B. Schedule a conference along with her mother and father to recommend hormone remedy.
C. Explain that menarche varies and takes place among the a long time of 12 and 18 years.
D. Suggest that she use diversions to assist her no longer fear approximately not on time
menarche. - ANS-C. Explain that menarche varies and occurs among the a while of 12 and 18
years.
A 16-12 months-vintage is introduced to the Emergency Center with a overwhelmed leg after
falling off a horse. The adolescent's last tetanus toxoid booster changed into obtained 8 years
ago. What action ought to the nurse take?
A. Dispense a tetanus antitoxin.
B. Prepare human tetanus immune globulin.
C. Administer tetanus toxoid booster.
D. Delay the tetanus toxoid booster till due. - ANS-C. Administer tetanus toxoid booster.
A 17-year-antique male pupil reports to the faculty clinic one morning for a scheduled fitness
examination. He tells the nurse that he just finished soccer practice and is on his way to
elegance. The nurse assesses his crucial signs and symptoms: temperature a hundred F, pulse
eighty, respirations 20, and blood pressure 122/eighty two. What is the great action for the nurse
to take?
,A. Tell the pupil to continue immediately to his often scheduled elegance.
B. Call the determine and advocate re-taking the student's temperature at domestic.
C. Give the pupil a glass of cool fluids, then retake his temperature.
D. Send the pupil to class, but re-affirm his temperature after lunch. - ANS-A. Tell the student to
continue immediately to his regularly scheduled magnificence.
A 2-12 months-vintage child lately identified with hemophilia A is discharged home. What data
ought to the nurse include in a teaching plan about home care?
A. Minimize interactive play with other children to lessen chances for harm.
B. Give low-dose children's chewable aspirin in orange flavor for joint pain.
C. Use a company and dry toothbrush to clean enamel as a minimum two times according to
day.
D. Apply stress and ice for bleeding while raising and resting the extremity. - ANS-D. Apply
strain and ice for bleeding at the same time as raising and resting the extremity.
A 2-year-antique toddler with Down syndrome is added to the health facility for his normal
physical exam. The nurse knows which trouble is often related to Down syndrome?
A. Congenital coronary heart disorder.
B. Fragile X chromosome.
C. Trisomy 13.
D. Pyloric stenosis. - ANS-A. Congenital coronary heart ailment.
A 2-yr-antique toddler with gastro-esophageal reflux has developed a worry of ingesting. What
practise have to the nurse include inside the dad and mom' teaching plan?
A. Invite different youngsters domestic to percentage meals.
B. Accept that he'll eat whilst he's hungry.
C. Reward the kid with a nap after ingesting.
D. Consistently comply with a set mealtime routine. - ANS-D. Consistently comply with a fixed
mealtime ordinary.
A three-month-antique toddler develops oral thrush. Which pharmacologic agent must the nurse
plan to administer for treatment of this disorder?
A. Nystatin (Mycostatin).
B. Nitrofurantoin (Macrodantin).
C. Norfloxacin (Noroxin).
D. Neomycin sulfate (Mycifradin). - ANS-A. Nystatin (Mycostatin).
A 3-week-vintage new child is brought to the health center for comply with-up after a home birth.
The mother reports that her toddler bottle feeds for 5 minutes best after which falls asleep. The
nurse auscultates a loud murmur feature of a ventricular septal illness (VSD), and reveals the
new child is acyanotic with a respiratory fee of sixty four breaths consistent with minute. What
practise have to the nurse provide the mother to make sure the toddler is receiving ok
consumption? (Select all that apply.)
A. Monitor the the infant's weight and range of moist diapers in line with day.
, B. Increase the toddler's consumption according to feeding by way of 1 to two ounces in
keeping with week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formulation.
D. Allow the little one to relaxation and refeed on demand or each 2 hours.
E. Use a softer nipple or increase the scale of the nipple commencing. - ANS-A. Monitor the the
infant's weight and variety of wet diapers per day.
B. Increase the little one's consumption in line with feeding with the aid of 1 to two ounces in
keeping with week.
D. Allow the infant to rest and refeed on demand or each 2 hours.
E. Use a softer nipple or boom the size of the nipple opening.
A 3-12 months-antique boy is brought to the emergency room due to the fact he swallowed a
whole bottle of kid's nutrition drugs. Which intervention should the nurse put in force first?
A. Insert N/G tube for gastric lavage.
B. Determine the child's pulse and respirations.
C. Assess the kid's degree of consciousness.
D. Administer an IV D5/zero.25 NS as prescribed. - ANS-B. Determine the kid's pulse and
respirations.
A 3-12 months-old client with sickle cell anemia is admitted to the Emergency Department with
belly pain. The nurse palpates an enlarged liver, an x-ray reveals an enlarged spleen, and a
CBC well-knownshows anemia. These findings imply which kind of crisis?
A. Aplastic.
B. Sequestration.
C. Hyperhemolytic.
D. Vaso-occlusive. - ANS-B. Sequestration.
A four-yr-antique boy was admitted to the emergency room with a fractured right ulna and a
quick arm cast changed into implemented. When preparing the mother and father to take the
child domestic, which discharge practise has the best precedence?
A. "Call the healthcare provider straight away if his nail beds seem blue."
B. "Check his hands hourly for the primary 48 hours to look that he's capable of flow them with
out ache."
C. "Be sure your infant's arm remains above his coronary heart for the first 24 hours."
D. "Take his temperature every four hours for the subsequent days and contact if an elevation
is referred to." - ANS-A. "Call the healthcare provider right away if his nail beds appear blue."
A 4-year-antique female continues to break her mother in the course of a ordinary clinic go to.
The mom seems irritated with the child and asks the nurse, "Is this ordinary conduct for a child
this age?" The nurse's reaction must be primarily based on which records?
A. Children want to preserve a feel of initiative without impinging on the rights and privileges of
others.
B. Negative emotions of doubt and disgrace are characteristic of four-12 months-antique
youngsters.
