NUR HESI Pediatric Practice Exam with Verified Answers
All Correct
3. A 3-week-old newborn is brought to the clinic for follow-up
after a home birth. The mother reports that her child bottle feeds
for 5 minutes only and then falls asleep. The nurse auscultates 49. A preschool-age child who is hospitalized for hypospadias
a loud murmur characteristic of a ventricular septal defect repair is most strongly influenced by which behavior? -
(VSD), and finds the newborn is acyanotic with a respiratory ANSWER -pre school age children are conceded about
rate of 64 breaths per minute. What instruction should the nurse lost of body mutilation or body integrity.
provide the mother to ensure the infant is receiving adequate
intake? (Select all that apply.) - ANSWER -A. Monitor the nurse should explain- they did not cause the illness, procedure
the infant's weight and number of wet diapers per day. - child is not punishment, restoring body image with a band-aid.
should at least have 6 wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per
week.- child is always fatigue, need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 26. The vital signs of a 4-year-old child with polyuria are: BP
hours.- child is always fatigue, this will ensure adequate 80/40, Pulse 118, and Respirations 24. The child's pedal pulses
feeding. are present with a volume of +1, and no edema is observed.
E. Use a softer nipple or increase the size of the nipple What action should the nurse implement first? -
opening.- this will save energy ANSWER -Start an IV infusion of normal saline- patient is
experiencing fluid vole deficit
33. A 15-year-old girl tells the school nurse that all of her friends
have started their periods and she feels abnormal because she 40. A 6-month-old boy and his mother are at the healthcare
has not. Which response is best for the nurse provide? - provider's office for a well-baby check-up and routine
ANSWER -Explain that menarche varies and occurs immunizations. The healthcare provider recommends to the
between the ages of 12 and 18 years. mother that the child receive an influenza vaccine. What
medications should the nurse plan to administer today? -
ANSWER -6 month shots: DTAP; HEP -B (1st dose: birth,
2nd dose: 1-2 months, 3rd dose 6-9 months); PCV; IPV;
81. Which finding in a 19-year-old female client should trigger INFLUENZA~ adminster at a different site
further assessment by the nurse? - ANSWER -
Menstruation has not occurred- menarche usually occur
between the ages of 12 and 18 years old
38. A 3-year-old boy is brought to the emergency room because
he swallowed an entire bottle of children's vitamin pills. Which
intervention should the nurse implement first? - ANSWER -
34. At 8 a.m. the unlicensed assistive personnel (UAP) informs Determine the child's pulse and respiration~ always ABC
the charge nurse that a female adolescent client with acute assess: respiratory, cardiac, and neuro
glomerulonephritis has a blood pressure of 210/110. The 4 a.m.
blood pressure reading was 170/88. The client reports to the
UAP that she is upset because her boyfriend did not visit last
night. What action should the nurse take first? - 27. The parents of a 3-week-old infant report that the child eats
ANSWER -Administer PRN prescription of nifedipine well but vomits after each feeding. What information is most
(Procardia) sublingually. important for the nurse to obtain? - ANSWER -Description
-CA channel blocker of vomiting episodes in past 24 hours.- assessment of what
-always assess physiological needs cause vomiting episodes leaning towards treatment
56. A 3-year-old client with sickle cell anemia is admitted to the 4. The nurse is planning care for school-aged children at a
Emergency Department with abdominal pain. The nurse community care center. Which activity is best for the children? -
palpates an enlarged liver, an x-ray reveals an enlarged spleen, ANSWER -Playing follow-the-leader.
and a CBC reveals anemia. These findings indicate which type Erikson: industry vs inferiority
of crisis? - ANSWER -Sequestration.- pooling of blood achieve independence and productivity
causes and pain and anemia d/t blockage of blood in the spleen
1. Aplastic anemia- anemia d/t drugs
2. Hyperhemolytic anemia- anemia d/t the breakdown of RBC 60. The mother of a 2-year-old boy consults the nurse about her
3.Vaso-occlusive anemia- sickle cells are clogging up small son's increased temper tantrums. The mother states, "Yesterday
capillaries- and pain but not enlarged spleen and liver he threw a fit in the grocery store, and I did not know what to do.
1/8
, NUR HESI Pediatric Practice Exam with Verified Answers
All Correct
I was so embarrassed. What can I do if this occurs again?" avoid: oats, wheat, rye and barley; intolerance to protein gluten
Which recommendation is best for the nurse to provide this
mother? - ANSWER -Walk away from him and ignore the
behavior
-temper tantrums are normal, just ignore the behavior. 37. Which action by the nurse is most helpful in communicating
with a preschool-aged child? - ANSWER -Use a doll to
play and communicate. Correct
25. A 2-year-old child with gastro-esophageal reflux has
developed a fear of eating. What instruction should the nurse
include in the parents' teaching plan? - ANSWER - 74. To assess the effectiveness of an analgesic administered to
Consistently follow a set mealtime routine a 4-year-old, what intervention is best for the nurse to
- always follow a consistent home schedule implement? - ANSWER -Use a happy-face/sad-face pain
scale.
