Pediatric HESI Practice Questions And
Verified Answers
The Nnurse Nis Npreparing Na Nchild Nwith Nan Nintussusception Nfor Na Nprescribed Nbarium Nenema.
NWhat Nis Nthe Nmain Npurpose Nof Nconducting Nthis Nprocedure Nprior Nto Nsurgical Nintervention?
N
A.Evacuate Nthe Nbowel Nof Nimpacted Nfeces.
N
B.Reduce Nthe Ninvaginated Nbowel Nsegment.
N
C.Locate Nthe Npresence Nof Ndiverticula.
N
D.Identify Nthe Narea Nof Nesophageal Natresia. N- NAnswer N- NANS: NB
Intussusception, Nan Ninvagination Nor Ntelescoping Nof None Nportion Nof Nthe Nintestine Ninto Nanother,
Ncauses Nintestinal Nobstruction Nin Nchildren N(usually Noccurs Nbetween N3 Nmonths Nand N5 Nyears Nof
Nage). NNonsurgical Ntreatment Nis Nattempted Nwith Nhydrostatic Npressure Ncreated Nby Nbarium
Ninstillation, Nwhich Noften Nreduces Nthe Narea Nof Nbowel Nintussusception N(B), Nthereby Nnegating
Nthe Nneed Nfor Nsurgical Nintervention. NA Nbarium Nenema Nis Nlikely Nto Ncause N(A). NA Nbarium
Nenema Ncould Nbe Nused Nto Ndetect N(C), Nbut Nthis Nis Nnot Nthe Nreason Nfor Nits Nuse Nwith
Nintussusception. N(D) Nis Nnot Na Nuse Nfor Na Nbarium Nenema.
The Nnurse Nis Nteaching Nan Nadolescent Ngirl Nwith Nscoliosis Nabout Na NMilwaukee Nbrace Nthat Nher
Nhealth Ncare Nprovider Nhas Nprescribed. NWhich Ninstruction Nshould Nthe Nnurse Nprovide Nto Nthis
Nclient?
A.Remove Nthe Nbrace N1 Nhour Neach Nday Nfor Nbathing Nonly.
B.Remove Nthe Nbrace Nonly Nfor Nback Nrange-of-motion Nexercises.
N
,C.Wear Nthe Nbrace Nagainst Nthe Nbare Nskin Nto Nensure Na Ngood Nfit.
N
D.Wearing Nthe Nbrace Nwill Ncure Nthe Nspinal Ncurvature. N- NAnswer N- NANS: NA
The NMilwaukee Nbrace Nis Ndesigned Nto Nslow Nthe Nprogression Nin Nspinal Ncurvature Nwhile Nthe
Nadolescent Nis Ngrowing. NThe Nbrace Nshould Nbe Nworn N23 Nhours Na Nday Nand Nremoved Na Ntotal Nof
N1 Nhour Na Nday Nfor Nhygiene N(A). NThere Nare Nno Nspecific Nexercises Nfor Nincreasing Nthe Nrange Nof
Nmotion Nin Nthe Nback Nthat Nshould Nbe Nperformed N(B). NA NT Nshirt Nshould Nbe Nworn Nnext Nto Nthe
Nbody Nand Nthe Nbrace Nput Non Nover Nthe NT Nshirt Nto Nprotect Nthe Nskin N(C). NThe Nbrace Nwill Nnot
Ncure Nthe Nspinal Ncurvature N(D) Nbut Nshould Nslow Nthe Nprogression Nof Nthe Nscoliosis.
The Nnurse Nshould Nteach Nthe Nparents Nof Na Nchild Nwith Na Ncyanotic Nheart Ndefect Nto Nperform
Nwhich Naction Nwhen Na Nhypercyanotic Nspell Noccurs?
A.Place Nthe Nchild's Nhead Nflat, Nwith Nthe Nknees Non Npillows Nabove Nthe Nlevel Nof Nthe Nheart.
N
B.Have Nthe Nchild Nlie Non Nthe Nright Nside, Nwith Nthe Nhead Nelevated Non None Npillow.
