2022 HESI RN PEDIATRICS EXAM.pdf Page 1 of 25 Page 1 of 25
2022 HESI RN PEDIATRICS
EXAM
The nurse is planning care for a 5 - month-old with gastroesophageal
reflux disease whose weight has decreased by 3 ounces since the last
clinic visit one month ago. To increase caloric intake and decrease
vomiting, what instruction should the nurse provide this mother?
•Thicken formula with cereal for each feeding
A 4-years-old boy was recently diagnosed with Duchenne muscular
dystrophy (DMD). Which characteristic of the disease is most important for
the nurse to focus on during the initial teaching?
•Lower legs become progressively weaker, causing a wedding, unsteady
gait
In caring for an client with acute epiglottitis, which nursing action takes
priority?
•Prepare for endotracheal intubation
pg. 1https://www.stuvia.com/en-us/doc
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,2022 HESI RN PEDIATRICS EXAM.pdf Page 2 of 25 Page 2 of 25
The nurse is using the Stage Questionnaire (b) to assess a 24 - month-old
child. What is the best intervention for the nurse to initiate after the
assessment is completed?
• Assess for changes in the vital signs
• Review the child's birth history
• Provide the parents with a list of stimulating activities
• Meet with a social worker to review the results
• Provide the parents with a list of stimulating activities
When caring for a child sickle cell disease, the nurse knows that the child
will most likely exhibit which sign when experiencing a sickle cell crisis?
• Pain
The nurse is administering an oral medication to a reluctant preschool-
age boy. Which intervention should the nurse implement?
• Use straightforward approach with the child
pg. 2https://www.stuvia.com/en-us/doc
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, 2022 HESI RN PEDIATRICS EXAM.pdf Page 3 of 25 Page 3 of 25
The school nurse is presenting a seminar to parents about child safety
that focuses on prevention of spinal cord injuries. What information is
most important for the nurse include in the teaching plan?
• Seat belt and car seat laws for use in motor vehicles should be
reinforced
A mother is concerned that her 3-year-old son wants to play with female
doll figures. The child is not interested in building blocks, trucks, or other
typical "boy" toys. How should the nurse respond to the mother's concern?
• Exploring different roles in imaginary play is typical at this age
Which nursing intervention is most important to assist in detecting
hypopituitarism and hyperpituitarism in children?
• Carefully recording the height and weight of children to detect
inappropriate growth rates
The parents of a 4 week-old infant phone the pediatric clinic to report that
their infant eats well but vomits after each feeding. To differentiate
between normal regurgitation and pyloric stenosis, which information is
most important for the nurse to obtain?
• Degree of forcefulness of vomiting episodes
pg. 3https://www.stuvia.com/en-us/doc
2022 HESI RN PEDIATRICS EXAM.pdf 3 of 25 2022 HESI RN PEDIATRICS EXAM
2022 HESI RN PEDIATRICS
EXAM
The nurse is planning care for a 5 - month-old with gastroesophageal
reflux disease whose weight has decreased by 3 ounces since the last
clinic visit one month ago. To increase caloric intake and decrease
vomiting, what instruction should the nurse provide this mother?
•Thicken formula with cereal for each feeding
A 4-years-old boy was recently diagnosed with Duchenne muscular
dystrophy (DMD). Which characteristic of the disease is most important for
the nurse to focus on during the initial teaching?
•Lower legs become progressively weaker, causing a wedding, unsteady
gait
In caring for an client with acute epiglottitis, which nursing action takes
priority?
•Prepare for endotracheal intubation
pg. 1https://www.stuvia.com/en-us/doc
2022 HESI RN PEDIATRICS EXAM.pdf 1 of 25 2022 HESI RN PEDIATRICS EXAM
,2022 HESI RN PEDIATRICS EXAM.pdf Page 2 of 25 Page 2 of 25
The nurse is using the Stage Questionnaire (b) to assess a 24 - month-old
child. What is the best intervention for the nurse to initiate after the
assessment is completed?
• Assess for changes in the vital signs
• Review the child's birth history
• Provide the parents with a list of stimulating activities
• Meet with a social worker to review the results
• Provide the parents with a list of stimulating activities
When caring for a child sickle cell disease, the nurse knows that the child
will most likely exhibit which sign when experiencing a sickle cell crisis?
• Pain
The nurse is administering an oral medication to a reluctant preschool-
age boy. Which intervention should the nurse implement?
• Use straightforward approach with the child
pg. 2https://www.stuvia.com/en-us/doc
2022 HESI RN PEDIATRICS EXAM.pdf 2 of 25 2022 HESI RN PEDIATRICS EXAM
, 2022 HESI RN PEDIATRICS EXAM.pdf Page 3 of 25 Page 3 of 25
The school nurse is presenting a seminar to parents about child safety
that focuses on prevention of spinal cord injuries. What information is
most important for the nurse include in the teaching plan?
• Seat belt and car seat laws for use in motor vehicles should be
reinforced
A mother is concerned that her 3-year-old son wants to play with female
doll figures. The child is not interested in building blocks, trucks, or other
typical "boy" toys. How should the nurse respond to the mother's concern?
• Exploring different roles in imaginary play is typical at this age
Which nursing intervention is most important to assist in detecting
hypopituitarism and hyperpituitarism in children?
• Carefully recording the height and weight of children to detect
inappropriate growth rates
The parents of a 4 week-old infant phone the pediatric clinic to report that
their infant eats well but vomits after each feeding. To differentiate
between normal regurgitation and pyloric stenosis, which information is
most important for the nurse to obtain?
• Degree of forcefulness of vomiting episodes
pg. 3https://www.stuvia.com/en-us/doc
2022 HESI RN PEDIATRICS EXAM.pdf 3 of 25 2022 HESI RN PEDIATRICS EXAM
