Pediatrics Retake Exam
1. A nurse is preparing to assess a 4-year old child’s visual acuity. Which of the following actions should the nurse plan first?
• Use a tumbling E chart for the assessment
• Position the child 4.6 meters (15 feet) from the chart
• Assess both eyes together fir...
pediatrics retake exam 1 a nurse is preparing to assess a 4 year old child’s visual acuity which of the following actions should the nurse plan first • use a tumbling e chart for the assessment •
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HESI RN PEDS 2022 Update
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Pediatrics Retake Exam
1. A nurse is preparing to assess a 4-year old child’s visual acuity. Which of the
following actions should the nurse plan first?
• Use a tumbling E chart for the assessment
• Position the child 4.6 meters (15 feet) from the chart
• Assess both eyes together first, then each eye separately
• Test the child without glasses before testing with glasses
2. A nurse is providing discharge teaching to a parent of a child who has juvenile
idiopathic arthritis and a new prescription of prednisone/etarnecept. Which of the
following statement should the nurse include in the teaching?
• “Discontinue this medication if gastrointestinal upset occurs.”
• “Expect that this medication will stimulate a growth spurt.”
• “Limit your child’s intake of potassium-rich foods.”
• “Monitor your child for indications of infection.”
3. A nurse on a pediatric unit is caring for four children. The nurse should use
droplet precautions for which of the following children?
• An adolescent who has hepatitis A
• A toddler who has seasonal influenza
• A preschool-age child who has pediculosis capitis
• A school-age child who has viral conjunctivitis
4. A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of
the following statements should the nurse include in the teaching?
• “Apply a warm, moist compress three times per day.”
• “Apply scented baby powder to absorb residual moisture.”
• “Wear a feminine deodorant pad for vaginal drainage.”
• “Wear nylon underwear at night.”
5. A nurse is creating a plan of care for a school-age child who has nephrotic
syndrome. Which of the following interventions should the nurse include? (Select all
that apply)
• Provide a low-sodium diet
• Encourage increased fluid intake
• Assess for protein in the urine
• Initiate contact precautions
• Obtain a daily weight
6. A nurse in a pediatric unit is caring for a school-age child following a
cardiac catheterization. Which of the following interventions would the
nurse take?
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• Maintain NPO status for 24 hrs. following the procedure
• Administer meperidine for pain every 4 hrs.
• Perform a sterile dressing change 8 hrs. after the procedure
• Keep the affected extremity straight for 6 hrs.
7. A nurse is teaching a parent of a toddler about administering digoxin. Which of
the following statements by the parent indicates understanding of the teaching?
• “I should mix the medication with 4 ounces of my child’s favorite juice.”
• “I should give my child water after giving the medication.”
• “I should give my child another dose if he vomits right after taking
the medication.”
• “I should give the medication with foods that are high in fiber.”
8. A nurse is caring for a 9-year-old child who has major burns to her face and upper
torso. Which of the following actions should the nurse take first?
• Administer a tetanus vaccine
• Give pain medication
• Begin enteral feedings
• Initiate a crystalloid IV bolus
9. A nurse is planning care for a toddler who has developed oral ulcers in response to
chemotherapy. Which of the following should the nurse include in the plan of
care?
• Schedule routine oral care every 8 hrs.
• Administer oral viscous lidocaine
• Moisten the mucous with lemon glycerin swabs
• Cleanse the gums with saline soaked gauze
10. A nurse in a community health clinic is assessing the needs of a single parent who has
three young children and works full time. Which of the following resources should the
nurse recommend?
• 12-step support group
• Respite child care
• Child home health care
• Counseling for depression
11. A nurse is caring for a child who has a prescription for fluticasone and has developed
white patches and sores in his mouth. Which of the following is an appropriate action
for the nurse to take?
• Encourage the use of a spacer
• Withhold the medication until the lesions heal
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• Obtain a prescription for oral prednisone
• Collect a culture from the lesions
12. A nurse is providing teaching to the parents of a child who has impetigo. Which of
the following instructions should the nurse include in the teaching?
• Seal soft toys in a plastic bag for 14 days
• Apply bactericidal ointment to lesions
• Administer acyclovir PO two times per day
• Soak hairbrushes in boiling water for 10 min.
13. A nurse in an emergency department is caring for a child who has epiglottis. Which of
the following actions should the nurse take?
• Provide nebulizer aerosol therapy
• Administer IV antibiotics
• Inspect the tonsils using a tongue depressor
• Collect a throat culture
14. A nurse is planning care for a child who is placed in skin traction. Which of the
following is the priority action for the nurse to take?
• Increase fluid intake
• Maintain proper body alignment
• Use an alternate pressure mattress
• Monitor pedal pulses
15. A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a child who is
receiving chemotherapy and weighs 29.4 kg. Available is ondansetron 4 mg/2 mL
solution. How many mL should the nurse administer? (Round the answer to the nearest
tenth. Use a leading zero if it applies. Do not use a trailing zero)
• Answer: 2.2 mL
16. A nurse is performing a physical assessment of a school-age child who has
acute glomerulonephritis. Which of the following findings should the nurse
expect?
• Hypotension
• Increased urinary output
• Flushed skin
• Facial edema
17. A nurse in an emergency department is assessing an adolescent who reports inhalation of
gasoline. Which of the following findings should the nurse expect?
• Hypothermia
• Pinpoint pupils
• Hyperactive reflexes
• Ataxia
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18. A nurse in the emergency department is assessing a toddler who has hyperpyrexia,
severe dyspnea, and is drooling. Which of the following actions should the nurse take
first?
• Prepare the toddler for nasotracheal intubation
• Insert an IV catheter for the toddler
• Obtain a blood culture from the toddler
• Administer an antibiotic to the toddler
19. A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should
identify that the defect is at which of the following locations of the heart? (You will find
hot spots to select in the artwork below. Select only the hot spot that corresponds to
your assessment)
• Answer:
20. A nurse is caring for an infant who has hydrocephalus and ventriculoperitoneal
shunt malfunction. Which of the following assessment findings indicates that the
infant is experiencing increased intracranial pressure?
• Increased appetite
• Irritability
• Flat fontanel
• Tachycardia
21. A nurse is assessing an infant who has iron deficiency anemia. Which of the
following findings should the nurse expect?
• Increased hemoglobin level
• Hyperactive muscle tone
• Bradycardia
• Pale conjunctiva
22. A nurse is caring for a child who received partial thickness burns to over 50% of his
body 10 days ago and has splints over his joints to prevent contractions. Which of the
following actions should the nurse take? (Select all that apply)
• Provide a high-calorie diet
• Administer analgesics IM
• Remove splints during sleep
• Change dressings using aseptic technique
• Monitor intake and output
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