-faces pain scale
minimm of age 3 years old
18. As part of the physical assessment of children, the nurse
observes and palpates the fontanels. Which child's fontanel
finding should be reported to the healthcare provider? -
ANSWER -A 6-month-old with failure to thrive that has a nonverbal signs of pain
closed anterior fontanel.
5. Surgery is being delayed for an infant with undescended vital signs of pain
testes. In collaboration with the healthcare provider and the
family, which prescription should the nurse anticipate? -
ANSWER -A trial of human chorionic gonadotrophic
hormone
pain rating scale (PRS)
Frequent stimulation of the cremasteric reflex~ causes the
testes to ascend, not descend. when to use cries
when to use verbal report
70. When evaluating the effectiveness of interventions to when to use numeric pain scale - ANSWER --grimacing
improve the nutritional status of an infant with gastro- -irritability
esophageal reflux, which intervention is most important for the -restlessness
nurse to implement? - ANSWER -Record weight daily = -difficulty in sleeping or feeding
nutrition for infants
-increased HR
-increased RR
-diaphoresis
63. The nurse is assessing a 13-year-old girl with suspected -decreased 0xygen saturation levels
hyperthyroidism. Which question is most important for the nurse
14-36 months of age
to ask her during the admission interview? - ANSWER -
Are you experiencing any type of nervousness? - physiological
36-60 weeks
answers: nervousness, apprehension, palpitations, hyper
excitability
3 year old can point out location and degree of pain
*hyperthrydoism will have exopthalamus, not double vision
minimum of 9 years old
2. Which menu selection by a child with celiac disease indicates
29. A 6-year-old is admitted to the pediatric unit after falling off a
to the nurse that the child understands necessary dietary
bicycle. Which intervention should the nurse implement to assist
considerations? - ANSWER -Oven-baked potato chips
the child's adjustment to hospitalization? - ANSWER -
and cola
Explain hospital schedules to the child, such as mealtimes.
-always keep a consistent schedule, if possible try to copy home
2/8
All Correct
3. A 3-week-old newborn is brought to the clinic for follow-up
after a home birth. The mother reports that her child bottle feeds
for 5 minutes only and then falls asleep. The nurse auscultates 49. A preschool-age child who is hospitalized for hypospadias
a loud murmur characteristic of a ventricular septal defect repair is most strongly influenced by which behavior? -
(VSD), and finds the newborn is acyanotic with a respiratory ANSWER -pre school age children are conceded about
rate of 64 breaths per minute. What instruction should the nurse lost of body mutilation or body integrity.
provide the mother to ensure the infant is receiving adequate
intake? (Select all that apply.) - ANSWER -A. Monitor the nurse should explain- they did not cause the illness, procedure
the infant's weight and number of wet diapers per day. - child is not punishment, restoring body image with a band-aid.
should at least have 6 wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per
week.- child is always fatigue, need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 26. The vital signs of a 4-year-old child with polyuria are: BP
hours.- child is always fatigue, this will ensure adequate 80/40, Pulse 118, and Respirations 24. The child's pedal pulses
feeding. are present with a volume of +1, and no edema is observed.
E. Use a softer nipple or increase the size of the nipple What action should the nurse implement first? -
opening.- this will save energy ANSWER -Start an IV infusion of normal saline- patient is
experiencing fluid vole deficit
33. A 15-year-old girl tells the school nurse that all of her friends
have started their periods and she feels abnormal because she 40. A 6-month-old boy and his mother are at the healthcare
has not. Which response is best for the nurse provide? - provider's office for a well-baby check-up and routine
ANSWER -Explain that menarche varies and occurs immunizations. The healthcare provider recommends to the
between the ages of 12 and 18 years. mother that the child receive an influenza vaccine. What
medications should the nurse plan to administer today? -
ANSWER -6 month shots: DTAP; HEP -B (1st dose: birth,
2nd dose: 1-2 months, 3rd dose 6-9 months); PCV; IPV;
81. Which finding in a 19-year-old female client should trigger INFLUENZA~ adminster at a different site
further assessment by the nurse? - ANSWER -
Menstruation has not occurred- menarche usually occur
between the ages of 12 and 18 years old
38. A 3-year-old boy is brought to the emergency room because
he swallowed an entire bottle of children's vitamin pills. Which
intervention should the nurse implement first? - ANSWER -
34. At 8 a.m. the unlicensed assistive personnel (UAP) informs Determine the child's pulse and respiration~ always ABC
the charge nurse that a female adolescent client with acute assess: respiratory, cardiac, and neuro
glomerulonephritis has a blood pressure of 210/110. The 4 a.m.
