HESI Patient Review--Pediatrics-Out-
patient Peds (Infants and
Children)Questions with Correct
Answers
One of your responsibilities today is obtaining an initial health history for Jason. You
know that a health history gather ______ data. - ANSWERSSubjective
Your initial health history of Jason will be comprehensive. Which of the following should
be included as part of Jason's initial health history? (Select 5) - ANSWERS-His medical
history
-A family medical history
-A psychosocial history
-A nutrition history
-A review of systems
You inquire further to determine if Jason is getting enough nutrition. Which of the
following suggest that Jason is probably receiving enough breast milk? (Select 5) -
ANSWERS-Jason sleeps at least two hours after a feeding
-Jason has a bowel movement after most feedings
-Jason has 6-8 wet diapers in each 24-hour period
-Jason nurses every 2-4 hours for 15 minutes
-Jason is a content, alert, and responsive baby
After Jason's health history is obtained, you prepare to collect essential physical exam
data. Jason is sleeping soundly in his mother's arms. Which assessment should be
done first? - ANSWERSRespiratory rate
Jason remains asleep in his mother's arms. You prepare to obtain his pulse rate. Which
pulse rate should be determined? - ANSWERSApical pulse rate
Especially with infants, weight should be obtained at every well-child and sick-child visit.
Which of the following do you correctly implement to weigh Jason? - ANSWERSWeigh
Jason nude on an infant scale
You record a weight of 3.7 kg (8 pounds 1 ounce) for Jason and note that his birth
weight was 3.6 kg (8 pounds). Your correct judgment regarding Jason's change in
weight since birth is that: - ANSWERSHis weight is as expected at two weeks of age
Mrs. Deakin asks when the "spaces" will close. You explain to Mrs. Deakin that the
anterior fontanel is expected to close by: - ANSWERS18 months of age
, A consistently bulging (tense) anterior fontanel may be abnormal, and a result of: -
ANSWERSincreased intracranial pressure
A consistently depressed (sunken) anterior fontanel is also cause for concern. A sunken
anterior fontanel is usually a sign of: - ANSWERSDehydration
Which of Jason's measurements are recorded on clinical growth charts? (Select 3) -
ANSWERS-Length
-Head circumference
-Weight
An immunization record is started for Jason. Mrs. Deakin has provided you with paper
work indicating that Jason was vaccinated before he was discharged from the hospital
where he was born. Which vaccine is recommended for newborns? -
ANSWERSHepatitis B vaccine (HepB)
Jason will receive a number of immunizations over the next few months. These include:
(Select 4) - ANSWERS-A second dose of hepatitis B vaccine (HepB)
-Hib (haemophilus influenzae type b) vaccine
-IPV (inactivated poliovirus) vaccine
-PCV (pneumococcal conjugate) vaccine
Which of the following comments by Mrs. Deakin indicate a need for further education?
(Select 5) - ANSWERS-"One of the crib slats broke and was removed."
-"I usually put Jason to sleep on his stomach because he prefers that position."
-"Jason's crib mattress is nice and soft."
-"Jason's room is cool, so I place a few blankets on him at night."
-"Jason is restless so I get up and change his position a lot during the night."
You also discuss car seat safety with Mrs. Deakin. You explain that Jason must always
be in an approved infant car restraint. Which of the following is an appropriate place and
position for Jason to ride in the car at this time? - ANSWERSIn the back seat facing
backward
You spend time speaking with Mrs. Deakin about Jason's emotional care and
developmental stage. According to Erikson, Jason is in which psychosocial stage of
development? - ANSWERSTrust vs. Mistrust
Which of the following infants is NOT given the DTaP vaccine at this six-month visit? -
ANSWERSThe infant who developed hives and had difficulty breathing after a previous
DTaP injection
When Mrs. Deakin is situated in the examining room, you ask about the reason for
today's visit (history of present complaint). Which of the following are important
patient Peds (Infants and
Children)Questions with Correct
Answers
One of your responsibilities today is obtaining an initial health history for Jason. You
know that a health history gather ______ data. - ANSWERSSubjective
Your initial health history of Jason will be comprehensive. Which of the following should
be included as part of Jason's initial health history? (Select 5) - ANSWERS-His medical
history
-A family medical history
-A psychosocial history
-A nutrition history
-A review of systems
You inquire further to determine if Jason is getting enough nutrition. Which of the
following suggest that Jason is probably receiving enough breast milk? (Select 5) -
ANSWERS-Jason sleeps at least two hours after a feeding
-Jason has a bowel movement after most feedings
-Jason has 6-8 wet diapers in each 24-hour period
-Jason nurses every 2-4 hours for 15 minutes
-Jason is a content, alert, and responsive baby
After Jason's health history is obtained, you prepare to collect essential physical exam
data. Jason is sleeping soundly in his mother's arms. Which assessment should be
done first? - ANSWERSRespiratory rate
Jason remains asleep in his mother's arms. You prepare to obtain his pulse rate. Which
pulse rate should be determined? - ANSWERSApical pulse rate
Especially with infants, weight should be obtained at every well-child and sick-child visit.
Which of the following do you correctly implement to weigh Jason? - ANSWERSWeigh
Jason nude on an infant scale
You record a weight of 3.7 kg (8 pounds 1 ounce) for Jason and note that his birth
weight was 3.6 kg (8 pounds). Your correct judgment regarding Jason's change in
weight since birth is that: - ANSWERSHis weight is as expected at two weeks of age
Mrs. Deakin asks when the "spaces" will close. You explain to Mrs. Deakin that the
anterior fontanel is expected to close by: - ANSWERS18 months of age
, A consistently bulging (tense) anterior fontanel may be abnormal, and a result of: -
ANSWERSincreased intracranial pressure
A consistently depressed (sunken) anterior fontanel is also cause for concern. A sunken
anterior fontanel is usually a sign of: - ANSWERSDehydration
Which of Jason's measurements are recorded on clinical growth charts? (Select 3) -
ANSWERS-Length
-Head circumference
-Weight
An immunization record is started for Jason. Mrs. Deakin has provided you with paper
work indicating that Jason was vaccinated before he was discharged from the hospital
where he was born. Which vaccine is recommended for newborns? -
ANSWERSHepatitis B vaccine (HepB)
Jason will receive a number of immunizations over the next few months. These include:
(Select 4) - ANSWERS-A second dose of hepatitis B vaccine (HepB)
-Hib (haemophilus influenzae type b) vaccine
-IPV (inactivated poliovirus) vaccine
-PCV (pneumococcal conjugate) vaccine
Which of the following comments by Mrs. Deakin indicate a need for further education?
(Select 5) - ANSWERS-"One of the crib slats broke and was removed."
-"I usually put Jason to sleep on his stomach because he prefers that position."
-"Jason's crib mattress is nice and soft."
-"Jason's room is cool, so I place a few blankets on him at night."
-"Jason is restless so I get up and change his position a lot during the night."
You also discuss car seat safety with Mrs. Deakin. You explain that Jason must always
be in an approved infant car restraint. Which of the following is an appropriate place and
position for Jason to ride in the car at this time? - ANSWERSIn the back seat facing
backward
You spend time speaking with Mrs. Deakin about Jason's emotional care and
developmental stage. According to Erikson, Jason is in which psychosocial stage of
development? - ANSWERSTrust vs. Mistrust
Which of the following infants is NOT given the DTaP vaccine at this six-month visit? -
ANSWERSThe infant who developed hives and had difficulty breathing after a previous
DTaP injection
When Mrs. Deakin is situated in the examining room, you ask about the reason for
today's visit (history of present complaint). Which of the following are important
