Hesi Pediatric Practice Exam Questions
Woth Correct Answers
The |nurse |is |giving |pre-op |instructions |to |a |14 |yr |old |female |scheduled |for |surgery |to |correct |a
|spinal |curvature. |Which |stmt |best |demonstrates |that |leaning |has |taken |place? |- |CORRECT |
ANSWER✔✔-"I |understand |that |I |will |be |in |a |body |cast |and |I |will |show |you |how |you |taught |
me |to |turn"
To |take |the |v/s |of |a |4 |month |old, |which |ordered |will |give |the |most |accurate |results? |- |
CORRECT |ANSWER✔✔-RR |- |HR |- |rectal |temp
During |routine |screening |at |a |school |clinic, |an |otoscope |exam |reveals |a |tympanic |mb |that |is |
pearly |gray, |slightly |bulging, |and |not |movable. |What |action |should |the |nurse |take |next? |- |
CORRECT |ANSWER✔✔-Ask |the |child |if |they |have |had |a |cold, |runny |nose, |or |any |ear |pain |
lately
Which |restraint |should |be |used |for |a |toddler |after |a |cleft |palate |repair? |- |CORRECT |
ANSWER✔✔-Elbow
What |pre-op |nsg |intervention |should |be |included |in |the |POC |for |an |infant |w/ |pyloric |stenosis?
|- |CORRECT |ANSWER✔✔-Observe |for |projectile |vomiting
(remember |that |projectile |vomiting |leads |to |metabolic |alkalosis)
A |6 |month |old |returns |from |surgery |w/ |elbow |restraints |in |place. |What |nsg |care |should |be |
included |when |caring |for |any |restrained |child? |- |CORRECT |ANSWER✔✔-Remove |the |restraints |
one |at |a |time |and |provide |ROM |exercises
,(Removing |them |1 |at |a |time |is |safer |than |all |at |once)
A |2 |yr |old |w/ |Down |syndrome |is |brought |to |the |clinic |for |his |regular |physical |exam. |The |nurse |
knows |which |problem |is |requently |associated |w/ |Downs? |- |CORRECT |ANSWER✔✔-Congenital |
heart |disease
(CHD |is |the |most |common |associated |defect |w/ |Downs. |- |also, |remember |Professor |Moore |
said |that |heart |and |ear |problems |go |hand |in |hand)
When |assessing |a |child |w/ |asthma, |the |nurse |should |expect |intercostal |retractions |during |- |
CORRECT |ANSWER✔✔-Inspriation
When |planning |the |care |for |a |child |who |has |had |a |cleft |lip |repair, |the |nurse |know |that |crying |
should |be |minimized |because |it |- |CORRECT |ANSWER✔✔-Stresses |the |suture |line
A |full-term |infant |is |admitted |to |the |newborn |nursery. |After |careful |assessment, |the |nurse |
suspects |that |the |infant |may |have |an |esophageal |atresia. |Which |sx's |is |this |newborn |likely |to |
have |exhibited? |- |CORRECT |ANSWER✔✔-Choking |, |coughing, |and |cyanosis
(this |answer |includes |the |3 |"C"s |of |esophageal |atresia |caused |by |the |overflow |of |secretions |to
|the |trachea)
Which |behavior |would |the |nurse |expect |a |2 |yr |old |to |exhibit? |- |CORRECT |ANSWER✔✔-Display
|possessiveness |of |toys
(they |are |egocentric |and |unable |to |share |w/ |others)
the |other |of |a |preschool-aged |child |asks |the |nurse |if |it |is |all |right |to |administer |Pepto |Bismol |
to |her |son |when |he |has |a |tummy |ache. |After |reminding |her |to |check |the |label |of |all |OTC |
meds |for |the |presence |of |ASA, |which |instruction |should |the |nurse |include |when |replying |to |
, the |mom's |question? |- |CORRECT |ANSWER✔✔-Do |not |give |if |they |have |chicken |pox, |the |flue, |
or |any |other |viral |illness
(ASA |can |cause |Reye's |syndrome)
the |nurse |observes |a |4 |yr |old |boy |in |a |daycare. |Which |behavior |should |the |nurse |consider |
normal |for |this |child? |- |CORRECT |ANSWER✔✔-Demonstrates |aggressiveness |by |boasting |when
|telling |a |story
A |burned |child |is |brought |to |the |ER. |In |estimating |the |% |of |body |burned, |the |nurse |uses |a |
modified |"Rule |of |Nines." |Which |part |of |the |body |is |calculated |as |a |larger |% |of |total |body |
surface |than |an |adult? |- |CORRECT |ANSWER✔✔-Head |and |neck
(a |child's |head |and |neck |are |proportionately |larger |to |their |body |than |an |adult's)
The |nurse |receives |a |lab |report |stating |a |child |w/ |asthma |has |a |theophylline |level |of
|15mcg/dL. |What |action |will |the |nurse |take? |- |CORRECT |ANSWER✔✔-Pass |the |info |on |in |the |
report
(therapeutic |level |is |10-20)
A |12 |month |old |is |admitted |w/ |a |respiratory |infection |and |possible |pneumonia. |He |is |placed |in
|a |mist |tent |w/ |O2. |Which |nsg |intervention |has |the |greatest |priority? |- |CORRECT |ANSWER✔✔-
Have |a |bulb |syringe |readily |available |to |remove |secretions
(patent |airway |has |the |highest |priority. |Humidification |will |liquefy |the |nasal |secretions |- |
thereby |increasing |the |amt |of |secretions |and |making |that |a |priority)
Woth Correct Answers
The |nurse |is |giving |pre-op |instructions |to |a |14 |yr |old |female |scheduled |for |surgery |to |correct |a
|spinal |curvature. |Which |stmt |best |demonstrates |that |leaning |has |taken |place? |- |CORRECT |
ANSWER✔✔-"I |understand |that |I |will |be |in |a |body |cast |and |I |will |show |you |how |you |taught |
me |to |turn"
To |take |the |v/s |of |a |4 |month |old, |which |ordered |will |give |the |most |accurate |results? |- |
CORRECT |ANSWER✔✔-RR |- |HR |- |rectal |temp
During |routine |screening |at |a |school |clinic, |an |otoscope |exam |reveals |a |tympanic |mb |that |is |
pearly |gray, |slightly |bulging, |and |not |movable. |What |action |should |the |nurse |take |next? |- |
CORRECT |ANSWER✔✔-Ask |the |child |if |they |have |had |a |cold, |runny |nose, |or |any |ear |pain |
lately
Which |restraint |should |be |used |for |a |toddler |after |a |cleft |palate |repair? |- |CORRECT |
ANSWER✔✔-Elbow
What |pre-op |nsg |intervention |should |be |included |in |the |POC |for |an |infant |w/ |pyloric |stenosis?