blood pressure reading was 170/88. The client reports to the
UAP that she is upset because her boyfriend did not visit last
night. What action should the nurse take first? - 27. The parents of a 3-week-old infant report that the child eats
ANSWER -Administer PRN prescription of nifedipine well but vomits after each feeding. What information is most
(Procardia) sublingually. important for the nurse to obtain? - ANSWER -Description
-CA channel blocker of vomiting episodes in past 24 hours.- assessment of what
-always assess physiological needs cause vomiting episodes leaning towards treatment
56. A 3-year-old client with sickle cell anemia is admitted to the 4. The nurse is planning care for school-aged children at a
Emergency Department with abdominal pain. The nurse community care center. Which activity is best for the children? -
palpates an enlarged liver, an x-ray reveals an enlarged spleen, ANSWER -Playing follow-the-leader.
and a CBC reveals anemia. These findings indicate which type Erikson: industry vs inferiority
of crisis? - ANSWER -Sequestration.- pooling of blood achieve independence and productivity
causes and pain and anemia d/t blockage of blood in the spleen
1. Aplastic anemia- anemia d/t drugs
2. Hyperhemolytic anemia- anemia d/t the breakdown of RBC 60. The mother of a 2-year-old boy consults the nurse about her
3.Vaso-occlusive anemia- sickle cells are clogging up small son's increased temper tantrums. The mother states, "Yesterday
capillaries- and pain but not enlarged spleen and liver he threw a fit in the grocery store, and I did not know what to do.
1/8
, NUR HESI Pediatric Practice Exam with Verified Answers
All Correct
I was so embarrassed. What can I do if this occurs again?" avoid: oats, wheat, rye and barley; intolerance to protein gluten
Which recommendation is best for the nurse to provide this
mother? - ANSWER -Walk away from him and ignore the
behavior
-temper tantrums are normal, just ignore the behavior. 37. Which action by the nurse is most helpful in communicating
with a preschool-aged child? - ANSWER -Use a doll to
play and communicate. Correct
25. A 2-year-old child with gastro-esophageal reflux has
developed a fear of eating. What instruction should the nurse
include in the parents' teaching plan? - ANSWER - 74. To assess the effectiveness of an analgesic administered to
Consistently follow a set mealtime routine a 4-year-old, what intervention is best for the nurse to
- always follow a consistent home schedule implement? - ANSWER -Use a happy-face/sad-face pain
scale.
-faces pain scale
minimm of age 3 years old
18. As part of the physical assessment of children, the nurse
observes and palpates the fontanels. Which child's fontanel
finding should be reported to the healthcare provider? -
ANSWER -A 6-month-old with failure to thrive that has a nonverbal signs of pain
closed anterior fontanel.
5. Surgery is being delayed for an infant with undescended vital signs of pain
testes. In collaboration with the healthcare provider and the
family, which prescription should the nurse anticipate? -
ANSWER -A trial of human chorionic gonadotrophic
hormone
pain rating scale (PRS)
Frequent stimulation of the cremasteric reflex~ causes the
testes to ascend, not descend. when to use cries
when to use verbal report
70. When evaluating the effectiveness of interventions to when to use numeric pain scale - ANSWER --grimacing
improve the nutritional status of an infant with gastro- -irritability
esophageal reflux, which intervention is most important for the -restlessness
nurse to implement? - ANSWER -Record weight daily = -difficulty in sleeping or feeding
nutrition for infants
-increased HR
-increased RR
-diaphoresis
63. The nurse is assessing a 13-year-old girl with suspected -decreased 0xygen saturation levels
hyperthyroidism. Which question is most important for the nurse
14-36 months of age
to ask her during the admission interview? - ANSWER -
Are you experiencing any type of nervousness? - physiological
36-60 weeks
answers: nervousness, apprehension, palpitations, hyper
excitability
3 year old can point out location and degree of pain
*hyperthrydoism will have exopthalamus, not double vision
minimum of 9 years old
2. Which menu selection by a child with celiac disease indicates
29. A 6-year-old is admitted to the pediatric unit after falling off a
to the nurse that the child understands necessary dietary
bicycle. Which intervention should the nurse implement to assist
considerations? - ANSWER -Oven-baked potato chips
the child's adjustment to hospitalization? - ANSWER -
and cola
Explain hospital schedules to the child, such as mealtimes.
-always keep a consistent schedule, if possible try to copy home
2/8
