HESI PEDIATRIC EXAM 10 VERSIONS WITH ACTUAL
QUESTIONS AND VERIFIED SOLUTIONS/A+ GRADE
What is considered bradycardia in an infant? - ANSWER: Heart rate less than 90-110
An infant with CHF taking digoxin has a heart rate of 80bpm, what does this indicate?
- ANSWER: Possible digoxin toxicity
Fever due to immunizations may occur. What is contraindicated in this situation? -
ANSWER: Aspirin is contraindicated in children d/t risk for Reye's syndrome
What is the therapeutic level of theophylline? - ANSWER: Therapeutic level: 10-20
mcg/dL
How long should the Milwaukee brace for scoliosis should be worn? - ANSWER: 23
hours a day, only remove for 1 hour for bathing
How is varicella spread? - ANSWER: Direct or indirect contact of saliva or vesicles.
Put on strict isolation to prevent exposure to others.
When is varicella most communicable? - ANSWER: 2 days before the rash appears
until all lesions are crusted
What are the most common presenting symptoms of leukemia? - ANSWER: -Bone
pain r/t leukemic cells invading periosteum
-Pallor r/t anemia
What are some characteristics of spastic cerebral palsy in an infant? - ANSWER: -Legs
crossing
-Stiffness when pulled to a sitting position
-Difficulty with fine motor skills
What as an infant at risk for when in celiac crisis? - ANSWER: Risk for fluid volume
deficit d/t severe diarrhea--assess for dehydration (mucous membranes and skin
turgor)
What behavior is common in a 4 year old? - ANSWER: Aggressive behavior is
common, they enjoy telling stories.
What initial symptom is common for a newborn to exhibit with positive HIV? -
ANSWER: Persistent cold--respiratory tract infections are common, less ability to
defend body
Why must the heart rate be monitored during an NG tube insertion for a 3-month
old? - ANSWER: HR may decrease because of vagal nerve stimulation
QUESTIONS AND VERIFIED SOLUTIONS/A+ GRADE
What is considered bradycardia in an infant? - ANSWER: Heart rate less than 90-110
An infant with CHF taking digoxin has a heart rate of 80bpm, what does this indicate?
- ANSWER: Possible digoxin toxicity
Fever due to immunizations may occur. What is contraindicated in this situation? -
ANSWER: Aspirin is contraindicated in children d/t risk for Reye's syndrome
What is the therapeutic level of theophylline? - ANSWER: Therapeutic level: 10-20
mcg/dL
How long should the Milwaukee brace for scoliosis should be worn? - ANSWER: 23
hours a day, only remove for 1 hour for bathing
How is varicella spread? - ANSWER: Direct or indirect contact of saliva or vesicles.
Put on strict isolation to prevent exposure to others.
When is varicella most communicable? - ANSWER: 2 days before the rash appears
until all lesions are crusted
What are the most common presenting symptoms of leukemia? - ANSWER: -Bone
pain r/t leukemic cells invading periosteum
-Pallor r/t anemia
What are some characteristics of spastic cerebral palsy in an infant? - ANSWER: -Legs
crossing
-Stiffness when pulled to a sitting position
-Difficulty with fine motor skills
What as an infant at risk for when in celiac crisis? - ANSWER: Risk for fluid volume
deficit d/t severe diarrhea--assess for dehydration (mucous membranes and skin
turgor)
What behavior is common in a 4 year old? - ANSWER: Aggressive behavior is
common, they enjoy telling stories.
What initial symptom is common for a newborn to exhibit with positive HIV? -
ANSWER: Persistent cold--respiratory tract infections are common, less ability to
defend body
Why must the heart rate be monitored during an NG tube insertion for a 3-month
old? - ANSWER: HR may decrease because of vagal nerve stimulation