N
C.Allow Nthe Nchild Nto Nassume Na Nknee-chest Nposition, Nwith Nthe Nhead Nand Nchest Nslightly
Nelevated.
N
D.Encourage Nthe Nchild Nto Nsit Nup Nat Na N45-degree Nangle, Ndrink Ncold Nwater, Nand Ntake Ndeep
Nbreaths. N- NAnswer N- NANS: NC
Assuming Na Nknee-chest Nposition Nwith Nthe Nhead Nand Nchest Nslightly Nelevated N(C) Nwill Nhelp
Nrestore Nhemodynamic Nequilibrium. N(A Nand NB) Nare Nincorrect Npositions Nand Nmay Nhinder Nthe
Nchild's Ncondition. N(D) Nmay Ncause Nchest Npain Nor Na Nvasovagal Nresponse, Nwith Nresulting
Nhypotension.
During Nroutine Nscreening Nat Na Nschool Nclinic, Nan Notoscope Nexamination Nof Na Nchild's Near
Nreveals Na Ntympanic Nmembrane Nthat Nis Npearly Ngray, Nslightly Nbulging, Nand Nnot Nmovable. NBased
Non Nthese Nfindings, Nwhat Naction Nshould Nthe Nnurse Ntake?
A.No Naction Nis Nrequired, Nbecause Nthis Nis Nan Nexpected Nfinding Nfor Na Nschool-aged Nchild.
, N
B.Ask Nif Nthe Nchild Nhas Nhad Na Ncold, Nrunny Nnose, Nor Nany Near Npain Nlately.
N
C.Send Na Nnote Nhome Nadvising Nparents Nto Nhave Nthe Nchild Nevaluated Nby Na Nhealth Ncare
Nprovider.
N
D.Call Nthe Nparents Nand Nhave Nthem Ntake Nthe Nchild Nhome Nfrom Nschool Nfor Nthe Nrest Nof Nthe
Nday. N- NAnswer N- NANS: NB
More Ninformation Nis Nneeded Nto Ninterpret Nthese Nfindings N(B). NThe Ntympanic Nmembrane Nis
Nnormally Npearly Ngray, Nnot Nbulging, Nand Nmoves Nwhen Na Nclient Nblows Nagainst Nresistance Nor
Nwhen Na Nsmall Npuff Nof Nair Nis Nblown Ninto Nthe Near Ncanal. NBecause Nthese Nfindings Nare Nnot
Ncompletely Nnormal, Nfurther Nassessment Nof Nhistory Nand Nrelated Nsigns Nand Nsymptoms Nare
Nneeded Nto Ninterpret Nthe Nfindings Naccurately. NBased Non Nthe Ndata Nobtained Nfrom Nthe
Notoscope Nexamination, N(A, NC, Nand ND) Nare Nnot Nindicated.
A Nnewborn Nfemale Nwhose Nmother Nis NHIV-positive Nis Nscheduled Nfor Nthe Nfirst Nfollow-up
Nassessment Nwith Nthe Nnurse. NIf Nthe Nchild Nis NHIV-positive, Nwhich Ninitial Nsymptom Nis Nshe Nmost
Nlikely Nto Nexhibit?
A.Shortness Nof Nbreath
N
B.Joint Npain
N
C.Persistent Ncold
N
D.Organomegaly N- NAnswer N- NANS: NC
Respiratory Ntract Ninfections Ncommonly Noccur Nin Nthe Npediatric Npopulation, Nbut Nthe Nchild Nwith
NAIDS Nhas Na Ndecreased Nability Nto Ndefend Nthe Nbody Nagainst Nthese Ncommon Ninfections. NThus,
Nthe Nmost Ntypical Npresenting Nsymptom Nof Na Nchild Nwho Ncontracted NAIDS Nthrough Nvertical
Ntransmission N(i.e., Nfrom Nthe Nmother Nduring Ndelivery) Nis Na Npersistent Ncold Nor Nrespiratory
Ninfection N(C). N(A, NB, Nand ND) Nare Nsymptoms Nof NAIDS Ncomplications Nthat Nmay Noccur Nlater Nas
Nthe Ndisease Nprogresses.
