Peds Hesi Questions And Answers 2024/2025
1-3 year old is capable of what speech - ANS_capable of making a 3 word sentence
3 types of acute exacerbations - ANS_vaso-occlusive crisis,
splenic sequestration, hyperhemolytic crisis,
and aplastic crisis.
346. Permethrin is prescribed for a child with a diagnosis
of scabies. The nurse should give which instruction
to the parents regarding the use of this
treatment?
1. Apply the lotion to areas of the rash only.
2. Apply the lotion and leave it on for 6 hours.
3. Avoid putting clothes on the child over the
lotion.
4. Apply the lotion to cool, dry skin at least
30 minutes after bathing. - ANS_4.
Rationale: Permethrin is massaged thoroughly and gently into
all skin surfaces (not just the areas that have the rash) from the
head to the soles of the feet. Care should be taken to avoid contact
with the eyes. The lotion should not be applied until at
least 30 minutes after bathing and should be applied only to
cool, dry skin. The lotion should be kept on for 8 to 14 hours,
,and then the child should be given a bath. The child should be
clothed during the 8 to 14 hours of treatment contact time.
347. The school nurse has provided an instructional session
about impetigo to parents of the children
attending the school. Which statement, if made
by a parent, indicates a need for further
in struction?
1. "It is extremely contagious."
2. "It is most common in humid weather."
3. "Lesions most often are located on the arms
and chest."
4. "It might show up in an area of broken skin,
such as an insect bite." - ANS_3
Rationale: Impetigo is a contagious bacterial infection of the
skin caused by β-hemolytic streptococci or staphylococci, or
both. Impetigo is most common during hot, humid summer
months. Impetigo may begin in an area of broken skin, such
as an insect bite or atopic dermatitis. Impetigo is extremely
contagious. Lesions usually are located around the mouth
and nose, but may be present on the hands and extremities.
Test-Taking Strategy: Note the strategic words, need for further
instruction. These words indicate a negative event query and
ask you to select an option that is an incorrect statement. Think
about the pathophysiology associated with impetigo. Knowledge
,regarding the cause and manifestations of impetigo will
direct you to the correct option.
349. A topical corticosteroid is prescribed by the health
care provider for a child with atopic dermatitis
(eczema). Which instruction should the nurse give
the parent about applying the cream?
1. Apply the cream over the entire body.
2. Applya thick layer ofcream to affected areas only.
3. Avoid cleansing the area before application of
the cream.
4. Apply a thin layer of cream and rub it into the
area thoroughly. - ANS_349. 4
Rationale: Atopic dermatitis is a superficial inflammatory process
involving primarily the epidermis. A topical corticosteroid
may be prescribed and should be applied sparingly (thin layer)
and rubbed into the area thoroughly. The affected area should
be cleaned gently before application. A topical corticosteroid
350. The school nurse is performing pediculosis capitis
(head lice) assessments. Which assessment finding
indicates that a child has a "positive" head check?
1. Maculopapular lesions behind the ears
2. Lesions in the scalp that extend to the hairline
or neck
, 3. White flaky particles throughout the entire scalp
region
4. White sacs attached to the hair shafts in the
occipital area - ANS_
352. The nurse analyzes the laboratory results of a child
with hemophilia. The nurse understands that
which result will most likely be abnormal in this
child?
1. Platelet count
2. Hematocrit level
3. Hemoglobin level
4. Partial thromboplastin time - ANS_352. 4
Rationale: Hemophilia refers to a group of bleeding disorders
resulting from a deficiency of specific coagulation proteins.
Results of tests that measure platelet function are normal; results
of tests that measure clotting factor function may be abnormal.
Abnormal laboratory results in hemophilia indicate a prolonged
partial thromboplastin time. The platelet count, hemoglobin
level, and hematocrit level are normal in hemophilia.
Test-Taking Strategy: Focus on the subject, laboratory tests
used to monitor hemophilia, and note the strategic words,
most likely. Recalling the pathophysiology associated with this
disorder and recalling that it results from a deficiency of specific
coagulation proteins will direct you to the correct option.
