HESI Evolve Pediatric Practice Exam
Which clinical finding should the nurse expect a child with nephrosis to exhibit? -
ANSWER Urine protein 3+ to 4+
When plotting a 20-week-old infant's weight on a standardized growth chart, the nurse
determines that the child's weight is between the 2nd and 3rd percentile. Based on this
finding, what action should the nurse take? - ANSWER Compare the weight with
previous weights recorded in the child's record
A 12-year-old male client tells the nurse that he is happy to be taking growth hormones
because now he can expect to grow and be just as tall as his friends. What response is
best for the nurse to provide? - ANSWER Being taller is important to you and taking
your injections will help you achieve that goal
A 3-year-old boy is brought to the emergency room because of a possible diazepam
(Valium) overdose. He is lethargic and confused, and his vital signs are: pulse rate 100
beats/minute, respiratory rate 20 beats/min, and blood pressure of 70/30. Which nursing
intervention has the highest priority? - ANSWER Prepare set up for endotracheal
intubation
The nurse is preparing to catheterize an 8-year-old boy. Before the procedure, which
action should the nurse take first? - ANSWER Explain to the child and parents that the
procedure must be done
The nurse is developing a plan of care for a newborn with a colostomy due to anal
agenesis, and the infant has had 3 loose stools since surgery yesterday. Which nursing
diagnosis has the highest priority? - ANSWER Potential for fluid volume deficit
The community health nurse teaches the parents of school-aged children about the
need for fluoride as part of a dental health program. Which statement by the parents
indicates that they understand the teaching? - ANSWER Dental caries can be
prevented through fluoridation of public water
A Spanish-speaking 5-year-old child starts kindergarten in an English-speaking school.
The child cries most of the time, appears helpless and unable to function in the new
situation. After assessing the child, how should the school nurse document this
situation? - ANSWER Experiencing culture shock.
A mother tells the nurse that her children are asking questions about divorce, but one
male child tells her that he is sorry that he caused the divorce of the parents. Which age
group is most likely to experience feelings of feelings of punishment or responsibility for
the divorce or parents? - ANSWER 4 years
, A mother brings her 6-month-old infant to the clinic for a well-child checkup. She
comments, "I want to go to back to work, but I don't want my baby to suffer because I'll
have less time at home." How should the nurse respond to the mother? - ANSWER
Let's talk about the child care options that are best for the child
How should a nurse measure the length of a 14-month-old? - ANSWER Supine
recumbent position
The nurse is assessing a child's skin turgor and grasps the skin on the abdomen
between the thmub and forefinger, pulls it taut, and quickly releases it. The tissue
remians suspended and tented for a few seconds, then slowly falls back onto the
abdomen. How should the nurse document this finding? - ANSWER Poor skin turgor
Which neurological test should the nurse implement to assess crebellar function in a 5-
year-old with symptoms of hyperactivity? - ANSWER Finger-to-nose
The nurse is assessing a child for neurological "soft" signs. Which finding is most likely
demonstrated in the child's behavior? - ANSWER Poor coordination and sense of
position
The nurse is examining a neonate at age 10 minutes. Which site should the nurse
expect to see non pathologic cyanosis? - ANSWER Feet and hands
A 4-month-old breastfeeding infant is at the 10th percentile for weight and the 75th
percentile for height. How should the nurse interpret this finding? - ANSWER Normal
growth curve of a breast-fed infant
The nurse is collecting a blood sample from a newborn for a screening test for PKU.