Verified Answers
The Nnurse Nis Npreparing Na Nchild Nwith Nan Nintussusception Nfor Na Nprescribed Nbarium Nenema.
NWhat Nis Nthe Nmain Npurpose Nof Nconducting Nthis Nprocedure Nprior Nto Nsurgical Nintervention?
N
A.Evacuate Nthe Nbowel Nof Nimpacted Nfeces.
N
B.Reduce Nthe Ninvaginated Nbowel Nsegment.
N
C.Locate Nthe Npresence Nof Ndiverticula.
N
D.Identify Nthe Narea Nof Nesophageal Natresia. N- NAnswer N- NANS: NB
Intussusception, Nan Ninvagination Nor Ntelescoping Nof None Nportion Nof Nthe Nintestine Ninto Nanother,
Ncauses Nintestinal Nobstruction Nin Nchildren N(usually Noccurs Nbetween N3 Nmonths Nand N5 Nyears Nof
Nage). NNonsurgical Ntreatment Nis Nattempted Nwith Nhydrostatic Npressure Ncreated Nby Nbarium
Ninstillation, Nwhich Noften Nreduces Nthe Narea Nof Nbowel Nintussusception N(B), Nthereby Nnegating
Nthe Nneed Nfor Nsurgical Nintervention. NA Nbarium Nenema Nis Nlikely Nto Ncause N(A). NA Nbarium
Nenema Ncould Nbe Nused Nto Ndetect N(C), Nbut Nthis Nis Nnot Nthe Nreason Nfor Nits Nuse Nwith
Nintussusception. N(D) Nis Nnot Na Nuse Nfor Na Nbarium Nenema.
The Nnurse Nis Nteaching Nan Nadolescent Ngirl Nwith Nscoliosis Nabout Na NMilwaukee Nbrace Nthat Nher
Nhealth Ncare Nprovider Nhas Nprescribed. NWhich Ninstruction Nshould Nthe Nnurse Nprovide Nto Nthis
Nclient?
A.Remove Nthe Nbrace N1 Nhour Neach Nday Nfor Nbathing Nonly.
B.Remove Nthe Nbrace Nonly Nfor Nback Nrange-of-motion Nexercises.
N
,C.Wear Nthe Nbrace Nagainst Nthe Nbare Nskin Nto Nensure Na Ngood Nfit.
N
D.Wearing Nthe Nbrace Nwill Ncure Nthe Nspinal Ncurvature. N- NAnswer N- NANS: NA
The NMilwaukee Nbrace Nis Ndesigned Nto Nslow Nthe Nprogression Nin Nspinal Ncurvature Nwhile Nthe
Nadolescent Nis Ngrowing. NThe Nbrace Nshould Nbe Nworn N23 Nhours Na Nday Nand Nremoved Na Ntotal Nof
N1 Nhour Na Nday Nfor Nhygiene N(A). NThere Nare Nno Nspecific Nexercises Nfor Nincreasing Nthe Nrange Nof
Nmotion Nin Nthe Nback Nthat Nshould Nbe Nperformed N(B). NA NT Nshirt Nshould Nbe Nworn Nnext Nto Nthe
Nbody Nand Nthe Nbrace Nput Non Nover Nthe NT Nshirt Nto Nprotect Nthe Nskin N(C). NThe Nbrace Nwill Nnot
Ncure Nthe Nspinal Ncurvature N(D) Nbut Nshould Nslow Nthe Nprogression Nof Nthe Nscoliosis.
The Nnurse Nshould Nteach Nthe Nparents Nof Na Nchild Nwith Na Ncyanotic Nheart Ndefect Nto Nperform
Nwhich Naction Nwhen Na Nhypercyanotic Nspell Noccurs?
A.Place Nthe Nchild's Nhead Nflat, Nwith Nthe Nknees Non Npillows Nabove Nthe Nlevel Nof Nthe Nheart.
N
B.Have Nthe Nchild Nlie Non Nthe Nright Nside, Nwith Nthe Nhead Nelevated Non None Npillow.
