Pediatric HESI Practice Questions With 100% Correct
Answers.
1. The nurse is preparing a child with an intussuscep- ANS: B
tion for a prescribed barium enema. What is the
main purpose of conducting this Intussusception, an
procedure prior to surgical intervention? invagina- tion or
telescoping of one por- tion
A. Evacuate the bowel of impacted feces. of the intestine into anoth- er,
causes intestinal obstruction
B. Reduce the invaginated bowel segment. in children (usually occurs
be- tween 3 months and 5
C. Locate the presence of diverticula. years
of age). Nonsurgical
D. Identify the area of esophageal atresia. treatment is attempted
with hydrostatic pressure
created by barium in-
stillation, which often
reduces the area of bowel
intussuscep- tion (B),
thereby negating the need
for surgical intervention. A
barium enema is likely to
cause
2. The nurse is teaching an adolescent girl with (A). A barium enema
scol- iosis about a Milwaukee brace that her could be used to detect
health care provider has prescribed. Which (C), but this is not the
instruction should the nurse provide to reason for its use with
this client? intussusception. (D) is not a
use for a barium enema.
A. Remove the brace 1 hour each day for
bathing only. ANS: A
The Milwaukee brace is
de- signed to slow the
, Pediatric HESI Practice Questions With 100% Correct
Answers.
progres- sion in spinal curvature while the adolescent is growing. The
brace should be worn 23 hours a day and removed a total of
B. Remove the brace only for back range-of-motion 1 hour a day
for hygiene (A).
exercise There are no specific
s. exercises
, Pediatric HESI Practice Questions With 100% Correct
Answers.
for increasing the range of mo-
C. Wear the brace against the bare skin to ensure a tion in the back
that should be
good performed (B). A T shirt
fit. should be worn next to the
body and
D. Wearing the brace will cure the spinal curvature. the brace put on
over the T shirt
to protect the skin (C). The
brace will not cure the spinal
curvature
(D) but should slow the pro-
gression of the scoliosis.
3. The nurse should teach the parents of a ANS: C
child with a cyanotic heart defect to
perform which action when a Assuming a knee-chest
hypercyanotic spell occurs? position with the head and
chest slightly elevated (C)
A. Place the child's head flat, with the
will help restore he-
knees on pil- lows above the level of the
modynamic equilibrium. (A
heart.
and B) are incorrect
positions and
B. Have the child lie on the right side, with the head may hinder the
child's condition.
elevated on one pillow. deep breaths.
C. Allow the child to assume a knee-chest 4. During
position, with the head and chest slightly routine
elevated. screening at
a school
D. Encourage the child to sit up at a 45- clinic, an
degree an- gle, drink cold water, and take otoscope
, Pediatric HESI Practice Questions With 100% Correct
Answers.
examination of a child's ear reveals a (D) may cause chest
tympanic membrane that is pearly gray, pain or a vasovagal
slightly response, with result- ing
hypotension.
ANS: B
More information is needed
bulging, and not movable. Based on these findings, to interpret these
findings (B).
what action should the nurse The tympanic membrane is
take? nor- mally pearly gray, not
bulging,
Answers.
1. The nurse is preparing a child with an intussuscep- ANS: B
tion for a prescribed barium enema. What is the
main purpose of conducting this Intussusception, an
procedure prior to surgical intervention? invagina- tion or
telescoping of one por- tion
A. Evacuate the bowel of impacted feces. of the intestine into anoth- er,
causes intestinal obstruction
B. Reduce the invaginated bowel segment. in children (usually occurs
be- tween 3 months and 5
C. Locate the presence of diverticula. years
of age). Nonsurgical
D. Identify the area of esophageal atresia. treatment is attempted
with hydrostatic pressure
created by barium in-
stillation, which often
reduces the area of bowel
intussuscep- tion (B),
thereby negating the need
for surgical intervention. A
barium enema is likely to
cause
2. The nurse is teaching an adolescent girl with (A). A barium enema
scol- iosis about a Milwaukee brace that her could be used to detect
health care provider has prescribed. Which (C), but this is not the
instruction should the nurse provide to reason for its use with
this client? intussusception. (D) is not a
use for a barium enema.
A. Remove the brace 1 hour each day for
bathing only. ANS: A
The Milwaukee brace is
de- signed to slow the
, Pediatric HESI Practice Questions With 100% Correct
Answers.
progres- sion in spinal curvature while the adolescent is growing. The
brace should be worn 23 hours a day and removed a total of
B. Remove the brace only for back range-of-motion 1 hour a day
for hygiene (A).
exercise There are no specific
s. exercises
, Pediatric HESI Practice Questions With 100% Correct
Answers.
for increasing the range of mo-
C. Wear the brace against the bare skin to ensure a tion in the back
that should be
good performed (B). A T shirt
fit. should be worn next to the
body and
D. Wearing the brace will cure the spinal curvature. the brace put on
over the T shirt
to protect the skin (C). The
brace will not cure the spinal
curvature
(D) but should slow the pro-
gression of the scoliosis.
3. The nurse should teach the parents of a ANS: C
child with a cyanotic heart defect to
perform which action when a Assuming a knee-chest
hypercyanotic spell occurs? position with the head and
chest slightly elevated (C)
A. Place the child's head flat, with the
will help restore he-
knees on pil- lows above the level of the
modynamic equilibrium. (A
heart.
and B) are incorrect
positions and
B. Have the child lie on the right side, with the head may hinder the
child's condition.
elevated on one pillow. deep breaths.
C. Allow the child to assume a knee-chest 4. During
position, with the head and chest slightly routine
elevated. screening at
a school
D. Encourage the child to sit up at a 45- clinic, an
degree an- gle, drink cold water, and take otoscope
, Pediatric HESI Practice Questions With 100% Correct
Answers.
examination of a child's ear reveals a (D) may cause chest
tympanic membrane that is pearly gray, pain or a vasovagal
slightly response, with result- ing
hypotension.
ANS: B
More information is needed
bulging, and not movable. Based on these findings, to interpret these
findings (B).
what action should the nurse The tympanic membrane is
take? nor- mally pearly gray, not
bulging,