When should the nurse obtain the blood sample? - ANSWER After ingestion of a source
of protein
A newborn who is breastfeeding is diagnosed with galactosemia. What action should
the nurse implement? - ANSWER Stop the infant breastfeeding
The low-birth-weight infant requires a neutral thermal environment. What action should
the nurse implement? - ANSWER Maintain a high-humidity atmosphere
The nurse is caring for a premature infant who needs an IV access restarted. What
action should the nurse take when using adhesive tape? - ANSWER Remove adhesives
with water, mineral oil, or petrolatum
An infant with developmental dysplasia of the hip is placed in a Pavlik harness. What
instructions should the nurse include in a teaching plan for the parents? - ANSWER
Check for red areas under the straps 3 times a day
Which clinical finding should the nurse expect a child with nephrosis to exhibit? -
ANSWER Urine protein 3+ to 4+
When plotting a 20-week-old infant's weight on a standardized growth chart, the nurse
determines that the child's weight is between the 2nd and 3rd percentile. Based on this
finding, what action should the nurse take? - ANSWER Compare the weight with
previous weights recorded in the child's record
A 12-year-old male client tells the nurse that he is happy to be taking growth hormones
because now he can expect to grow and be just as tall as his friends. What response is
best for the nurse to provide? - ANSWER Being taller is important to you and taking
your injections will help you achieve that goal
A 3-year-old boy is brought to the emergency room because of a possible diazepam
(Valium) overdose. He is lethargic and confused, and his vital signs are: pulse rate 100
beats/minute, respiratory rate 20 beats/min, and blood pressure of 70/30. Which nursing
intervention has the highest priority? - ANSWER Prepare set up for endotracheal
intubation
The nurse is preparing to catheterize an 8-year-old boy. Before the procedure, which
action should the nurse take first? - ANSWER Explain to the child and parents that the
procedure must be done
The nurse is developing a plan of care for a newborn with a colostomy due to anal
agenesis, and the infant has had 3 loose stools since surgery yesterday. Which nursing
diagnosis has the highest priority? - ANSWER Potential for fluid volume deficit
The community health nurse teaches the parents of school-aged children about the
need for fluoride as part of a dental health program. Which statement by the parents
indicates that they understand the teaching? - ANSWER Dental caries can be
prevented through fluoridation of public water
A Spanish-speaking 5-year-old child starts kindergarten in an English-speaking school.
The child cries most of the time, appears helpless and unable to function in the new
situation. After assessing the child, how should the school nurse document this
situation? - ANSWER Experiencing culture shock.
A mother tells the nurse that her children are asking questions about divorce, but one
male child tells her that he is sorry that he caused the divorce of the parents. Which age
group is most likely to experience feelings of feelings of punishment or responsibility for
the divorce or parents? - ANSWER 4 years
, A mother brings her 6-month-old infant to the clinic for a well-child checkup. She
comments, "I want to go to back to work, but I don't want my baby to suffer because I'll
have less time at home." How should the nurse respond to the mother? - ANSWER
Let's talk about the child care options that are best for the child
How should a nurse measure the length of a 14-month-old? - ANSWER Supine
recumbent position
The nurse is assessing a child's skin turgor and grasps the skin on the abdomen
between the thmub and forefinger, pulls it taut, and quickly releases it. The tissue
remians suspended and tented for a few seconds, then slowly falls back onto the
abdomen. How should the nurse document this finding? - ANSWER Poor skin turgor
Which neurological test should the nurse implement to assess crebellar function in a 5-
year-old with symptoms of hyperactivity? - ANSWER Finger-to-nose
The nurse is assessing a child for neurological "soft" signs. Which finding is most likely
demonstrated in the child's behavior? - ANSWER Poor coordination and sense of
position
The nurse is examining a neonate at age 10 minutes. Which site should the nurse
expect to see non pathologic cyanosis? - ANSWER Feet and hands
A 4-month-old breastfeeding infant is at the 10th percentile for weight and the 75th
percentile for height. How should the nurse interpret this finding? - ANSWER Normal
growth curve of a breast-fed infant
The nurse is collecting a blood sample from a newborn for a screening test for PKU.
When should the nurse obtain the blood sample? - ANSWER After ingestion of a source
of protein
A newborn who is breastfeeding is diagnosed with galactosemia. What action should
the nurse implement? - ANSWER Stop the infant breastfeeding
The low-birth-weight infant requires a neutral thermal environment. What action should
the nurse implement? - ANSWER Maintain a high-humidity atmosphere
The nurse is caring for a premature infant who needs an IV access restarted. What
action should the nurse take when using adhesive tape? - ANSWER Remove adhesives
with water, mineral oil, or petrolatum
An infant with developmental dysplasia of the hip is placed in a Pavlik harness. What
instructions should the nurse include in a teaching plan for the parents? - ANSWER
Check for red areas under the straps 3 times a day