N
C.Allow Nthe Nchild Nto Nassume Na Nknee-chest Nposition, Nwith Nthe Nhead Nand Nchest Nslightly
Nelevated.
N
D.Encourage Nthe Nchild Nto Nsit Nup Nat Na N45-degree Nangle, Ndrink Ncold Nwater, Nand Ntake Ndeep
Nbreaths. N- NAnswer N- NANS: NC
Assuming Na Nknee-chest Nposition Nwith Nthe Nhead Nand Nchest Nslightly Nelevated N(C) Nwill Nhelp
Nrestore Nhemodynamic Nequilibrium. N(A Nand NB) Nare Nincorrect Npositions Nand Nmay Nhinder Nthe
Nchild's Ncondition. N(D) Nmay Ncause Nchest Npain Nor Na Nvasovagal Nresponse, Nwith Nresulting
Nhypotension.
During Nroutine Nscreening Nat Na Nschool Nclinic, Nan Notoscope Nexamination Nof Na Nchild's Near
Nreveals Na Ntympanic Nmembrane Nthat Nis Npearly Ngray, Nslightly Nbulging, Nand Nnot Nmovable. NBased
Non Nthese Nfindings, Nwhat Naction Nshould Nthe Nnurse Ntake?
A.No Naction Nis Nrequired, Nbecause Nthis Nis Nan Nexpected Nfinding Nfor Na Nschool-aged Nchild.
, N
B.Ask Nif Nthe Nchild Nhas Nhad Na Ncold, Nrunny Nnose, Nor Nany Near Npain Nlately.
N
C.Send Na Nnote Nhome Nadvising Nparents Nto Nhave Nthe Nchild Nevaluated Nby Na Nhealth Ncare
Nprovider.
N
D.Call Nthe Nparents Nand Nhave Nthem Ntake Nthe Nchild Nhome Nfrom Nschool Nfor Nthe Nrest Nof Nthe
Nday. N- NAnswer N- NANS: NB
More Ninformation Nis Nneeded Nto Ninterpret Nthese Nfindings N(B). NThe Ntympanic Nmembrane Nis
Nnormally Npearly Ngray, Nnot Nbulging, Nand Nmoves Nwhen Na Nclient Nblows Nagainst Nresistance Nor
Nwhen Na Nsmall Npuff Nof Nair Nis Nblown Ninto Nthe Near Ncanal. NBecause Nthese Nfindings Nare Nnot
Ncompletely Nnormal, Nfurther Nassessment Nof Nhistory Nand Nrelated Nsigns Nand Nsymptoms Nare
Nneeded Nto Ninterpret Nthe Nfindings Naccurately. NBased Non Nthe Ndata Nobtained Nfrom Nthe
Notoscope Nexamination, N(A, NC, Nand ND) Nare Nnot Nindicated.
A Nnewborn Nfemale Nwhose Nmother Nis NHIV-positive Nis Nscheduled Nfor Nthe Nfirst Nfollow-up
Nassessment Nwith Nthe Nnurse. NIf Nthe Nchild Nis NHIV-positive, Nwhich Ninitial Nsymptom Nis Nshe Nmost
Nlikely Nto Nexhibit?
A.Shortness Nof Nbreath
N
B.Joint Npain
N
C.Persistent Ncold
N
D.Organomegaly N- NAnswer N- NANS: NC
Respiratory Ntract Ninfections Ncommonly Noccur Nin Nthe Npediatric Npopulation, Nbut Nthe Nchild Nwith
NAIDS Nhas Na Ndecreased Nability Nto Ndefend Nthe Nbody Nagainst Nthese Ncommon Ninfections. NThus,
Nthe Nmost Ntypical Npresenting Nsymptom Nof Na Nchild Nwho Ncontracted NAIDS Nthrough Nvertical
Ntransmission N(i.e., Nfrom Nthe Nmother Nduring Ndelivery) Nis Na Npersistent Ncold Nor Nrespiratory
Ninfection N(C). N(A, NB, Nand ND) Nare Nsymptoms Nof NAIDS Ncomplications Nthat Nmay Noccur Nlater Nas
Nthe Ndisease Nprogresses.