1-3 year old is capable of what speech - ANS_capable of making a 3 word sentence
3 types of acute exacerbations - ANS_vaso-occlusive crisis,
splenic sequestration, hyperhemolytic crisis,
and aplastic crisis.
346. Permethrin is prescribed for a child with a diagnosis
of scabies. The nurse should give which instruction
to the parents regarding the use of this
treatment?
1. Apply the lotion to areas of the rash only.
2. Apply the lotion and leave it on for 6 hours.
3. Avoid putting clothes on the child over the
lotion.
4. Apply the lotion to cool, dry skin at least
30 minutes after bathing. - ANS_4.
Rationale: Permethrin is massaged thoroughly and gently into
all skin surfaces (not just the areas that have the rash) from the
head to the soles of the feet. Care should be taken to avoid contact
with the eyes. The lotion should not be applied until at
least 30 minutes after bathing and should be applied only to
cool, dry skin. The lotion should be kept on for 8 to 14 hours,
,and then the child should be given a bath. The child should be
clothed during the 8 to 14 hours of treatment contact time.
347. The school nurse has provided an instructional session
about impetigo to parents of the children
attending the school. Which statement, if made
by a parent, indicates a need for further
in struction?
1. "It is extremely contagious."
2. "It is most common in humid weather."
3. "Lesions most often are located on the arms
and chest."
4. "It might show up in an area of broken skin,
such as an insect bite." - ANS_3
Rationale: Impetigo is a contagious bacterial infection of the
skin caused by β-hemolytic streptococci or staphylococci, or
both. Impetigo is most common during hot, humid summer
months. Impetigo may begin in an area of broken skin, such
as an insect bite or atopic dermatitis. Impetigo is extremely
contagious. Lesions usually are located around the mouth
and nose, but may be present on the hands and extremities.
Test-Taking Strategy: Note the strategic words, need for further
instruction. These words indicate a negative event query and
ask you to select an option that is an incorrect statement. Think
about the pathophysiology associated with impetigo. Knowledge
,regarding the cause and manifestations of impetigo will
direct you to the correct option.
349. A topical corticosteroid is prescribed by the health
care provider for a child with atopic dermatitis
(eczema). Which instruction should the nurse give
the parent about applying the cream?
1. Apply the cream over the entire body.
2. Applya thick layer ofcream to affected areas only.
3. Avoid cleansing the area before application of
the cream.
4. Apply a thin layer of cream and rub it into the
area thoroughly. - ANS_349. 4
Rationale: Atopic dermatitis is a superficial inflammatory process
involving primarily the epidermis. A topical corticosteroid
may be prescribed and should be applied sparingly (thin layer)
and rubbed into the area thoroughly. The affected area should
be cleaned gently before application. A topical corticosteroid
350. The school nurse is performing pediculosis capitis
(head lice) assessments. Which assessment finding
indicates that a child has a "positive" head check?
1. Maculopapular lesions behind the ears
2. Lesions in the scalp that extend to the hairline
or neck
, 3. White flaky particles throughout the entire scalp
region
4. White sacs attached to the hair shafts in the
occipital area - ANS_
352. The nurse analyzes the laboratory results of a child
with hemophilia. The nurse understands that
which result will most likely be abnormal in this
child?
1. Platelet count
2. Hematocrit level
3. Hemoglobin level
4. Partial thromboplastin time - ANS_352. 4
Rationale: Hemophilia refers to a group of bleeding disorders
resulting from a deficiency of specific coagulation proteins.
Results of tests that measure platelet function are normal; results
of tests that measure clotting factor function may be abnormal.
Abnormal laboratory results in hemophilia indicate a prolonged
partial thromboplastin time. The platelet count, hemoglobin
level, and hematocrit level are normal in hemophilia.
Test-Taking Strategy: Focus on the subject, laboratory tests
used to monitor hemophilia, and note the strategic words,
most likely. Recalling the pathophysiology associated with this
disorder and recalling that it results from a deficiency of specific
coagulation proteins will direct you to the correct option.