|- |CORRECT |ANSWER✔✔-Observe |for |projectile |vomiting
(remember |that |projectile |vomiting |leads |to |metabolic |alkalosis)
A |6 |month |old |returns |from |surgery |w/ |elbow |restraints |in |place. |What |nsg |care |should |be |
included |when |caring |for |any |restrained |child? |- |CORRECT |ANSWER✔✔-Remove |the |restraints |
one |at |a |time |and |provide |ROM |exercises
,(Removing |them |1 |at |a |time |is |safer |than |all |at |once)
A |2 |yr |old |w/ |Down |syndrome |is |brought |to |the |clinic |for |his |regular |physical |exam. |The |nurse |
knows |which |problem |is |requently |associated |w/ |Downs? |- |CORRECT |ANSWER✔✔-Congenital |
heart |disease
(CHD |is |the |most |common |associated |defect |w/ |Downs. |- |also, |remember |Professor |Moore |
said |that |heart |and |ear |problems |go |hand |in |hand)
When |assessing |a |child |w/ |asthma, |the |nurse |should |expect |intercostal |retractions |during |- |
CORRECT |ANSWER✔✔-Inspriation
When |planning |the |care |for |a |child |who |has |had |a |cleft |lip |repair, |the |nurse |know |that |crying |
should |be |minimized |because |it |- |CORRECT |ANSWER✔✔-Stresses |the |suture |line
A |full-term |infant |is |admitted |to |the |newborn |nursery. |After |careful |assessment, |the |nurse |
suspects |that |the |infant |may |have |an |esophageal |atresia. |Which |sx's |is |this |newborn |likely |to |
have |exhibited? |- |CORRECT |ANSWER✔✔-Choking |, |coughing, |and |cyanosis
(this |answer |includes |the |3 |"C"s |of |esophageal |atresia |caused |by |the |overflow |of |secretions |to
|the |trachea)
Which |behavior |would |the |nurse |expect |a |2 |yr |old |to |exhibit? |- |CORRECT |ANSWER✔✔-Display
|possessiveness |of |toys
(they |are |egocentric |and |unable |to |share |w/ |others)
the |other |of |a |preschool-aged |child |asks |the |nurse |if |it |is |all |right |to |administer |Pepto |Bismol |
to |her |son |when |he |has |a |tummy |ache. |After |reminding |her |to |check |the |label |of |all |OTC |
meds |for |the |presence |of |ASA, |which |instruction |should |the |nurse |include |when |replying |to |
, the |mom's |question? |- |CORRECT |ANSWER✔✔-Do |not |give |if |they |have |chicken |pox, |the |flue, |
or |any |other |viral |illness
(ASA |can |cause |Reye's |syndrome)
the |nurse |observes |a |4 |yr |old |boy |in |a |daycare. |Which |behavior |should |the |nurse |consider |
normal |for |this |child? |- |CORRECT |ANSWER✔✔-Demonstrates |aggressiveness |by |boasting |when
|telling |a |story
A |burned |child |is |brought |to |the |ER. |In |estimating |the |% |of |body |burned, |the |nurse |uses |a |
modified |"Rule |of |Nines." |Which |part |of |the |body |is |calculated |as |a |larger |% |of |total |body |
surface |than |an |adult? |- |CORRECT |ANSWER✔✔-Head |and |neck
(a |child's |head |and |neck |are |proportionately |larger |to |their |body |than |an |adult's)
The |nurse |receives |a |lab |report |stating |a |child |w/ |asthma |has |a |theophylline |level |of
|15mcg/dL. |What |action |will |the |nurse |take? |- |CORRECT |ANSWER✔✔-Pass |the |info |on |in |the |
report
(therapeutic |level |is |10-20)
A |12 |month |old |is |admitted |w/ |a |respiratory |infection |and |possible |pneumonia. |He |is |placed |in
|a |mist |tent |w/ |O2. |Which |nsg |intervention |has |the |greatest |priority? |- |CORRECT |ANSWER✔✔-
Have |a |bulb |syringe |readily |available |to |remove |secretions
(patent |airway |has |the |highest |priority. |Humidification |will |liquefy |the |nasal |secretions |- |
thereby |increasing |the |amt |of |secretions |and |making |that |a |priority)
